Associations of health risk factors and chronic illnesses with life dissatisfaction among U.S. adults: the Behavioral Risk Factor Surveillance System, 2006.

摘要

OBJECTIVE: To estimate the prevalence of life dissatisfaction and assess its associations with health risk factors and chronic illnesses in adults. METHODS: Data from the Behavioral Risk Factor Surveillance System in 2006 (n=341,140) were analyzed. Odds ratios (ORs) and their 95% confidence intervals (CIs) were estimated using logistic regression analyses. RESULTS: The prevalence of life dissatisfaction was estimated to be 5.0% among adults. People with one, two, and three health risk factors were, respectively, 2.2 (95% CI: 2.0-2.5), 3.7 (95% CI: 3.2-4.2), and 5.8 (95% CI: 4.6-7.4) times more likely to report life dissatisfaction than those without (P<0.0001 for linear trend). People with one, two, and three or more chronic illnesses were, respectively, 1.8 (95% CI: 1.7-2.0), 3.6 (95% CI: 3.2-4.0), and 5.0 (95% CI: 4.4-5.7) times more likely to report life dissatisfaction than those without (P<0.0001). After adjustment for self-rated health and other potential confounding variables, the associations were attenuated but remained significant for the number of health risk factors (P<0.0001 for linear trend) and the number of chronic illnesses (P<0.001). CONCLUSIONS: Clustering of health risk factors or chronic illnesses was associated with life dissatisfaction independently of self-rated health and other established correlates.