Abstract
We aim to 1) examine changes in the relationship between self-perceived health and life satisfaction; 2) explore potential attributable factors associated with life satisfaction and self-perceived health, and 3) investigate the role of social support in these relationships. Data analyzed were from ten national Canadian Community Health Surveys from 2009 to 2018. We found that self-perceived health and life satisfaction were positively and significantly correlated with each other, and their correlation increased over time. However, life satisfaction and self-perceived health were correlated with different sets of socio-demographic characteristics. The relationship between self-perceived health and life satisfaction varied across different levels of social support, and an additive interaction between social support and self-perceived health was observed in life satisfaction. The combined effect of both self-perceived health as ‘good’ and high social support on life satisfaction was approximately two to four times higher than what was expected from the sum of the effects of social support and self-perceived health alone. The study findings suggest targeting health promotions for population well-being should focus on identified characteristics and pay particular attention to the additive effect of self-perceived health and social support.
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Data Availability
This research was conducted in part at the Saskatchewan Research Data Centre, a part of the Canadian Research Data Centre Network (CRDCN). This service is provided through the support of the University of Saskatchewan, the Canadian Foundation for Innovation, the Canadian Institutes of Health Research, the Social Science and Humanity Research Council, and Statistics Canada. This research was also conducted in part at the Quebec Interuniversity Centre for Social Statistics (QICSS) at McGill University, part of the Canadian Research Data Centre Network (CRDCN). This service is provided through the support of QICSS’ Member Universities, the province of Quebec, the Canadian Foundation for Innovation, the Canadian Institutes of Health Research, the Social Science and Humanity Research Council, the Fonds du Recherche du Québec (Nature et Technologie, Santé, Société et Culture), and Statistics Canada.
Code Availability
All codes used to generate the results are available on request.
References
Andersson, T., Alfredsson, L., Källberg, H., Zdravkovic, S., & Ahlbom, A. (2005). Calculating measures of biological interaction. European Journal of Epidemiology, 20(7), 575–579.
Andrade, F. C. D., & Mehta, J. D. (2018). Increasing educational inequalities in self-rated health in Brazil, 1998–2013. PLoS One, 13(4), e0196494.
Arrindell, W. A., Heesink, J., & Feij, J. A. (1999). The satisfaction with life scale (SWLS): Appraisal with 1700 healthy young adults in The Netherlands. Personality and Individual Differences, 26(5), 815–826.
Atienza-González, F. L., Martínez, N., & Silva, C. (2020). Life satisfaction and self-rated health in adolescents: The relationships between them and the role of gender and age. The Spanish Journal of Psychology, 23.
Berg, A. I., Hassing, L. B., Nilsson, S. E., & Johansson, B. (2009). “As long as I’m in good health”. The relationship between medical diagnoses and life satisfaction in the oldest-old. Aging Clinical and Experimental Research, 21(4), 307–313.
Blanchflower, D. G., & Oswald, A. J. (2008). Is well-being U-shaped over the life cycle? Social Science & Medicine, 66(8), 1733–1749.
Bonikowska, A., Helliwell, J., Hou, F., & Schellenberg, G. (2014). An assessment of life satisfaction responses on recent Statistics Canada surveys. Social Indicators Research, 118, 617–643.
Burger, M. J., Morrison, P. S., Hendriks, M., & Hoogerbrugge, M. M. (2020). Urban–rural happiness differentials across the world. World Happiness Report, 2020, 66–93.
Caron, J. (1996). The scale of social provisions: their validation in Quebec. 21(2), 158-180.
Carstensen, L. L. (1991). Selectivity theory: Social activity in life-span context. Annual Review of Gerontology and Geriatrics, 11(1), 195–217.
Cavallo, F., Dalmasso, P., Ottova-Jordan, V., Brooks, F., Mazur, J., Välimaa, R., Gobina, I., Gaspar de Matos, M., Raven-Sieberer, U., Positive Health Focus Group. (2015). Trends in life satisfaction in European and North-American adolescents from 2002 to 2010 in over 30 countries. The European Journal of Public Health, 25(suppl_2), 80–82.
Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 5, 300–314.
Cohen, S., & Mckay, G. (1984). Social support, stress, and the buffering hypothesis: A theoretical analysis. In A. Baum, S. E. Taylor, & J. E. Singer (Eds.), Handbook of Psychology and Health (pp. 253–267).
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357. https://www.ncbi.nlm.nih.gov/pubmed/3901065. Accessed 2021 Oct 30.
Cohen, S., Gottlieb, B. H., & Underwood, L. G. (2000). Social Support Measurement and Intervention: A Guide for Health and Social Scientists. Social Relationships and Health (pp. 3–25). Oxford University Press.
Cohen, S., Gottlieb, B. H., & Underwood, L. G. (2001). Social relationships and health: challenges for measurement and intervention. Advances in Mind-Body Medicine, 17(2), 129–141. https://www.ncbi.nlm.nih.gov/pubmed/11335207.
Cohen, S. (2004). Social relationships and health. American Psychologist, 59(8), 676–684. https://doi.org/10.1037/0003-066X.59.8.676
Corra, M., Carter, S. K., Carter, J. S., & Knox, D. (2009). Trends in marital happiness by gender and race, 1973 to 2006. Journal of Family Issues, 30(10), 1379–1404.
Cutrona, C. E., & Russell, D. W. (1987). The provisions of social support and adaptation to stress. Advance in Personal Relationships, 1, 37–67.
Diener, E., Inglehart, R., & Tay, L. (2012). Theory and validity of life satisfaction scales. Social Indicators Research, 112, 497–527.
Diener, E., Oishi, S., & Lucas, R. E. (2003). Personality, culture, and subjective well-being: Emotional and cognitive evaluations of life. Annual Review of Psychology, 54(1), 403–425.
Diener, E., Oishi, S., & Lucas, R. E. (2015). National accounts of subjective well-being. American Psychologist, 70(3), 234–242. https://doi.org/10.1037/a0038899
Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125(2), 276.
Diener, E., & Tay, L. (2015). Subjective well-being and human welfare around the world as reflected in the Gallup World Poll. International Journal of Psychology, 50(2), 135–149. https://doi.org/10.1002/ijop.12136
Dumitrache, C. G., Rubio, L., & Rubio-Herrera, R. (2017). Perceived health status and life satisfaction in old age, and the moderating role of social support. Aging & Mental Health, 21(7), 751–757. https://doi.org/10.1080/13607863.2016.1156048
Eckermann, E. (2012). The quality of life of adults. In Handbook of Social Indicators and Quality of Life Research (pp. 373–380). Springer.
Emerson, S. D., Mâsse, L. C., Ark, T. K., Schonert-Reichl, K. A., & Guhn, M. (2018). A population-based analysis of life satisfaction and social support among children of diverse backgrounds in British Columbia, Canada. Quality of Life Research, 27(10), 2595–2607.
Faytong-Haro, M., & Santos-Lozada, A. R. (2021). What do time-use patterns tell us about the validity of self-reported health? SSM-Population Health, 15, 100882.
Fernández-Ballesteros, R., Zamarrón, M. D., & Ruiz, M. Á. (2001). The contribution of socio-demographic and psychosocial factors to life satisfaction. Ageing & Society, 21(1), 25–43.
Fortin, N., Helliwell, J. F., & Wang, S. (2015). Well-Being Vary around the World by Gender and Age? Edited by John Helliwell, Richard Layard and Jeffrey Sachs, 42.
Gana, K., Bailly, N., Saada, Y., Joulain, M., Trouillet, R., Hervé, C., & Alaphilippe, D. (2013). Relationship between life satisfaction and physical health in older adults: A longitudinal test of cross-lagged and simultaneous effects. Health Psychology, 32(8), 896.
Goldman, N. (1994). Social factors and health: The causation-selection issue revisited. Proceedings of the National Academy of Sciences, 91(4), 1251–1255.
Graham, C., & Chattopadhyay, S. (2012). Gender and well-being around the world: Some insights from the economics of happiness.
Greenland, S. (1998). Concepts of interaction. Modern Epidemiology, 329–342.
Helliwell, J. F., Shiplett, H., & Barrington-Leigh, C. P. (2019). How happy are your neighbours? Variation in life satisfaction among 1200 Canadian neighbourhoods and communities. PLoS One, 14(1), e0210091.
Herman, K. M., Hopman, W. M., & Rosenberg, M. W. (2013). Self-rated health and life satisfaction among Canadian adults: Associations of perceived weight status versus BMI. Quality of Life Research, 22(10), 2693–2705.
Herzog, A. R., & Rodgers, W. L. (1981). Age and satisfaction: Data from several large surveys. Research on Aging, 3(2), 142–165.
Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), e1000316. https://doi.org/10.1371/journal.pmed.1000316
House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241(4865), 540–545. https://doi.org/10.1126/science.3399889
House, J. S., Robbins, C., & Metzner, H. L. (1982). The association of social relationships and activities with mortality: Prospective evidence from the Tecumseh Community Health Study. American Journal of Epidemiology, 116(1), 123–140. https://doi.org/10.1093/oxfordjournals.aje.a113387
Howell, R. T., Kern, M. L., & Lyubomirsky, S. (2007). Health benefits: Meta-analytically determining the impact of well-being on objective health outcomes. Health Psychology Review, 1(1), 83–136.
Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: a review of twenty-seven community studies. Journal of Health and Social Behavior, 21–37.
Infurna, F. J., Wiest, M., Gerstorf, D., Ram, N., Schupp, J., Wagner, G. G., & Heckhausen, J. (2017). Changes in life satisfaction when losing one’s spouse: Individual differences in anticipation, reaction, adaptation and longevity in the German Socio-economic Panel Study (SOEP). Ageing & Society, 37(5), 899–934.
Jindrová, P., & Labudová, V. (2020). The impact of socio-economic and demographic determinants on self-perceived health.
Kasprzak, E. (2010). Perceived social support and life-satisfaction. Polish Psychological Bulletin, 41, 144–154.
Khan, A., & Husain, A. (2010). Social support as a moderator of positive psychological strengths and subjective well-being. Psychological Reports, 106, 534–538.
Knol, M. J., van der Tweel, I., Grobbee, D. E., Numans, M. E., & Geerlings, M. I. (2007). Estimating interaction on an additive scale between continuous determinants in a logistic regression model. International Journal of Epidemiology, 36(5), 1111–1118.
Konrath, S., Fuhrel-Forbis, A., Lou, A., & Brown, S. (2012). Motives for volunteering are associated with mortality risk in older adults. Health Psychology, 31(1), 87–96. https://doi.org/10.1037/a0025226
Kööts-Ausmees, L., & Realo, A. (2015). The association between life satisfaction and self–reported health status in Europe. European Journal of Personality, 29(6), 647–657.
Kurtinová, O. (2015). Self-perceived health in the czech population: recent evidence. Central European Journal of Public Health, 23(1).
Lu, C., Schellenberg, G., Hou, F., & Helliwell, J. F. (2015). How's Life in the City?: Life Satisfaction Across Census Metropolitan Areas and Economic Regions in Canada. In: Statistics Canada= Statistique Canada.
Lucas, T., Zhdanova, L., Wendorf, C. A., & Alexander, S. (2013). Procedural and distributive justice beliefs for self and others: Multilevel associations with life satisfaction and self-rated health. Journal of Happiness Studies, 14(4), 1325–1341.
Lyubomirsky, S., King, L., & Diener, E. (2005). The benefits of frequent positive affect: Does happiness lead to success? Psychological Bulletin, 131(6), 803.
Marques, A., Mota, J., Gaspar, T., & de Matos, M. G. (2017). Associations between self-reported fitness and self-rated health, life-satisfaction and health-related quality of life among adolescents. Journal of Exercise Science & Fitness, 15(1), 8–11.
Park, N., Peterson, C., Szvarca, D., Vander Molen, R. J., Kim, E. S., & Collon, K. (2016). Positive psychology and physical health: Research and applications. American Journal of Lifestyle Medicine, 10(3), 200–206. https://doi.org/10.1177/1559827614550277
Pärna, K., & Ringmets, I. (2010). Comparison of socioeconomic differences in self-perceived health in Estonia and Finland. Scandinavian Journal of Public Health, 38(2), 129–134.
Prasoon, R., & Chaturvedi, K. R. (2016). Life satisfaction: A literature review. International Journal of Management Humanities and Social Sciences, 1, 25–32.
Prus, S. G. (2011). Comparing social determinants of self-rated health across the United States and Canada. Social Science & Medicine, 73(1), 50–59.
Røysamb, E., Tambs, K., Reichborn-Kjennerud, T., Neale, M. C., & Harris, J. R. (2003). Happiness and health: Environmental and genetic contributions to the relationship between subjective well-being, perceived health, and somatic illness. Journal of Personality and Social Psychology, 85(6), 1136.
Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science & Medicine, 32(6), 705–714.
Shields, M., & Shooshtari, S. (2001). Determinants of self-perceived health. Health Reports, 13(1), 35–52.
Siahpush, M., Spittal, M., & Singh, G. K. (2008). Happiness and life satisfaction prospectively predict self-rated health, physical health, and the presence of limiting, long-term health conditions. American Journal of Health Promotion, 23(1), 18–26.
Siedlecki, K. L., Tucker-Drob, E. M., Oishi, S., & Salthouse, T. A. (2008). Life satisfaction across adulthood: Different determinants at different ages? The Journal of Positive Psychology, 3(3), 153–164.
Sørensen, J. F. (2014). Rural–urban differences in life satisfaction: Evidence from the European Union. Regional Studies, 48(9), 1451–1466.
Spuling, S. M., Wolff, J. K., & Wurm, S. (2017). Response shift in self-rated health after serious health events in old age. Social Science & Medicine, 192, 85–93.
St John, P. D., Mackenzie, C., & Menec, V. (2015). Does life satisfaction predict five-year mortality in community-living older adults. Aging and Mental Health, 19, 363–370.
Stack, S. (1998). Marriage, family and loneliness: A cross-national study. Sociological Perspectives, 41(2), 415–432.
StataCorp, L. (2011). Stata version 12.0. College station. TX: StataCorp LP.
Statistics Canada. (2016). Perceived health. https://www150.statcan.gc.ca/n1/pub/82-229-x/2009001/status/phx-eng.htm.
Staudinger, U. M., Fleeson, W., & Baltes, P. B. (1999). Predictors of subjective physical health and global well-being: Similarities and differences between the United States and Germany. Journal of Personality and Social Psychology, 76(2), 305.
Steigen, A. M., & Bergh, D. (2019). The social provisions scale: Psychometric properties of the SPS-10 among participants in nature-based services. Disability and Rehabilitation, 41(14), 1690–1698.
Stiefel, M. C., Perla, R. J., & Zell, B. L. (2010). A healthy bottom line: Healthy life expectancy as an outcome measure for health improvement efforts. The Milbank Quarterly, 88(1), 30–53.
Su, D., Richardson, C., Wen, M., & Pagán, J. A. (2011). Cross-border utilization of health care: Evidence from a population-based study in South Texas. Health Services Research, 46(3), 859–876.
Su, Y., D’Arcy, C., & Meng, X. (2020). Social support and positive coping skills as mediators buffering the impact of childhood maltreatment on psychological distress and positive mental health in adulthood: analysis of a National Population-Based Sample. American Journal of Epidemiology, 189(5), 394–402.
Uppal, S., & Barayandema, A. (2018). Life satisfaction among Canadian seniors. In: Statistics Canada.
Verbakel, E. (2012). Subjective well-being by partnership status and its dependence on the normative climate. European Journal of Population/revue Europeenne De Demographie, 28(2), 205–232.
Waite, L. J. (2000). Trends in men’s and women’s well-being in marriage. The ties that bind: Perspectives on marriage and cohabitation, 368.
Ware Jr, J. (1986). The assessment of health status. Applications of social science to clinical medicine and health policy.
Zhou, M., & Lin, W. (2016). Adaptability and life satisfaction: The moderating role of social support. Frontiers in Psychology, 7, 1134. https://doi.org/10.3389/fpsyg.2016.01134
Zunzunegui, M. V., Koné, A., Johri, M., Béland, F., Wolfson, C., & Bergman, H. (2004). Social networks and self-rated health in two French-speaking Canadian community dwelling populations over 65. Social Science & Medicine, 58(10), 2069-2081.
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This study was funded by Social Sciences and Humanities Research Council of Canada (Grant No. Project #430–2020-00166).
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All authors contributed to the study conception and design. Data preparation and analysis were performed by Yingying Su and Xiangfei Meng. The first draft of the manuscript was written by Yingying Su and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Participants in the original survey signed informed consent and voluntarily participated in the survey. The original survey received ethical approval through Statistics Canada procedures. The present study was approved by the Faculty of Medicine and Health Sciences Institutional Ethical Board, McGill University (#20–08-040).
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Su, Y., D’Arcy, C., Li, M. et al. Determinants of Life Satisfaction and Self-Perceived Health in Nationally Representative Population-Based Samples, Canada, 2009 to 2018. Applied Research Quality Life 17, 3285–3310 (2022). https://doi.org/10.1007/s11482-022-10065-9
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DOI: https://doi.org/10.1007/s11482-022-10065-9