Chinese women's years of education and subjective well-being: an empirical analysis based on ordered Logit model and coupling coordination model.

In modern society, the improvement of women's education level has become one of the important indicators of national development and social progress. Although there are many useful explorations on the relationship between education and subjective well-being, the research on women's years of education and subjective well-being is very limited. The article focuses on women's years of education to determine whether and how to affect subjective well-being. This study is based on the China general social survey in 2021. The ordered Logit model was used to analyze the impact of women's years of education on subjective well-being, and a binary coupling coordination model was constructed to test the above two variables. The results show that the longer the education years of women, the stronger the subjective well-being. The benchmark regression results show that women's years of education have positive and negative effects on subjective well-being through economic status, physical and mental health, ecological environment, social cognition and personal cognition. The analysis of coupling coordination degree shows that the coupling between the years of education and subjective well-being of women in coastal areas and economically developed areas is the strongest, and the subjective well-being is better realized by increasing the years of education. Based on the above research results, this paper provides some practical suggestions for improving women's subjective well-being, and provides some valuable references for women to effectively balance husband-wife relationship, family relationship and work relationship, improve women's years of education and better obtain happiness.

The Effect of a Physical Activity Program on Subjective Well-Being, Happiness and Problem-Solving Skills in Patients with Schizophrenia: A Randomized Controlled Trial.

The aim of this randomized controlled trial was to examine the effect of Physical Activity Program applied to patients with schizophrenia on subjective well-being, happiness and problem-solving skills levels. This study was conducted with a total of 86 individuals diagnosed with schizophrenia (43 intervention and 43 control) registered in a family health center. Subjective Well-Being Scale, the Short Form of the Oxford Happiness Questionnaire and Problem-Solving Inventory were used to collect the data at baseline and, post-intervention. Significant increases in subjective well-being, happiness, and problem-solving skills were found in the intervention group after the total of 12 weeks of the Physical Activity Program, which included walking and exercises, compared to the control group. Accordingly, it can be said that the Physical Activity Program is an effective method that increases subjective well-being, happiness and problem-solving skills. ClinicalTrials.gov Identifier number is NCT15976921 and date of registration is 21/11/2023, retrospectively registered.

Successful aging and its relationship with mindfulness, self-compassion factors, and subjective well-being in older adults.

OBJECTIVES: Aimed to test an association model for Successful Aging (SA), with mindfulness and self-compassion factors as predictor variables, and components of subjective well-being (SWB) as mediating variables in older adults. METHOD: This cross-sectional, descriptive study was conducted using the Google Forms platform and printed questionnaires, applied in an interview format with older adult participants from the Brazilian states of Bahia and Sergipe. A total of 233 older adults participated, residing in the states of Bahia (34.8%) and Sergipe (65.2%), with a mean age of 69.2 years (SD = 7.33). RESULTS: The multiple linear regression (MLR) results indicated that SA was associated with mindfulness, the positive factor of self-compassion, and positive affect (PA). Subsequently, structural equation modeling (SEM) suggested that both mindfulness and self-compassion, which positively correlated with each other, were significantly and positively associated with PA, while PA was positively and significantly associated with SA. CONCLUSION: Mindfulness and the positive facet of self-compassion, mediated by PA, were indirectly associated with SA, while PA was significantly and more strongly associated with SA. Finally, mindfulness and the positive facet of self-compassion were positively correlated with each other.

Social network, fair payment, subjective well-being, and general health: a moderation mediation analysis.

Objective: This research aimed to investigate whether subjective general health mediated the relationship between social networks and subjective well-being and whether the perception of fair payment moderated the mediating effect of subjective general health on subjective well-being. Methods: Data were drawn from round 9 of the European Social Survey (ESS), involving 3,843 respondents from 19 countries, with ages ranging from 65 to 90 years (Meanage = 73.88 ± 6.61 years). The participants completed self-reported measures assessing subjective well-being, social networks, subjective general health, and perception of fair payment. Results: Subjective general health played a mediating role in the relationship between social networks and subjective well-being. The perception of fair payment emerged as a moderator in the mediating effect of subjective general health on the association between social networks and subjective well-being. Conclusion: This study suggests that the impact of social networks on both subjective general health and subjective well-being is contingent upon individuals' perceptions of fair payment. These results highlight the significance of social networks in fostering social connections and promoting overall subjective well-being.

Can self-control make you happy?

The relationship between self-control and happiness is often considered antithetical because self-control would require effortful discipline precluding the experience of pleasure. However, recent research reveals a robust (but moderate) association with all parameters that are seen as relevant in happiness research: satisfaction with life, positive affect, and the experience of meaning in life. Factors moderating this relationship suggest a significant role for strategies that are employed during the early stages of a self-control conflict and, to a lesser extent, making (some) progress towards one's goals. Together, this calls for a different understanding of self-control with more emphasis on adaptive routines and strategically avoiding conflicts which, in turn, leaves more room for attending to what one finds important in life.

Effects of Income on Subjective Well-Being in the Elderly: Complete Mediation Roles of Self-Rated Health and Psychological Capital.

Although income and living conditions of residents have greatly improved in recent years, people's subjective well-being does not seem to increase daily. This study aimed to explore income, self-rated health, and psychological capital on subjective well-being, using data from the China General Social Survey conducted in 2017. A total of 1136 elderly as subsamples data were selected from 12 582 participants, involving general sociodemographic characteristics, income, self-rated health, psychological capital, and subjective well-being. SPSS v26.0 macro was used for descriptive statistics, ANOVA and correlation analysis. PROCESS v3.4 macro was performed to examine multiple mediating effects of self-rated health and psychological capital. The elderly residing in urban (P = .016) and having completed 9-year compulsory education (P = .016) reported higher subjective well-being scores. The findings revealed that subjective well-being was positively associated with income, health, and psychological capital among the aged adults (all P < .001). Self-rated health and psychological capital played complete mediation roles between income and subjective well-being (Effect indirect = 0.040, 95% bootstrap CI [0.022, 0.060]; Effect indirect = 0.027, 95% bootstrap CI [0.013, 0.044], respectively). Collectively, our findings indicate that residing in rural and having lower education levels serve as negative predictors of subjective well-being among the elderly. Although income still affects the elderly's subjective well-being, self-rated health and psychological capital may be the crucial mediating factors. Therefore, it is of utmost importance to improve health conditions and positive psychological capital for subjective well-being of the older people.

The association between overweight and varying degrees of obesity with subjective well-being and depressive symptoms: A two sample Mendelian randomization study.

OBJECTIVE: This study utilized the Mendelian randomization (MR) method to elucidate the causal relationship between genetically predicted overweight and various degrees of obesity with depressive symptoms and subjective well-being (SWB). METHODS: Pooled genome-wide association studies (GWAS) data for overweight (BMI ≥ 25 kg/m2), class 1 obesity (BMI ≥ 30 kg/m2), and class 2 obesity (BMI ≥ 35 kg/m2) were used as exposures. Summary GWAS data for depressive symptoms and SWB were used as outcomes. Multiple MR methods, primarily inverse-variance weighted (IVW), were applied, and sensitivity analyses were conducted to assess heterogeneity and pleiotropy. RESULTS: The MR analysis provided evidence that genetically predicted overweight(IVW ß = 0.033; 95 %CI 0.008-0.057; P = 0.010) and class 1 obesity(IVW ß = -0.033; 95 %CI -0.047 - -0.020; P < 0.001) were causally associated with increased depressive symptoms. Genetically predicted class 2 obesity(IVW ß = 1.428; 95 %CI 1.193-1.710; P < 0.001) were associated with reduced SWB. There was no strong evidence of a causal association between genetically predicted overweight and class 1 obesity with SWB. Similarly, genetically predicted class 2 and class 3 obesity did not show strong evidence of a causal association with depressive symptoms. Sensitivity analysis revealed relationships of a similar magnitude. CONCLUSION: This genetically informed MR study suggests that Overweight and class 1 obesity may causally increased depressive symptoms but not decrease SWB. In contrast, class 2 obesity may causally decrease SWB but not increase depressive symptoms.

Influence of perceived stress on fertility intention among women of childbearing age without children: multiple mediating effect of anxiety, family communication and subjective well-being.

BACKGROUND: In recent years, there has been a significant decrease in the desire to have children among Chinese women of childbearing age, particularly for the first child. This trend has sparked a growing interest in understanding the underlying factors. Although perceived stress has been speculated as an important factor in decreasing fertility intention, the precise mechanism is unclear. The current study, therefore, aims to investigate the psychological mechanisms linking perceived stress to fertility intentions among women of childbearing age without children, a topic of significant relevance and importance. METHODS: Data were sourced from Chinese residents' psychology and behavior investigation (PBICR-2022). A multistage random sampling method was applied to recruit eligible participants. The Mplus8.3 software constructed a chain path model among the variables. RESULTS: The median fertility intention was 30(3-60) on a scale of 0 to 100. The mediation analysis revealed a significant negative influence of perceived stress on fertility intention (ß = - 0.076, P < 0.001). Additionally, a more intricate pattern of chain-mediating effect was observed involving perceived stress, anxiety (ß = 0.037, P < 0.05), family communication (ß = 0.106, P < 0.001), subjective well-being (ß = 0.088, P < 0.001) and fertility intention. CONCLUSIONS: Perceived stress not only directly suppressed fertility intention but also indirectly affected it through anxiety, family communication, and subjective well-being. Effective family communication and favorable subjective well-being emerged as factors that could augment fertility intentions among women of childbearing age without children.

Sibling bullying victimization and subjective well-being among children across 13 countries: The mediating roles of perceived social support and the moderating role of uncertainty avoidance culture.

BACKGROUND: While sibling bullying victimization has been recognized as a significant factor detrimentally impacting children's subjective well-being, the underlying mechanisms have yet to be fully elucidated. OBJECTIVE: This study seeks to investigate the potential mediating role of perceived social support, encompassing support from family, friend, teacher, and neighbor, as well as the moderating influence of uncertainty avoidance culture. PARTICIPANTS AND SETTING: A sample of 19,328 children was obtained from Wave Three of Children's Worlds: International Survey of Children's Well-being in 13 countries. METHODS: The structural equation model (SEM) was used to investigate the mediating role of perceived social support in the relationship between sibling bullying victimization and children's subjective well-being. The multiple group analysis was carried out to assess the moderating role of uncertainty avoidance culture. RESULTS: This study reveals a negative association between sibling bullying victimization and children's subjective well-being (ß = -0.138, p < 0.001). Perceived support from family, friend, teacher, and neighbor emerges as a mediating mechanism in this relationship. Uncertainty avoidance culture moderates this relationship, and this association is stronger for children raised in a strong uncertainty avoidance culture (ß = -0.085, p < 0.001). CONCLUSIONS: The results of this study contribute to our comprehension of the nexus between sibling bullying victimization and children's subjective well-being. Moreover, this study extends the current body of knowledge by delving into the cultural disparities spanning various countries.

Improving Well-Being Through Digital Detoxification Among Social Media Users: A Systematic Review and Meta-Analysis.

Digital detoxification is a conscious disconnection from all smartphone activities for a certain period of time, which has been undertaken as effective by researchers to improve well-being, but studies found inconsistent results, with a primary focus on negative well-being, thus necessitating a need to focus on the positive aspect. As a result, the current study conducted a systematic review and meta-analysis to assess digital detoxification and its influence on users subjective and psychological well-being (PWB). A comprehensive search (up to November 19, 2023) across databases such as PubMed, Scopus, Web of Science, Pro-Quest, and Google Search yielded a total of 26 eligible studies (18 for meta-analysis) comprising 8,147 participants (Mage = 25.20 years). The Studies' quality was assessed using Cochrane's updated Risk of Bias Tool, and statistical analysis was performed in R Studio. Digital detoxification was found to be effective in improving subjective well-being (SWB) (Standardized mean difference [SMD] = 0.21, 95% CI: 0.06, 0.34; p < 0.01, I2 = 73.6%, n = 14 papers), as well as PWB (SMD = 0.27, 95% CI: 0.09, 0.46; p < 0.05; I2 = 0.0%, n = 4 papers). Notably, we detected no publication bias but addressed funnel plot asymmetry using Trim & Fill. Moderation analysis revealed the impact of internet coverage, developmental status, location, intervention effectiveness, and risk of bias on the estimated effect size for SWB. Meta-regression highlighted the significant influence of mean age, and although no potential outliers were identified, influential plots are provided for transparency. Our findings consolidate the efficacy of digital detoxification, emphasizing the need for nuanced consideration of study factors. This study contributes to the ongoing discourse on digital well-being, offering valuable insights for researchers, practitioners, and policymakers.

The Association between Music Listening at Home and Subjective Well-Being.

This study examines the association between listening to music at home and subjective well-being, using data from 14,162 respondents in the China General Social Surveys conducted in 2015, 2017, and 2021. Among the respondents, the average happiness score was 3.958. Regression analyzes indicate that frequent music listening is significantly associated with higher happiness levels, with coefficients of 0.384 in the baseline model and 0.570 in the model with control variables. Robustness checks performed across different models support these findings. Instrumental variable analysis, using Mandarin proficiency, yielded a coefficient of 0.212, indicating a robust association despite a slight reduction in magnitude. Heterogeneity analyzes showed consistent associations across genders, religious beliefs, and regions, with slightly stronger associations observed for females and non-religious individuals. Mediation analysis identified mental health and class identity as significant mediators, contributing to a total association of 0.146. These results highlight the positive correlation between music listening and well-being, suggesting the potential value of integrating music resources into well-being strategies.

Household health expenditure does not improve people's subjective well-being in China.

Introduction: Household health expenditure plays a crucial role in the daily spending of individuals. Meanwhile, the attention of the public to subjective well-being (SWB) is constantly increasing in China. Household health expenditure could reduce real family income, harming personal SWB. However, the aim of household health expenditure is to improve the physical condition of an individual, and improvements in individual health could enhance personal SWB. Therefore, the effect of household health expenditure on personal SWB is uncertain; hence, it is essential to assess the effects of household health expenditure on the SWB of Chinese residents. Methods: The Chinese family panel studies database from 2016 to 2020 was applied in this study. A fixed effects model was used to examine the impact of household medical and health protection expenses on personal SWB. Fixed effects instrumental variable regression and propensity score matching were then used to conduct robustness testing. Results: On the basis of a fixed effects model, it was found that household medical and health protection expenditure did not improve the happiness and life satisfaction of individuals; rather, household health protection expenditure could significantly reduce personal happiness. Fixed effects instrumental variable regression and propensity score matching analysis supported these results. Household health protection expenditure had a greater negative impact on the happiness and life satisfaction of females compared with males. Conclusion: Household health expenditure does not improve the SWB of individuals in China; this has certain significance for the formulation of relevant policies.

Investigating the Link between Psychological Well-Being and Early-Stage Age-Related Macular Degeneration: A Mendelian Randomization Analysis.

PURPOSE: While some studies have started to focus on the link between psychological well-being and age-related macular degeneration (AMD), the relationship remains uncertain. Our research aims to provide new insights into this association, laying a foundation for future interventions and addressing existing knowledge gaps. METHODS: We utilized the "TwoSampleMR" package in R for a bidirectional Mendelian randomization analysis of psychological well-being (subjective well-being, depression, neuroticism, and Sensitivity to Environmental Stress and Adversity) and early-stage AMD. Causal effects were estimated using the inverse-variance weighted method, and additional methods included weighted median and MR-Egger regression. Sensitivity analyses included Cochran's Q test, MR-Egger intercept analysis, MR-PRESSO, and leave-one-out analysis. RESULTS: The study found that the population with genetic predisposition to neuroticism had a 39.7% lower risk of early-stage AMD (OR = 0.603, 95% CI = 0.385-0.945, p = 0.027). Conversely, the population with genetic predisposition to subjective well-being had a 3.2% increased risk of early-stage AMD (OR = 1.032, 95% CI = 1.003-1.063, p = 0.029). No significant causal relationships were found from depression or Sensitivity to Environmental Stress and Adversity to early-stage AMD, nor from early-stage AMD to psychological well-being. CONCLUSION: This study provides preliminary evidence that the relationship between psychological well-being and early-stage AMD may be complex and multifaceted. It suggests that moderate neuroticism levels might reduce early-stage AMD risk through health behaviors, pathophysiological mechanisms, and other factors, while high subjective well-being levels might increase this risk similarly. However, these findings are insufficient for preventive strategies due to a lack of substantial evidence and still require extensive experimental research for further validation.

Identifying Psychosocial and Ecological Determinants of Enthusiasm In Youth: Integrative Cross-Sectional Analysis Using Machine Learning.

BACKGROUND: Understanding the factors contributing to mental well-being in youth is a public health priority. Self-reported enthusiasm for the future may be a useful indicator of well-being and has been shown to forecast social and educational success. Typically, cross-domain measures of ecological and health-related factors with relevance to public policy and programming are analyzed either in isolation or in targeted models assessing bivariate interactions. Here, we capitalize on a large provincial data set and machine learning to identify the sociodemographic, experiential, behavioral, and other health-related factors most strongly associated with levels of subjective enthusiasm for the future in a large sample of elementary and secondary school students. OBJECTIVE: The aim of this study was to identify the sociodemographic, experiential, behavioral, and other health-related factors associated with enthusiasm for the future in elementary and secondary school students using machine learning. METHODS: We analyzed data from 13,661 participants in the 2019 Ontario Student Drug Use and Health Survey (OSDUHS) (grades 7-12) with complete data for our primary outcome: self-reported levels of enthusiasm for the future. We used 50 variables as model predictors, including demographics, perception of school experience (i.e., school connectedness and academic performance), physical activity and quantity of sleep, substance use, and physical and mental health indicators. Models were built using a nonlinear decision tree-based machine learning algorithm called extreme gradient boosting to classify students as indicating either high or low levels of enthusiasm. Shapley additive explanations (SHAP) values were used to interpret the generated models, providing a ranking of feature importance and revealing any nonlinear or interactive effects of the input variables. RESULTS: The top 3 contributors to higher self-rated enthusiasm for the future were higher self-rated physical health (SHAP value=0.62), feeling that one is able to discuss problems or feelings with their parents (SHAP value=0.49), and school belonging (SHAP value=0.32). Additionally, subjective social status at school was a top feature and showed nonlinear effects, with benefits to predicted enthusiasm present in the mid-to-high range of values. CONCLUSIONS: Using machine learning, we identified key factors related to self-reported enthusiasm for the future in a large sample of young students: perceived physical health, subjective school social status and connectedness, and quality of relationship with parents. A focus on perceptions of physical health and school connectedness should be considered central to improving the well-being of youth at the population level.

Perceptions of Academic Performance, Impairment, and Mental Health in University Students With and Without ADHD.

OBJECTIVE: This study aims to investigate the impact of positive illusory bias (PIB) on the relationship between ADHD symptoms and functioning in college students, with a focus on gender differences. METHOD: The sample consisted of 195 college students, including 148 with ADHD and 47 without ADHD. Measures of ADHD symptomatology, life satisfaction, affect, gender identity, and impairment were collected, along with cumulative grade point average. RESULTS: ADHD symptomatology was inversely linked to subjective well-being, with PIB acting as a significant moderator. Functional impairment was predicted by ADHD symptoms and subjective well-being, while social impairment and academic functioning were predicted by PIB and well-being. Significant gender differences were found, particularly in the interaction between PIB and ADHD symptoms for non-binary individuals. CONCLUSION: This study suggests that PIB is relevant for emerging adults with ADHD enrolled in higher education. Subjective well-being and PIB act as buffers against the detrimental functional and social effects of ADHD symptoms in emerging adult college students. The study highlights the importance of considering gender-specific approaches in understanding and supporting the mental health of this population.

The differential influence of Achievement Motivation on Subjective Well-being and the moderating role of Self-control.

To investigate the association between achievement motivation and subjective well-being, as well as the moderating role of self-control and self-management on this relationship, 1017 Chinese college students were surveyed. The main results showed that: The interactive effect of motivation to approach success and self-control on subjective well-being was significant. Specifically, for individuals with high self-control ability, the positive effects of motivation to approach success on subjective well-being, life satisfaction and positive affect tended to be stronger, and meanwhile, the motivation to approach success negatively predicted negative affect. Furthermore, the interactive effect of motivation to avoid failure and self-control on subjective well-being was significant. Specifically, for individuals with high self-control ability, the negative effects of motivation to avoid failure on subjective well-being, life satisfaction and positive affect tended to be weaker, and meanwhile, the effect of motivation to avoid failure on negative affect was relatively weaker. Overall, our study indicated that improving self-control ability could maximize the positive effect of achievement motivation on subjective well-being. Moreover, motivating individuals with high self-control ability to pursue success and reducing motivation to avoid failure for individuals with low self-control ability could have a more positive influence on subjective well-being.

Evaluating the reliability and validity of the Questionnaire on Well-Being: a validation study for a clinically informed measurement of subjective well-being.

Researchers and clinicians are becoming increasingly aware of the importance of assessing positive functioning to inform clinical outcomes. This paper evaluates the Questionnaire on Well-Being (QWB, available for free https://doi.org/10.17605/OSF.IO/GSC3R), a clinically informed instrument that assesses subjective well-being, across two studies. Study One, consisting of treatment-seeking individuals in an assertiveness training sample (n = 495), explored the factorial structure of the QWB, assessed the four-week test-retest reliability, criterion-related validity, and identified a preliminary cutoff point for the QWB with clinical significance. Study Two, including participants from the general public (n = 1561), confirmed the factorial structure of the QWB and further evaluated criterion-related validity. The results provided support for a unidimensional structure for the QWB. Furthermore, the QWB exhibited excellent internal reliability (Cronbach's alpha = 0.93 and 0.94 in Study One and Two, respectively), high test-retest reliability (ICC3 = .50 at a four-week follow-up in Study One), and appropriate criterion-related validity demonstrating positive correlations with positive affect and negative correlations with psychopathology. Finally, a cutoff point on the QWB below 50 was associated with marked psychopathology. These findings provide preliminary support for the usage of the QWB in clinical and non-clinical settings, establishing the QWB as a reliable indicator of subjective well-being.

Modeling the Determinants of Subjective Well-Being in Schizophrenia.

BACKGROUND: The ultimate goal of successful schizophrenia treatment is not just to alleviate psychotic symptoms, but also to reduce distress and achieve subjective well-being (SWB). We aimed to identify the determinants of SWB and their interrelationships in schizophrenia. METHODS: Data were obtained from 637 patients with schizophrenia enrolled in multicenter, open-label, non-comparative clinical trials. The SWB under the Neuroleptic Treatment Scale (SWN) was utilized; a cut-off score of 80 indicated a high level of SWB at baseline and 6 months. Various machine learning (ML) algorithms were employed to identify the determinants of SWB. Furthermore, network analysis and structural equation modeling (SEM) were conducted to explore detailed relationship patterns. RESULTS: The random forest (RF) model had the highest area under the curve (AUC) of 0.794 at baseline. Obsessive-compulsive symptoms (OCS) had the most significant impact on high levels of SWB, followed by somatization, cognitive deficits, and depression. The network analysis demonstrated robust connections among the SWB, OCS, and somatization. SEM analysis revealed that OCS exerted the strongest direct effect on SWB, and also an indirect effect via the mediation of depression. Furthermore, the contribution of OCS at baseline to SWB was maintained 6 months later. CONCLUSIONS: OCS, somatization, cognition, and depression, rather than psychotic symptoms, exerted significant impacts on SWB in schizophrenia. Notably, OCS exhibited the most significant contribution not only to the current state of well-being but also to follow-up SWB, implying that OCS was predictive of SWB. The findings demonstrated that OCS management is critical for the treatment of schizophrenia.

Chinese-modified MIND Diet and subjective well­being in adults aged 60 years or older in China: a national community-based cohort study.

OBJECTIVE: Observing the dietary principles of the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet has exhibited an association with a diminished occurrence of diverse ailments, enhanced mental well-being, and extended longevity. Nevertheless, current literature is deficient in terms of investigating the link between the MIND diet and subjective well-being (SWB) specifically in older adults. Hence, this study endeavors to examine the correlation between adhering to a Chinese-modified Mediterranean-DASH Intervention for Neurodegenerative Delay (cMIND) diet and SWB in the older Chinese adults, taking into account the unique dietary attributes of the Chinese population. METHODS: Using data from the latest four waves of the Chinese Longitudinal Healthy Longevity Survey. Multiple linear regression and multinomial ordered logistic regression were employed to examine the relationship between the duration of adherence to cMIND diet and SWB in Chinese older adults. RESULTS: The results indicated a significant association between the duration of adherence to cMIND diet and SWB (1 ∼ 6 years: B = 0.907, 95%CI = 0.508 ∼ 1.307, P < 0.001; 7 ∼ 9 years: B = 1.286, 95%CI = 0.767 ∼ 1.805, P < 0.001; 10 years and above: B = 2.320, 95%CI = 1.677 ∼ 2.963, P < 0.001). The longer the duration of adherence to cMIND diet, the higher the scores for life satisfaction (B = 0.184, 95%CI = 0.110 ∼ 0.259; B = 0.312, 95%CI = 0.217 ∼ 0.407; B = 0.321, 95%CI = 0.193 ∼ 0.448), positive affect (B = 0.434, 95%CI = 0.209 ∼ 0.658; B = 0.701, 95%CI = 0.400 ∼ 1.003; B = 1.167, 95%CI = 0.775 ∼ 1.559), and negative affect (B = 0.289, 95%CI = 0.078 ∼ 0.500; B = 0.832, 95%CI = 0.479 ∼ 1.185), suggesting a higher SWB score. Sensitivity analysis further supports our findings. CONCLUSION: Considering the poor knowledge, attitudes, and behaviors related to diet among Chinese adults, especially older adults, it is imperative to implement dietary policies that promote SWB in older adults to enhance their happiness in later life.

Exploring the impact of subjective well-being on medication adherence: A cross-sectional study among individuals with multiple chronic diseases.

Background: Medication non-adherence is a significant barrier to optimal treatment goals. The study explores the association between subjective well-being (SWB) and medication adherence among Lebanese individuals with multiple chronic diseases and identifies additional factors that may influence adherence in this population. Methods: An exploratory, cross-sectional study was conducted for three months at six community pharmacies. Adherence was assessed using the Adherence to Refills and Medication Scale Arabic Lebanese Version (ARMS-A). The SWB was measured using the Arabic Scale of Happiness (ASH), Love of Life Scale (LLS), Arab Hope Scale (AHS), and Satisfaction with Life Scale (SWLS). Spearmen's Rho correlation analyzed the association between ARMS-A and SWB constructs. Binary logistic regression identified predictors of adherence among individuals with chronic diseases and on multiple chronic medications. Results: Of 400 participants, 106 (26.5 %) with a 95 % CI, 0.22-0.31, were adherent. Lower medication adherence (reflected in higher ARMS-A scores) was associated with lower SWB (p = 0.01). Multivariate analysis showed that lower education (OR = 2.21, 95 % CI, 1.01-4.81), lack of a specific diet (OR = 1.64, 95 % CI, 1.01-2.69), and frequent hospital and/or emergency visits (OR = 3.29, 95 % CI, 1.75-6.17 for 2 visits; OR = 2.71, 95 % CI, 1.43-5.14 for ≥3 visits) significantly increased the odds of non-adherence to chronic treatment. However, higher income (OR = 0.06, 95 % CI, 0.01-0.38), healthcare provider occupation (OR = 0.42, 95 % CI, 0.21-0.48), and having diabetes mellitus (OR = 0.59, 95 % CI, 0.36-0.96) correlated with better adherence. Conclusion: A significant portion of participants failed to adhere to their prescribed chronic medications, influenced by multicomplex socioeconomic, psychological, and health-related factors. These findings demonstrate the need for culturally-tailored, pharmacist-led interventions to improve medication adherence and overall health outcomes.