Self-reported Happiness Research Articles

A rank ordering and analysis of four cognitive-behavioral stress-management competencies suggests that proactive stress management is especially valuable

The main objective of this study was to determine the relative value of four cognitive-behavioral competencies that have been shown in empirical studies to be associated with effective stress management. Based on a review of relevant psychological literature, we named the competencies as follows: Manages or Reduces Sources of Stress, Manages Thoughts, Plans and Prevents, and Practices Relaxation Techniques. We measured their relative value by examining data obtained from a diverse convenience sample of 18,895 English-speaking participants in 125 countries (65.0% from the U.S. and Canada) who completed a new inventory of stress-management competencies. We assessed their relative value by employing a concurrent study design, which also allowed us to assess the validity of the new instrument. Regression analyses were used to rank order the four competencies according to how well they predicted desirable outcomes. Both regression and factor analyses pointed to the importance of proactive stress-management practices over reactive methods, but we note that the correlational design of our study has no implications for the possible causal effects of these methods. Questionnaire scores were strongly associated with self-reported happiness and also significantly associated with personal success, professional success, and general level of stress. Data were collected between 2007 and 2022, but we found no effect for time. The study supports the value of stress-management training, and it also suggests that moderate levels of stress may not be as beneficial as previously thought.

Transcranial electrical stimulation modulates emotional experience and metabolites in the prefrontal cortex in a donation task

Understanding the neural, metabolic, and psychological mechanisms underlying human altruism and decision-making is a complex and important topic both for science and society. Here, we investigated whether transcranial Direct Current Stimulation (tDCS) applied to two prefrontal cortex regions, the ventromedial prefrontal cortex (vmPFC, anode) and the right dorsolateral prefrontal cortex (DLPFC, cathode) can induce changes in self-reported emotions and to modulate local metabolite concentrations. We employed in vivo quantitative MR Spectroscopy in healthy adult participants and quantified changes in GABA and Glx (glutamate + glutamine) before and after five sessions of tDCS delivered at 2 mA for 20 min (active group) and 1 min (sham group) while participants were engaged in a charitable donation task. In the active group, we observed increased levels of GABA in vmPFC. Glx levels decreased in both prefrontal regions and self-reported happiness increased significantly over time in the active group. Self-reported guiltiness in both active and sham groups tended to decrease. The results indicate that self-reported happiness can be modulated, possibly due to changes in Glx concentrations following repeated stimulation. Therefore, local changes may induce remote changes in the reward network through interactions with other metabolites, previously thought to be unreachable with noninvasive stimulation techniques.

Self-Reported Health and Happiness Among Sub-Regions of Asia: The World Value Survey 2017-2021

Self-Reported Health and Happiness Among Sub-Regions of Asia: The World Value Survey 2017-2021

Exploring the Relationship between Mediterranean Diet Adherence and Subjective Well-Being among Greek and Cypriot Adults.

Associations between subjective well-being (SWB) and dietary habits, employment status, and habitual activities are increasingly capturing the focus of researchers as well as policymakers worldwide. This study aimed to explore these associations in a sample of the population in Greece and Cyprus via an online survey. In total, 936 questionnaires (470: Cyprus, 466: Greece) were analyzed to study the associations between the Mediterranean Diet (MD) (using the 14-item MEDAS score, (14-MEDAS)), subjective well-being (SWB), and several socioeconomic factors. Key remarks of this survey highlight the positive impact of MD adherence on some well-being items. Namely, statistically significant differences were found on the following items: Satisfied with life (p < 0.001), Life worthwhile (p < 0.001), Feeling happy (p < 0.001), worried (p = 0.005), and depressed (p = 0.001), when comparing Low MD adherence (14-MEDAS < 5) to High MD adherence (14-MEDAS > 10). Other lifestyle habits such as spending time with friends and family, spending time in nature, and habitual physical activity were associated with aspects of SWB such as Life satisfaction, Life worthwhile, Feeling happy, and energetic. The findings support adherence to the MD, since it is associated with higher life satisfaction and self-reported happiness in this sample and should be considered when developing health policies on well-being.

A happiness approach to valuing health states for children

Preference weights are widely used to score generic health states into utility indexes for estimation of quality adjusted life years (QALYs) and to aid health care funding decisions. To date, health state utilities are predominantly derived using stated preference methods based on decision utility. This paper tests an alternative and generates preference weights using experienced utility for children based on the Child Health Utility 9D (CHU9D) descriptive system. We estimate the relative values of the CHU9D health states with regard to experienced utility, where experienced utility is approximated by self-reported happiness. A nationally-representative longitudinal survey was used including 6090 Australian children aged 12–17 years surveyed over 2014–2018. The derived weights were then applied to calculate the utility decrements for a few common child health conditions. We found that the estimated utility decrements are largely similar to those estimated using the published CHU9D Australian adolescent weights based on decision utility, except for pain and depression. A smaller utility decrement for pain and a larger utility decrement for depression were indicated by experienced utility. We contribute to the literature by showing that using experienced utility methods to generate preference weights for health states is possible, and we discuss some important methodological challenges for future studies such as the impracticability of anchoring to ‘dead’ when utilizing experienced utility.

Public administration contributes to happiness: a study on the relationship between public value and happiness in Switzerland

PurposeIn public management research, the focus in the public value debate has been on public administration organizations’ broader societal outcomes. Public value describes how public administrations form a vital part of the social context in which people develop and grow. However, there has not yet been an analysis of how public administration contributes to happiness in society.Design/methodology/approachIn this study, we empirically analyze the relationship between people’s happiness and the public value of public administration. Our approach is based on a unique Swiss survey dataset comprising 870 individuals.FindingsWe find a positive relationship between public administration’s public value and happiness. We also find preliminary evidence with a moderation analysis that the relationship between a value-creating public administration sector and self-reported happiness is stronger for public administration employees.Research limitations/implicationsWhile correlation studies cannot claim causal explanations and common method bias may additionally limit any research in social science, we took a number of measures to mitigate related problem. We tested our model in two samples and took both several procedural techniques and a survey design minimizing common method bias.Practical implicationsThe paper discusses implications for public sector performance measurement for public management and practitioners.Social implicationsThis study calls for a more positive view on the multiple functions public administration performs for society. After an era of critical voices, our study helps reclaim public administration as a positive force for society at large in times of grand challenges, such as climate crisis, demographics and digitization.Originality/valueThis study has highlighted the importance between public administration’s public value and happiness in Swiss public service organizations. The study also showed that an employment in the public administration contributes to the happiness of individuals and beyond to society.

The world turned upside down: Can international student mobility contribute towards democratization and human development? Evidence from the Eurograduate pilot survey

AbstractPolitical, social, environmental, and health challenges have questioned the relevance and sustainability of international student mobility (ISM). Strong critiques towards ISM stem from current global challenges but are also rightfully prevalent among scholars of internationalization. In response to the sustained critique of ISM, this article makes the case that—despite its limitations—ISM can contribute towards important public good outcomes and serve broader institutional and higher education sector aims. Public good is operationalized as referring to markers of democratization—trust in others and political participation—and markers of human development—self-reported competency levels and happiness. Data from eight European countries collected through the Eurograduate 2018 pilot survey is used to test the association between study abroad and democratization and human development markers. By doing so, the paper aims to understand if ISM can help address some of the democratization and human development challenges faced at national, regional, and global levels. The paper also observes how these outcomes vary between international, migrant, and domestic graduates. In this article, the juxtaposition of migrant graduates—an under-researched group in internationalization studies—with international graduates highlights how migrant students and graduates can be better supported. Results offer a complex picture of inequality between international, migrant, and domestic graduates. Findings also show that studying abroad is positively associated with trust in others, political participation, higher self-reported competency levels, and happiness, underlining the public good value of ISM.

The press and government, influencers of citizens’ political opinions: A quasi-experiment on Brexit

In a highly interconnected world, it is important to determine how local events happening somewhere can influence the course of action in a different place. The current study approaches Brexit' spillover effect across Europe regarding Euroscepticism and Europeans' attitudes towards the EU. Through a quasi-experimental methodology, we employed the data from the eighth and the ninth edition of the European Social Survey (ESS). After March 29, 2017, when Theresa May triggered the formal mechanism for the Brexit process, in distant UK places, public opinion shifted towards believing the EU unification had gone too far. The political placement (left/right leaning) predicted the shift, while the use of the internet and the self-reported happiness level significantly and positively impacted the support for remaining in the EU. Subjectively experiencing unemployment did not contribute to Euroscepticism, but it was positively correlated with unfavourable opinions about immigration. Conversely, the affection toward Europe increased for politically right-leaning respondents who considered that immigration harms the local state and should be reduced. Self-reported quality of life (health and happiness), greater internet use, and news media consumption lead to more favourable views toward immigration and the idea that immigrants enrich the local state. The theoretical and practical implications are discussed with public policy recommendations.

The Emotional State of Second-Language Learners in a Research Writing Course: Do Academic Orientation and Major Matter?

This study examined whether differences exist in the emotional state of students whose approach to undergraduate courses is either preferentially learning-oriented or grade-oriented. It focused on an understudied population of female college students of Saudi Arabian descent who were enrolled in a challenging writing course. Their emotional state was assessed both globally, through the appraisal of their degree of happiness, and locally, through the appraisal of their writing anxiety (a task-specific emotional state). The study contributed to the extant literature by examining whether the association between goal orientation and emotional state, which is predicted by goal orientation theory, could be found in the selected understudied student population. Results illustrate differences between STEM and non-STEM learners. For STEM students, a grade orientation was associated with declining self-reported happiness and increasing writing anxiety. In contrast, for both STEM and non-STEM students, a learning orientation was associated with increasing happiness and declining writing anxiety. Differences existed in the particular type of writing anxiety that was experienced by STEM and non-STEM students. These findings suggest that interventions for students who are struggling academically may need to address personal dispositions if such interventions are to foster subjective well-being (including positive emotions).

Moderating effect of country-level health determinants on the association between hobby engagement and mental health: cross-cohort multi-level models, meta-analyses, and meta-regressions

BackgroundTheories from anthropology, evolutionary psychology, and sociology have focused on the potential adaptive benefits of hobby engagement for mental health in older adults. However, previous studies have used data from single countries, potentially biased by specific measurement and methodological approaches, cohort effects, or cultural specificities. Whether there are genuine benefits for mental health in older adults cross-culturally remains unknown. This study explored the consistency of this association across 16 different nations. MethodsFor this epidemiological study, we used data from adults aged 65 years or older across 16 countries in the USA, Europe, and Asia, represented in five longitudinal studies (ELSA, JAGES, HRS, SHARE and CHARLS; N=93 263, 45–62% female, mean age 72–76 years, data collected 2008–20). We harmonised measures of self-reported engagement in hobbies and past-times, depressive symptoms (validated scales), and Likert scale responses for self-reported health, happiness, and life satisfaction. We conducted fixed-effects models and longitudinal regression models of hobbies and mental health for each country and then pooled in multinational meta-analyses. We accounted for all time-constant factors including those unobserved (eg, genetics, past leisure behaviour, medical history, psychological traits) and identified time-varying factors (eg, sociodemographic background, clinical conditions, daily functioning). We tested the potential moderating effects of country-level determinants of health in meta-regressions and multilevel models. FindingsMeta-analytic fixed-effects findings showed that having a hobby was associated with fewer depressive symptoms (pooled coefficient –0·10, 95% CI –0·13 to –0·07, I2=69·5%, H2=3·28), and higher levels of self-reported health (0·06, 0·03 to 0·08, I2=48·1%, H2=1·93), happiness (0·09, 0·06 to 0·13, I2=67·0%, H2=3·03), and life satisfaction (0·10, 0·08 to 0·12, I2=33·6%, H2=1·51). Results were consistent in meta-analyses of longitudinal regression models testing directionality of findings. Macro-level factors such as life expectancy, world happiness index, country wealth, and income inequality predicted prevalence of hobby engagement, but they showed only marginal moderating effects on the association between hobbies and mental health. InterpretationDespite some heterogeneity in measurement between the cohorts, the apparent universality of the health benefits of hobbies internationally suggests that facilitating greater opportunities for engagement across demographic groups and between countries could be an important part of multidisciplinary care. Findings have implications for social prescribing schemes (currently in trial in many countries) and multidisciplinary work on origins and human behavioural patterns of hobby engagement. FundingNational Endowment for the Arts, Wellcome Trust, Belgian Nnational Scientific Fund (FNRS).

49 Health Literacy and Well-Being in Older Adults

Objective:Although health problems are often a natural consequence of aging, many older adults struggle to manage their health care problems. Health literacy refers to the ability to access, process, and use health information to make appropriate decisions to promote good overall health. Low levels of health literacy are associated with a host of negative outcomes such as less efficient use of healthcare services, higher healthcare costs, increased mortality, and poorer self-rated health. In those with medical conditions (e.g., diabetes), lower health literacy is linked with higher levels of depression. It is important to investigate whether mental health is linked to health literacy as understanding these links has the potential to identify those at risk for negative outcomes and thus implement protective strategies. Therefore, the current study sought to determine the extent to which various mental health constructs such as happiness, well-being, anxiety and depression are related to health literacy in a community-based sample of cognitively healthy individuals. We hypothesized that higher levels of health literacy would be associated with higher self-reported well-being, happiness, and lower anxiety and depression.Participants and Methods:Design - Cross-sectional, prospective study. Setting - Community-based. 93 individuals were included with mean age=59.02 years (SD=15.12) and mean education=15.70 (SD=2.39). 60% were women, the majority were White (55%) while 38% were Black and 7% belonged to other races; 90% were non-Hispanic.Measures:Health Literacy - Health literacy was measured by an 8-item instrument in the Rush Memory and Aging Project that examined the participant’s understanding of health care, treatment, and related behaviors. Happiness - Happiness was measured by 5 items from the Satisfaction with Life Scale using a 7-point scale (1 = strongly agree; 7 = strongly disagree). Higher scores indicated lower levels of happiness. Well-being - Well-being was measured with an 18-item instrument from the Rush Memory and Aging project, with higher scores indicating better well-being. Statistics: Bivariate correlations between age, education, and mental health measures and health literacy were examined.Results:Higher level of health literacy was significantly associated with age (r = .282 p = .009) and education (r = .228 p = .039). Contrary to our hypothesis, health literacy was not significantly associated with happiness (r = .002 p = .987), well-being (r = .037 p = .742), depression (r = .005 p = .962) or anxiety (r = -.064 p = .568). Even after controlling for age and education, these associations remained significant.Conclusions:Higher level of healthy literacy was associated with older age and higher level of education. However, no significant association was found between health literacy and mental health measures of happiness, well-being, depression, and anxiety in cognitively healthy individuals, even after controlling for demographics. The lack of such associations in this study was unexpected and suggests that other factors such as the presence of health conditions (e.g., diabetes, cancer) might critically contribute to such associations. Future studies should examine these associations in a larger context to better understand how to promote healthy self-care behaviors.

Happiness among Nonstandard Employees in Europe: The Role of the Worker’s Value Orientation and Sources of Social Support

This study explored self-reported happiness among nonstandard (part-time, temporary, and no-contract) employees in Europe. Rooted in Theory of basic individual values and the modified Buffer hypothesis, it focused on the role of worker’s value orientation and sources of social support/social buffers. Data stemmed from European Social Survey 2018 and Eurostat datasets, and was analyzed using multilevel modeling. As an introductory insight, “feeling good”, i.e., happiness was found associated with the respondents’ age, sex, and income – in favor of younger employees, women, and those with higher salaries. The value orientation identified as beneficial for happiness included being an “open hedonist” and not caring much about being “powerful”. Related to social buffers, happiness was positively associated with household-provided support, whereas support from welfare state policies, trade unions, and prosperous socio-economic environment had no effect.

What makes a school a happy school? Portuguese students’ perspectives

IntroductionUNESCO has sparked interest in the study of happy schools and, through its Happy Schools Project (HSP) framework, provides tools that enable the teaching and learning community to work towards making “happy schools” a reality. Since the understanding of happiness is culturally influenced (HSP studied Asian countries), we sought to identify parallels between the HSP framework and Portuguese schools through the eyes of students.MethodsWe asked a group of Portuguese students to rate their happiness at school and answer three open questions: What makes you happy at school? What makes you unhappy at school? What is a happy school? Using an online survey, 2708 students participated in this study. We coded the answers with variables derived from the HSP framework, aiming to understand what characteristics students value most when referring to their happiness or unhappiness at school and what features a happy school should have.ResultsFindings show that most Portuguese students consider themselves to be reasonably happy. No relevant difference exists between boys’ and girls’ self-reported happiness levels, and their happiness decreases as age increases. Children emphasized relationships with friends and teachers and teachers’ attitudes, competencies, and capacities as elements of a happy school. We found that school unhappiness is related to excessive workload and bullying.DiscussionEven though there are cultural differences between countries, when we identified the characteristics of a happy school from the perspective of Portuguese students, we found similarities with the HSP framework guidelines.

Hobby engagement and mental wellbeing among people aged 65 years and older in 16 countries

Growing aging populations pose a threat to global health because of the social and psychological challenges they experience. To mitigate this, many countries promote hobby engagement to support and improve mental health. Yet, it remains unclear whether there is consistency in benefits across different national settings. We harmonized measures of hobby engagement and multiple aspects of mental wellbeing across 16 nations represented in five longitudinal studies (N = 93,263). Prevalence of hobby engagement varied substantially across countries, from 51.0% of Spanish respondents to 96.0% of Danish respondents. Fixed effects models and multinational meta-analyses were applied to compare the longitudinal associations between hobbies and mental wellbeing. Independent of confounders, having a hobby was associated with fewer depressive symptoms (pooled coefficient = −0.10; 95% confidence intervals (CI) = −0.13, −0.07), and higher levels of self-reported health (pooled coefficient = 0.06; 95% CI = 0.03, 0.08), happiness (pooled coefficient = 0.09; 95% CI = 0.06, 0.13) and life satisfaction (pooled coefficient = 0.10; 95% CI = 0.08, 0.12). Further analyses suggested a temporal relationship. The strength of these associations, and prevalence of hobby engagement, were correlated with macrolevel factors such as life expectancy and national happiness levels but overall, little variance in findings was explained by country-level factors (<9%). Given the relative universality of findings, ensuring equality in hobby engagement within and between countries should be a priority for promoting healthy aging.

Trends in Well-Being Among Youth in Australia, 2017-2022

Little is known about temporal trends in children's well-being and how the COVID-19 pandemic may have influenced the well-being of young Australians. Certain demographic groups may be more vulnerable to experiencing declines in well-being. To examine well-being trends over 6 consecutive years among South Australian students and explore the influence of sociodemographic characteristics. Longitudinal analyses of annual (2017 to 2022) cross-sectional data of students in grades 4 through 9 (n = 40 392 to 56 897 per year) attending South Australian government schools from the Well-being and Engagement Collection (WEC) census. Calendar year (2017-2022) and sociodemographic characteristics (sex, school grade, parental education, language spoken at home, residential region) from school enrollment records. Students self-reported life satisfaction, optimism, happiness, cognitive engagement, emotional regulation, perseverance, worry, and sadness. Over 6 years (2017 to 2022), a total of 119 033 students (mean [SD] age, 12.1 y; 51.4% male) participated in this study. Most well-being measures declined over time, with consistent worsening of well-being from 2020 onward. For example, compared with 2017, sadness was 0.26 (95% CI, 0.25-0.27) points higher in 2020 (standardized mean difference [SMD], 0.27) and remained elevated by more than 0.26 points (SMD, 0.27) in 2021 and 2022. At almost every time point, greatest well-being was reported by students of male sex (except cognitive engagement and perseverance), in earlier school grades, with highest parental education, speaking a language other than English at home, and residing in outer regional and remote settings (for satisfaction, optimism, and emotional regulation). Sociodemographic differences in well-being were generally consistent over time; however, sex differences widened from 2020 for all indicators except cognitive engagement and perseverance. For example, between 2017 and 2022, sadness increased by 0.27 (95% CI, 0.25-0.29) more points among females than males (SMD, 0.28). In this longitudinal analysis of annual census data, there were downward trends in students' well-being, especially since 2020. The largest sociodemographic disparities were observed for students of female sex, those in later school grades, and those with lowest parental education. Urgent and equitable support for the well-being of all young people, particularly those facing disparity, is imperative.

Happiness, life satisfaction, and the greenness of urban surroundings

Cities’ environmental factors are pivotal for the quality of life of the population, and green space is increasingly recognized as a significant environmental factor in this regard. In this analysis, we study the contribution of green space to happiness in a mid-sized city in the Global South. We use a population survey and open satellite imagery to assess the relationship between self-reported happiness and the surrounding greenness of the respondent's place of residence while controlling for age, gender, and socioeconomic status. We measure surrounding greenness using the average NDVI value within different distances from the home address, calculated with open satellite imagery. The results show that age and surrounding greenness are significantly correlated with happiness, while the relationships with gender and socioeconomic status appear to be not significant. Our results indicate that increases of 10% in surrounding greenness at different distances from 100 up to 500 m increase the likelihood of self-reported happiness between 13% and 18%. When quality aspects of green areas are considered, they are also significantly correlated with happiness. This paper contributes to the knowledge of surrounding greenness and subjective well-being in one of the most urbanized regions in the world and promotes the discussion of well-being policies in urban planning. The results indicate that increasing surrounding greenness and its quality in dense urban environments could help to improve the quality of life and well-being of the urban populations in Global South cities like Cali.

Exploiting social graph networks for emotion prediction

Emotion prediction plays an essential role in mental healthcare and emotion-aware computing. The complex nature of emotion resulting from its dependency on a person’s physiological health, mental state, and his surroundings makes its prediction a challenging task. In this work, we utilize mobile sensing data to predict self-reported happiness and stress levels. In addition to a person’s physiology, we also incorporate the environment’s impact through weather and social network. To this end, we leverage phone data to construct social networks and develop a machine learning architecture that aggregates information from multiple users of the graph network and integrates it with the temporal dynamics of data to predict emotion for all users. The construction of social networks does not incur additional costs in terms of ecological momentary assessments or data collection from users and does not raise privacy concerns. We propose an architecture that automates the integration of the user’s social network in affect prediction and is capable of dealing with the dynamic distribution of real-life social networks, making it scalable to large-scale networks. The extensive evaluation highlights the prediction performance improvement provided by the integration of social networks. We further investigate the impact of graph topology on the model’s performance.

Cultural values and changes in happiness in 78 countries during the COVID-19 pandemic: An analysis of data from the World Happiness Reports.

The concept of happiness is consistent across cultures to a significant extent, and encompasses both internal (subjective) and external (situational) aspects. Cultural values and norms shape emotions and behavior from an early age, and hence play a key role in influencing cross-national variations in happiness. Cross-national variations in culture can thus play a key role in influencing the relationship between adverse circumstances, such as the COVID-19 pandemic, and happiness. The current study examines the relationship between the six dimensions of culture, defined by Hofstede and his colleagues, and subjective ratings of happiness in 78 countries, obtained before (2017-19) and during (2020-21) the COVID-19 pandemic, based on data from the most recent World Happiness reports. The key results were: (a) countries were as likely to experience an increase as a decrease in self-reported happiness during this period; (b) distinct domains of culture were significantly correlated with happiness at each time point, though there was a certain degree of overlap; (c) pre-pandemic levels of happiness were negatively associated with changes in happiness during the pandemic; and (d) among cultural dimensions, long-term orientation was positively associated with changes in subjective happiness, while indulgence was negatively associated with this variable. Certain cultural values may play an important part in fostering a path to well-being in the face of stressful or traumatic circumstances. This path may be similar to the concept of mature happiness, derived from existential philosophy, which is characterized by achieving a balance between the positive and negative aspects of one's life.

Women in Montenegro exhibit a high degree of happiness and life satisfaction: Data from the Multiple Independent Cluster Survey 2018

Aim: Montenegrin government is increasingly aware of the key role of women in the society and attempts to improve social cohesion among Montenegrin people. Precondition is a high degree of life satisfaction and happiness. Methods: We used the Multiple Indicator Cluster Survey (MICS) of 2018 to analyse the distribution and interaction of 22 potential determinants out of 383 variables available. The participation rate was 77.7 or 2,276 women aged 15-49 years out of 2,928 invited. As data quality turned out to be limited, we employed a data mining approach, i.e. an interactive Classification and Regression Tree (C&amp;RT). Happiness was measured ranging from very happy to very unhappy on a categorical scale of 5 steps Results: Of all Montenegrin women 70.7% declared themselves as very happy. Likewise, a 10-point scale of life satisfaction classifies 82.0% of the sample in the top ranks 8-10. Furthermore, 73.6% of the women expect the next year to be even better. Wealth, younger age, and marriage or living in union determine the status of happiness. Conclusion: Women in Montenegro exhibit a high degree of self-reported happiness and life satisfaction. Montenegrin policies should continue to support the role of women in the society.

Interpersonal relationships, subjective health, psychological well-being, and quality of life among older adults in South India: Evidence from a population-based study.

Subjective health and well-being are closely linked with quality of life (QoL) in older adults. Self-reported health, happiness, satisfaction with life and interpersonal relationships, social support, loneliness, and social isolation make robust indicators for the psychological well-being of older adults. This study aimed to explore subjective health, psychological well-being and associated factors, and their relationship with QoL in older adults. This was a cross-sectional, community-based survey that included adults aged 60 years and above (n = 260) who were living in selected communities. A semi-structured questionnaire was used to collect data on self-reported health, happiness, satisfaction with family and marital relationships, and felt loneliness and isolation. The relationship between psychological well-being and QoL was identified. Data analysis was carried out by descriptive and analytical statistical applications using Statistical Package for the Social Sciences (SPSS) version 20 at P ≤ 0.05. Study findings showed that a significant number of older adults (56%) reported poor general health; 56.4% of men and 59.2% of women were "not at all happy" with their family and interpersonal relationships, and 13.5% of respondents were not at all happy in general. Self-reported health (0.277**) and happiness (0.506**) were positively correlated with the psychological domain of QoL (P ≤ 0.01). The study findings identified the interrelationship between changing family and social relationships and psychological well-being of older adults, which is an immediate public health concern. Inadequate social support and deficient quality of interpersonal relationships predispose loneliness and isolation in later life. Strategies to promote social support and age-friendly social and healthcare resources are urgent needs for healthy aging.