International Journal of Behavioral Medicine

, Volume 16, Issue 3, pp 259–268 | Cite as

The Relationship Between Life Satisfaction and Health Behavior: A Cross-cultural Analysis of Young Adults

  • Nina Grant
  • Jane Wardle
  • Andrew SteptoeEmail author



Positive well-being has been associated with a range of favorable health outcomes. The contribution of health-promoting behaviors is unclear.


The purpose of the study was to assess the relationship between life satisfaction and seven health behaviors in young adults and investigate the consistency of associations across regions.


Students (17,246) aged 17–30 years from 21 countries completed questionnaire measures of life satisfaction, smoking, physical exercise, alcohol consumption, sun protection, fruit intake, fat consumption, and fiber intake. Three geopolitical regions were identified: Western Europe and the USA (12 countries), Central and Eastern Europe (five countries), and Pacific Asia (four countries).


Life satisfaction was positively associated with not smoking, physical exercise, using sun protection, eating fruit, and limiting fat intake, but was not related to alcohol consumption or fiber intake, after adjusting for age, gender, and data clustering. Results were consistent across regions for smoking and physical exercise, but differences were apparent for sun protection, fruit intake, and fat avoidance. Relationships between life satisfaction and health behaviors were independent of beliefs in the health benefits of behavior.


The association between life satisfaction and health-promoting behavior is likely to be bidirectional, but may partly account for the relationship between positive states and good health.


Life satisfaction International Smoking Physical activity Health behavior Health beliefs 



This study was supported by the Economic and Social Research Council and the Medical Research Council, UK. Jane Wardle is supported by Cancer Research UK and Andrew Steptoe by the British Heart Foundation. We acknowledge collaborators in universities worldwide who recruited students to take part in this survey.


  1. 1.
    Lyubomirsky S, King L, Diener E. The benefits of frequent positive affect: does happiness lead to success? Psychol Bull. 2005;131:803–55.PubMedCrossRefGoogle Scholar
  2. 2.
    Pressman SD, Cohen S. Does positive affect influence health? Psychol Bull. 2005;131:925–71.PubMedCrossRefGoogle Scholar
  3. 3.
    Ryan RM, Deci EL. On happiness and human potentials: a review of research on hedonic and eudaimonic well-being. Annu Rev Psychol. 2001;52:141–66.PubMedCrossRefGoogle Scholar
  4. 4.
    Blazer DG, Hybels CF. What symptoms of depression predict mortality in community-dwelling elders? J Am Geriatr Soc. 2004;52:2052–6.PubMedCrossRefGoogle Scholar
  5. 5.
    Kubzansky L, Thurston RC. Emotional vitality and incident coronary heart disease: benefits of healthy psychological functioning. Arch Gen Psychiatr. 2007;64:1393–401.PubMedCrossRefGoogle Scholar
  6. 6.
    Ostir GV, Markides KS, Black SA, Goodwin JS. Emotional well-being predicts subsequent functional independence and survival. J Am Geriatr Soc. 2000;48:473–8.PubMedGoogle Scholar
  7. 7.
    Koivumaa-Honkanen H, Honkanen R, Viinamaki H, Heikkila K, Kaprio J, Koskenvuo M. Self-reported life satisfaction and 20-year mortality in healthy Finnish adults. Am J Epidemiol. 2000;152:983–91.PubMedCrossRefGoogle Scholar
  8. 8.
    Parker MG, Thorslund M, Nordstrom ML. Predictors of mortality for the oldest old. A 4-year follow-up of community-based elderly in Sweden. Arch Gerontol Geriatr. 1992;14:227–37.PubMedCrossRefGoogle Scholar
  9. 9.
    Pitkala KH, Laakkonen ML, Strandberg TE, Tilvis RS. Positive life orientation as a predictor of 10-year outcome in an aged population. J Clin Epidemiol. 2004;57:409–14.PubMedCrossRefGoogle Scholar
  10. 10.
    Cohen S, Alper CM, Doyle WJ, Treanor JJ, Turner RB. Positive emotional style predicts resistance to illness after experimental exposure to rhinovirus or influenza a virus. Psychosomatic Med. 2006;68:809–15.CrossRefGoogle Scholar
  11. 11.
    Steptoe A, Wardle J, Marmot M. Positive affect and health-related neuroendocrine, cardiovascular, and inflammatory processes. Proc Natl Acad Sci USA. 2005;102:6508–12.PubMedCrossRefGoogle Scholar
  12. 12.
    Tugade MM, Fredrickson BL. Resilient individuals use positive emotions to bounce back from negative emotional experiences. J Pers Soc Psychol. 2004;86:320–33.PubMedCrossRefGoogle Scholar
  13. 13.
    Biddle SJH, Mutrie N. Psychology of physical activity. London: Routledge; 2001.Google Scholar
  14. 14.
    Kassel JD, Stroud LR, Paronis CA. Smoking, stress, and negative affect: correlation, causation, and context across stages of smoking. Psychol Bull. 2003;129:270–304.PubMedCrossRefGoogle Scholar
  15. 15.
    Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL, et al. Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study. JAMA. 1990;264:2511–8.PubMedCrossRefGoogle Scholar
  16. 16.
    Dear K, Henderson S, Korten A. Well-being in Australia–findings from the National Survey of Mental Health and Well-being. Soc Psychiatry Psychiatr Epidemiol. 2002;37:503–9.PubMedCrossRefGoogle Scholar
  17. 17.
    Patterson F, Lerman C, Kaufmann VG, Neuner GA, Audrain-McGovern J. Cigarette smoking practices among American college students: review and future directions. J Am Coll Health. 2004;52:203–10.PubMedCrossRefGoogle Scholar
  18. 18.
    Schnohr P, Kristensen TS, Prescott E, Scharling H. Stress and life dissatisfaction are inversely associated with jogging and other types of physical activity in leisure time–The Copenhagen City Heart Study. Scand J Med Sci Sports. 2005;15:107–12.PubMedCrossRefGoogle Scholar
  19. 19.
    Valois RF, Zullig KJ, Huebner ES, Drane JW. Physical activity behaviors and perceived life satisfaction among public high school adolescents. J Sch Health. 2004;74:59–65.PubMedCrossRefGoogle Scholar
  20. 20.
    Diener E, Seligman ME. Very happy people. Psychol Sci. 2002;13:81–4.PubMedCrossRefGoogle Scholar
  21. 21.
    Murphy JG, McDevitt-Murphy ME, Barnett NP. Drink and be merry? Gender, life satisfaction, and alcohol consumption among college students. Psychol Addict Behav. 2005;19:184–91.PubMedCrossRefGoogle Scholar
  22. 22.
    Mazur J, Woynarowska B. Risk behaviors syndrome and subjective health and life satisfaction in youth aged 15 years. Med Wieku Rozwoj. 2004;8:567–83.PubMedGoogle Scholar
  23. 23.
    Piko BF. Satisfaction with life, psychosocial health and materialism among Hungarian youth. J Health Psychol. 2006;11:827–31.PubMedCrossRefGoogle Scholar
  24. 24.
    Hofstede G, McRae R. Personality and culture revisited: linking traits and dimensions of culture. Cross-cult Res. 2004;38:52–88.CrossRefGoogle Scholar
  25. 25.
    Steptoe A, Tsuda A, Tanaka Y, Wardle J. Depressive symptoms, socioeconomic background, sense of control and cultural factors in University students from 23 countries. Int J Behav Med. 2007;14:97–107.PubMedCrossRefGoogle Scholar
  26. 26.
    Suh EM, Diener E, Oishi S, Triandis HC. The shifting basis of life satisfaction judgements across cultures: emotions versus norms. J Pers Soc Psychol. 1998;74:482–93.CrossRefGoogle Scholar
  27. 27.
    Fishbein M, Ajzen I. Beliefs, attitude, intention and behaviour: an introduction to theory and research. Philippines: Addison-Wesley; 1975.Google Scholar
  28. 28.
    Becker M. The health belief model and personal health behavior. Thorofare: Slack; 1974.Google Scholar
  29. 29.
    Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice Hall; 1986.Google Scholar
  30. 30.
    Fishbein M, Triandis HC, Kanfer FH, Becker M, Middlestadt SE, Eichler A. Factors influencing behavior and behavior change. In: Baum A, Revenson TA, Singer JE, editors. Handbook of Health Psychology. Mahwah: Lawrence Erlbaum; 2001. p. 3–17.Google Scholar
  31. 31.
    Diener E, Diener M. Cross-cultural correlates of life satisfaction and self-esteem. J Pers Soc Psychol. 1995;68:653–63.PubMedCrossRefGoogle Scholar
  32. 32.
    Diener E, Oishi S, Lucas RE. Personality, culture, and subjective well-being: emotional and cognitive evaluations of life. Annu Rev Psychol. 2003;54:403–25.PubMedCrossRefGoogle Scholar
  33. 33.
    Wardle J, Steptoe A. The European Health and Behaviour Survey: rationale, methods and initial results from the United Kingdom. Soc Sci Med. 1991;33:925–36.PubMedCrossRefGoogle Scholar
  34. 34.
    Steptoe A, Sanderman R, Wardle J. Stability and changes in health behaviours in young adults over a one year period. Psychol Health. 1995;10:155–69.CrossRefGoogle Scholar
  35. 35.
    Steptoe A, Wardle J, Cui W, Baban A, Glass K, Pelzer K, et al. An international comparison of tobacco smoking, beliefs and risk awareness in university students from 23 countries. Addiction. 2002;97:1561–71.PubMedCrossRefGoogle Scholar
  36. 36.
    Dantzer C, Wardle J, Fuller R, Pampalone SZ, Steptoe A. International study of heavy drinking: attitudes and sociodemographic factors in university students. J Am Coll Health. 2006;55:83–9.PubMedCrossRefGoogle Scholar
  37. 37.
    Haase A, Steptoe A, Sallis JF, Wardle J. Leisure-time physical activity in university students from 23 countries: associations with health beliefs, risk awareness, and national economic development. Prev Med. 2004;39:182–90.PubMedCrossRefGoogle Scholar
  38. 38.
    Peacey V, Steptoe A, Sanderman R, Wardle J. Ten-year changes in sun protection behaviors and beliefs of young adults in 13 European countries. Prev Med. 2006;43:460–5.PubMedCrossRefGoogle Scholar
  39. 39.
    Wardle J, Haase AM, Steptoe A, Nillapun M, Jonwutiwes K, Bellisle F. Gender differences in food choice: the contribution of health beliefs and dieting. Annals Behav Med. 2004;27:107–16.CrossRefGoogle Scholar
  40. 40.
    Kraemer HC, Stice E, Kazdin A, Offord D, Kupfer D. How do risk factors work together? Mediators, moderators, and independent, overlapping, and proxy risk factors. Am J Psychiatr. 2001;158:848–56.PubMedGoogle Scholar
  41. 41.
    Bobak M, Pikhart H, Pajak A, Kubinova R, Malyutina S, Sebakova H, et al. Depressive symptoms in urban population samples in Russia, Poland and the Czech Republic. Br J Psychiatry. 2006;188:359–65.PubMedCrossRefGoogle Scholar
  42. 42.
    Steptoe A, Wardle J. Health behaviour, risk awareness and emotional well-being in students from Eastern Europe and Western Europe. Soc Sci Med. 2001;53:1621–30.PubMedCrossRefGoogle Scholar
  43. 43.
    Cockerham WC. Health and social change in Russia and Eastern Europe. New York: Routledge; 1999.Google Scholar
  44. 44.
    Veenhoven R. Quality of life in individualistic society. Soc Indic Res. 1998;48:159–88.CrossRefGoogle Scholar
  45. 45.
    Corle DK, Sharbaugh C, Mateski DJ, Coyne T, Paskett ED, Cahill J, et al. Self-rated quality of life measures: effect of change to a low-fat, high-fiber, fruit and vegetable enriched diet. Annals Behav Med. 2001;23:198–207.CrossRefGoogle Scholar
  46. 46.
    Steptoe A, Perkins-Porras L, Hilton S, Rink E, Cappuccio FP. Quality of life and self-rated health in relation to changes in fruit and vegetable intake and in plasma vitamins C and E in a randomised trial of behavioural and nutritional education counselling. Br J Nutr. 2004;92:177–84.PubMedCrossRefGoogle Scholar
  47. 47.
    Paschall MJ, Freisthler B, Lipton RI. Moderate alcohol use and depression in young adults: findings from a national longitudinal study. Am J Public Health. 2005;95:453–7.PubMedCrossRefGoogle Scholar
  48. 48.
    O'Donnell K, Wardle J, Dantzer C, Steptoe A. Alcohol consumption and symptoms of depression in young adults from 20 countries. J Stud Alcohol. 2006;67:837–40.PubMedGoogle Scholar
  49. 49.
    Steptoe A. Depression and physical activity. In: Steptoe A, editor. Depression and physical illness. Cambridge: Cambridge University Press; 2006. p. 348–68.Google Scholar
  50. 50.
    Bogg T, Roberts BW. Conscientiousness and health-related behaviors: a meta-analysis of the leading behavioral contributors to mortality. Psychol Bull. 2004;130:887–919.PubMedCrossRefGoogle Scholar
  51. 51.
    Heller D, Watson D, Hies R. The role of person versus situation in life satisfaction: a critical examination. Psychol Bull. 2004;130:574–600.PubMedCrossRefGoogle Scholar
  52. 52.
    Stubbe JH, de Moor MH, Boomsma DI, de Geus EJ. The association between exercise participation and well-being: a co-twin study. Prev Med. 2007;44:148–52.PubMedCrossRefGoogle Scholar
  53. 53.
    Sallis JF, Hovell MF, Hofstetter CR. Predictors of adoption and maintenance of vigorous physical activity in men and women. Prev Med. 1992;21:237–51.PubMedCrossRefGoogle Scholar
  54. 54.
    Pollard T, Steptoe A, Canaan L, Davies GJ, Wardle J. The effects of academic examination stress on eating behavior and blood lipid levels. Int J Behav Med. 1995;2:299–320.PubMedCrossRefGoogle Scholar
  55. 55.
    Bränström R, Ullen H, Brandberg Y. Attitudes, subjective norms and perception of behavioural control as predictors of sun-related behaviour in Swedish adults. Prev Med. 2004;39:992–9.PubMedCrossRefGoogle Scholar

Copyright information

© International Society of Behavioral Medicine 2009

Authors and Affiliations

  1. 1.Department of Epidemiology and Public HealthUniversity College LondonLondonUK

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