Background: Growing evidence exists indicate that subjective perceptions of well-being (i.e. life satisfaction) are favorably associated with overall health status. Few reports are available that explore this association in nationally representative samples of US adults. Methods: Data from were collected from 115,929 US adults (18+ y) from all 50 states via dual mail and web-based sampling through the 2018 Gallup National Health and Well-Being Survey. Well-being was assessed by asking individuals to place themselves on a 10-step ladder with ‘worst possible life’ representing the lowest rung and ‘best possible life’ the top rung; ratings were collected for both their current life and their life in 5 years. Based on both current and future life ratings, individuals were categorized as thriving, struggling, or suffering. General health status was assessed based 5 options (excellent to poor). Results: Significant positive trends were observed between current and future levels of life satisfaction with ratings of general health status after accounting for age, sex, education, an income (p<0.001 and p<0.001, respectively) (Figure 1). Similarly, the proportion of adults categorized as “Thriving” was higher across more favorable levels of general health status. Conclusions: Level of well-being assessed by subjective rating of life satisfaction is strongly, positively, and independently associated with perception of general health status in a large sample of US adults. These results may demonstrate the strong influence of well-being on the preservation of health, however, further prospective examination of these associations are warranted.
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