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Analysing the Simultaneous Relationship Between Life Satisfaction and Health-Related Quality of Life

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  • Silvia Garrido
  • Ildefonso Méndez
  • José-María Abellán

Abstract

This paper aims to examine whether life satisfaction and health-related quality of life (HRQoL) are simultaneously related, as well as to quantify the bias that occurs if simultaneity is not accounted for. The study sample consisted of 870 respondents, representative of the Spanish adult general population. Using a simultaneous equations system —with the satisfaction with life scale (SWLS) and the SF-6D index as outcome variables—, we found a simultaneous association between life satisfaction and HRQoL, although this relationship is heterogeneous in individual characteristics such as age and sex. More important, the fact of estimating the relationship between life satisfaction and HRQoL under a unidirectional approach severely underestimates the effect of life satisfaction on HRQoL and, to a lesser degree, the reverse direction effect. In consequence, policy decisions intended to improve satisfaction with life or HRQoL can be wrong if they rely on unidirectional estimates. Another relevant implication of this research is that, as a result of the simultaneous relationship between life satisfaction and HRQoL, not only health interventions may increase satisfaction with life, but also policies that improve life satisfaction can lead to positive side effects on HRQoL. Copyright Springer Science+Business Media Dordrecht 2013

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  • Silvia Garrido & Ildefonso Méndez & José-María Abellán, 2013. "Analysing the Simultaneous Relationship Between Life Satisfaction and Health-Related Quality of Life," Journal of Happiness Studies, Springer, vol. 14(6), pages 1813-1838, December.
    • Handle: RePEc:spr:jhappi:v:14:y:2013:i:6:p:1813-1838
    DOI: 10.1007/s10902-012-9411-x
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    3. Sebastian Himmler & Job Exel & Werner Brouwer, 2020. "Estimating the monetary value of health and capability well-being applying the well-being valuation approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(8), pages 1235-1244, November.
    4. Çalişkan, Uğur & Gursoy, Dogan & Özer, Özgür & Chi, Oscar Hengxuan, 2022. "Effects of Tourism on Local Residents’ Quality of Life, Happiness and Life Satisfaction: Moderating Role of the COVID-19 Risk Perceptions," Journal of Tourism, Sustainability and Well-being, Cinturs - Research Centre for Tourism, Sustainability and Well-being, University of Algarve, vol. 10(4), pages 274-291.
    5. David G. Blanchflower & Carol L. Graham, 2022. "The Mid-Life Dip in Well-Being: a Critique," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 161(1), pages 287-344, May.
    6. Wouters, S. & van Exel, N.J.A. & Rohde, K.I.M. & Vromen, J.J. & Brouwer, W.B.F., 2017. "Acceptable health and priority weighting: Discussing a reference-level approach using sufficientarian reasoning," Social Science & Medicine, Elsevier, vol. 181(C), pages 158-167.
    7. Yanling Geng & Longtao He, 2022. "Gender Differences in Children’s Psychological Well-Being in Mainland China: Risk and Protective Factors," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(5), pages 2743-2763, October.
    8. Ningning Liu & Qikang Zhong, 2023. "The impact of sports participation on individuals’ subjective well-being: the mediating role of class identity and health," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-9, December.
    9. Fernando Lera-López & Andrea Ollo-López & José Manuel Sánchez-Santos, 2017. "How Does Physical Activity Make You Feel Better? The Mediational Role of Perceived Health," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 12(3), pages 511-531, September.

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