Mental well-being of the general population : direct and indirect effects of socioeconomic, relational and health factors
Soldevila-Domenech, N. (Universitat Pompeu Fabra. Departament de Ciències Experimentals i de la Salut)
García Forero, Carlos (Universitat Internacional de Catalunya)
Alayo, Itxaso (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Capella, J. (Generalitat de Catalunya. Departament de Salut)
Colom, Joan (Agència de Salut Pública de Catalunya)
Malmusi, Davide (Institut d'Investigació Biomèdica Sant Pau)
Mompart, A. (Agència de Salut Pública de Catalunya)
Mortier, P. (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Puértolas, B. (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Sánchez Martínez, Néstor (Universitat Internacional de Catalunya)
Schiaffino, A. (Institut Català d'Oncologia)
Vilagut, G. (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Alonso, Jordi (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)

Date:	2021
Abstract:	Purpose: The aim of this study was to analyse the association between individual mental well-being and social, economic, lifestyle and health factors. Methods: Cross-sectional study on a representative sample of 13,632 participants (> 15y/o) from the Catalan Health Interview Survey 2013-2016 editions. Mental well-being was assessed with the Warwick-Edinburg Mental Well-being Scale (WEMWBS). Linear regressions were fitted to associate well-being and sociodemographic, relational, lifestyle and health variables according to minimally sufficient adjustment sets identified using directed acyclic graphs. Predictors entered the model in blocks of variable types and analysed individually. Direct and total effects were estimated. Results: Health factors significantly contributed to mental well-being variance. Presence of a mental disorder and self-reported health had the largest effect size (eta = 13. 4% and 16. 3%). The higher individual impact from a variable came from social support (β = − 12. 8, SE = 0. 48, eta = 6. 3%). A noticeable effect gradient (eta = 4. 2%) from low to high mental well-being emerged according to economic difficulties (from β = 1. 59, SE = 0. 33 for moderate difficulties to β = 6. 02 SE = 0. 55 for no difficulties). Younger age (β = 5. 21, SE = 0. 26, eta = 3. 4%) and being men (β = 1. 32, SE = 0. 15, eta = 0. 6%) were associated with better mental well-being. Direct gender effects were negligible. Conclusions: This study highlights health and social support as the most associated factors with individual mental well-being over socioeconomic factors. Interventions and policies aimed to these factors for health promotion would improve population mental well-being.
Grants:	Agència de Gestió d'Ajuts Universitaris i de Recerca 2017SGR452 Agència de Gestió d'Ajuts Universitaris i de Recerca 2021 FI_B 00104 Instituto de Salud Carlos III PI19/00109
Note:	Altres ajuts: Fondo Europeo de Desarrollo Regional (FEDER).
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Well-being ; WEMWBS ; Mental health ; Health determinants ; Health survey ; Directed acyclic graphs
Published in:	Quality of Life Research, Vol. 30 Núm. 8 (august 2021) , p. 2171-2185, ISSN 1573-2649

DOI: 10.1007/s11136-021-02813-5
PMID: 33847868

15 p, 1.2 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles