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The Relationship of Wealth, 
Health, and Happiness: Global 
Perspectives on Well-Being 
Daniel T. Gruner 
Mihaly Csikszentmihalyi, PhD 
Quality of Life Research Center 
Claremont Graduate University 
ECPP 2014
Does 
Money 
Make 
us 
Happy? 
w It does, but only up to a point 
(Diener, 2000; Easterlin 2003; Myers, 2000) 
w Hedonic Adaptation 
(Diener, 2000; Diener, Lucas, & Scollon, 2006) 
w Relative Utility 
(Diener & Lucas, 2000; Hagerty & Veenhoven, 2003) 
w Easterlin Paradox Debate 
(Easterlin, 1974; Hagerty & Veenhoven, 2003)
Does 
Happiness 
Impact 
our 
Health? 
w Happier people are less vulnerable to disease 
(Myers, 2000; Weisse, 1992) 
w Happiness associated with healthy immune systems 
(Weisse, 1992) 
w Positive affect associated with decreased pain and 
higher life expectancy 
(Diener & Chan, 2011; Pressman & Cohen, 2005) 
w Emotion-health connection 
corroborated across the globe 
(Pressman, Gallagher, & Lopez, 2013)
Data Sources 
World Values Survey (Wave 4, collected in 1999-2004) 
- Nationally representative samples of 87 countries around the world 
- Simple random sampling based on geographical location 
- Representation of urban and rural areas 
- Publically available interview data 
Gallup World Poll (Collected in 2005-2007) 
- Nationally representative samples of 95% of countries around the world 
- Random digit dial, area frame, cluster sampling, face-to-face 
- Based on geographic location 
- Representation of urban and rural areas 
- Publically available data 
World Bank (Estimates in 2000) 
- Per Capita Purchasing Power Parity (PPP) and Nominal GDP
Measures 
Happiness 
- World Values Survey 
- 1 Question -- “Taking all things together, would you say you are:” 
(1) Very happy 
(2) Quite happy 
(3) Not very happy 
(4) Not at all happy 
- Happiness Index (0-200): 
- (Very Happy + Quite Happy) – (Not Very Happy + Not at all Happy) + 100 
- Range = 91.1 – 192.8, M = 160.04, SD = 26.79 
- 72 countries, approximately 1000 individuals sampled from each
Health 
- Gallup World Poll 
- Health Index (0-100) 
- Range = 56 – 84, M = 73.74, SD = 6.31 
- 72 countries, approximately 1000 individuals sampled from each 
(1) Are you satisfied or dissatisfied with your personal health? 
(2) Do you have any health problems that prevent you from doing any of the 
things people your age normally can do? 
(3) Did you feel well rested yesterday? 
(4) Did you experience the following feelings during a lot of the day yesterday? 
Physical pain. 
(5) Did you experience the following feelings during a lot of the day yesterday? 
Sadness. 
(6) Did you experience the following feelings during a lot of the day yesterday? 
Worry. 
Measures (Cont’d.)
Norway 
Switzerland 
Denmark 
U.S 
Japan 
Wealth and Happiness 
Netherlands 
Ireland 
Germany 
New Zealand 
Puerto Rico 
Italy 
Israel 
El Salvador 
Mexico 
Philippines 
Hungary 
Indonesia 
Moldova 
Russia 
Romania 
Bulgaria 
200 
180 
160 
140 
120 
100 
80 
0 5 10 15 20 25 30 35 40 
Happiness 
GDP 
Note: Sources: World Values Survey Wave 4 (1999-2004); World Bank (2000). Wealth measured in 
Nominal Per Capita Gross Domestic Product (GDP). Sample contains 71 countries (N = 71).
Switzerland 
Wealth and Health 
Netherlands Japan 
Norway 
Denmark 
U.S 
Ireland 
Health GDP 
Israel 
Saudi Arabia 
Taiwan 
El Salvador 
Colombia 
Russia 
Venezuela 
Mexico 
Hungary 
Belarus 
Moldova 
Ukraine 
90 
85 
80 
75 
70 
65 
60 
55 
0 5 10 15 20 25 30 35 40 
Note: Sources: Gallup World Poll (2005-2007); World Bank (2000). Wealth measured in Nominal 
Per Capita Gross Domestic Product (GDP). Sample contains 72 countries (N = 72).
Ireland 
Denmark 
Switzerland 
United States 
Japan 
Netherlands 
Happiness and Health 
Slovenia 
Health Happiness 
Hungary 
Bulgaria 
Belarus 
Macedonia 
Ukraine 
Georgia 
Moldova 
90 
85 
80 
75 
70 
65 
60 
55 
50 
50 70 90 110 130 150 170 190 210 
Note: Sources: World Values Survey waves 1-4 (1981-2004); Gallup World Poll 
(2005-2007). Sample contains 71 countries (N = 71).
Does 
happiness 
mediate 
the 
rela8onship 
between 
wealth 
and 
health?
Mediation Analysis 
(1) 
Hierarchical 
Regression 
(Baron 
& 
Kenny, 
1986) 
(2) 
PROCESS 
(Hayes, 
2012) 
Ÿ 
Based 
on 
10,000 
bootstrapped 
samples
Purchasing 
Power 
Parity 
(PPP) 
per 
capita 
GDP, 
Happiness, 
Health 
GDP 
(PPP) 
Happiness 
Health 
.498*** 
.753*** 
(.816***) 
.126 
(.501***) 
*p<.05; 
**p<.01; 
***p<.001 
Figure 
1. 
Standardized 
Effects 
of 
Log 
Transformed 
Purchasing 
Power 
Parity 
Per 
Capita 
Gross 
Domes8c 
Product 
(PPP 
GDP) 
and 
Happiness 
on 
Health, 
with 
Total 
Effects 
Shown 
in 
Parentheses 
(N 
= 
71).
Purchasing 
Power 
Parity 
(PPP) 
per 
capita 
GDP, 
Happiness, 
Health 
GDP 
(PPP) 
Health 
Happiness 
.501*** 
.756*** 
(.816***) 
.119 
(.498***) 
*p<.05; 
**p<.01; 
***p<.001 
Figure 
2. 
Standardized 
Effects 
of 
Log 
Transformed 
Purchasing 
Power 
Parity 
Per 
Capita 
Gross 
Domes8c 
Product 
(PPP 
GDP) 
and 
Health 
on 
Happiness, 
with 
Total 
Effects 
Shown 
in 
Parentheses 
(N 
= 
71).
Conclusion 
Well-being is a psychological function of 
the experience of happiness, which GDP 
and wealth alone cannot satisfy.
Implications 
¤ New national indicators of success and flourishing 
¤ Once basic needs are met, focus on increasing happiness 
¤ Provide opportunities for engagement and flow 
¤ Increase hope and optimism
Limitations and Future Directions 
¤ Cross Sectional vs. Time Series 
¤ Health items might overlap with happiness index 
¤ Extend data collection to additional countries 
¤ Individual-level data 
¤ Health index as a proxy for objective health
Thank You 
Daniel 
T. 
Gruner 
PhD 
Student, 
Posi8ve 
Developmental 
Psychology 
Claremont 
Graduate 
University 
Quality 
of 
Life 
Research 
Center 
Email: 
dtgruner@gmail.com
Selected 
References 
Baron, 
R. 
M. 
& 
Kenny, 
D. 
A. 
(1986). 
The 
moderator-­‐mediator 
dis8nc8on 
in 
social 
psychological 
research: 
Conceptual, 
strategic, 
and 
sta8s8cal 
considera8ons. 
Journal 
of 
Personality 
and 
Social 
Psychology, 
51, 
1173-­‐1182. 
Diener, 
E. 
(2000). 
Subjec8ve 
well-­‐being: 
The 
science 
of 
happiness 
and 
a 
proposal 
for 
a 
na8onal 
index. 
American 
Psychologist, 
55(1), 
34-­‐43. 
doi:10.1037/0003-­‐066X.55.1.34 
Diener, 
E., 
Lucas, 
R. 
E., 
& 
Scollon, 
C. 
(2006). 
Beyond 
the 
hedonic 
treadmill: 
Revising 
the 
adapta8on 
theory 
of 
well-­‐being. 
American 
Psychologist, 
61(4), 
305-­‐314. 
doi:10.1037/0003-­‐066X.61.4.305 
Hagerty, 
M. 
R., 
& 
Veenhoven, 
R. 
(2003). 
Wealth 
and 
Happiness 
Revisited-­‐-­‐Growing 
Na8onal 
Income 
Does 
Go 
with 
Greater 
Happiness. 
Social 
Indicators 
Research, 
64(1), 
1-­‐27. 
doi:10.1023/A:1024790530822 
Hayes, 
A. 
(2012). 
PROCESS: 
A 
VersaCle 
ComputaConal 
Tool 
for 
Observed 
Variable 
MediaCon, 
ModeraCon, 
and 
CondiConal 
Process 
Modeling. 
Unpublished 
Manuscript. 
Myers, 
D. 
G. 
(2000). 
The 
funds, 
friends, 
and 
faith 
of 
happy 
people. 
American 
Psychologist, 
55(1), 
56-­‐67. 
doi:10.1037/0003-­‐066X.55.1.56 
Pressman, 
S. 
D., 
& 
Cohen, 
S. 
(2005). 
Does 
Posi8ve 
Affect 
Influence 
Health?. 
Psychological 
BulleCn, 
131(6), 
925-­‐971. 
doi:10.1037/0033-­‐2909.131.6.925 
Pressman, 
S. 
D., 
Gallagher, 
M. 
W., 
& 
Lopez, 
S. 
J. 
(2013). 
Is 
the 
emo8on-­‐health 
connec8on 
a 
'first-­‐world 
problem'?. 
Psychological 
Science, 
24(4), 
544-­‐549. 
Weisse, 
C. 
S. 
(1992). 
Depression 
and 
immunocompetence: 
A 
review 
of 
the 
literature. 
Psychological 
BulleCn, 
111(3), 
475-­‐489. 
doi:10.1037/0033-­‐2909.111.3.475

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Gruner PS17

  • 1. The Relationship of Wealth, Health, and Happiness: Global Perspectives on Well-Being Daniel T. Gruner Mihaly Csikszentmihalyi, PhD Quality of Life Research Center Claremont Graduate University ECPP 2014
  • 2. Does Money Make us Happy? w It does, but only up to a point (Diener, 2000; Easterlin 2003; Myers, 2000) w Hedonic Adaptation (Diener, 2000; Diener, Lucas, & Scollon, 2006) w Relative Utility (Diener & Lucas, 2000; Hagerty & Veenhoven, 2003) w Easterlin Paradox Debate (Easterlin, 1974; Hagerty & Veenhoven, 2003)
  • 3. Does Happiness Impact our Health? w Happier people are less vulnerable to disease (Myers, 2000; Weisse, 1992) w Happiness associated with healthy immune systems (Weisse, 1992) w Positive affect associated with decreased pain and higher life expectancy (Diener & Chan, 2011; Pressman & Cohen, 2005) w Emotion-health connection corroborated across the globe (Pressman, Gallagher, & Lopez, 2013)
  • 4. Data Sources World Values Survey (Wave 4, collected in 1999-2004) - Nationally representative samples of 87 countries around the world - Simple random sampling based on geographical location - Representation of urban and rural areas - Publically available interview data Gallup World Poll (Collected in 2005-2007) - Nationally representative samples of 95% of countries around the world - Random digit dial, area frame, cluster sampling, face-to-face - Based on geographic location - Representation of urban and rural areas - Publically available data World Bank (Estimates in 2000) - Per Capita Purchasing Power Parity (PPP) and Nominal GDP
  • 5. Measures Happiness - World Values Survey - 1 Question -- “Taking all things together, would you say you are:” (1) Very happy (2) Quite happy (3) Not very happy (4) Not at all happy - Happiness Index (0-200): - (Very Happy + Quite Happy) – (Not Very Happy + Not at all Happy) + 100 - Range = 91.1 – 192.8, M = 160.04, SD = 26.79 - 72 countries, approximately 1000 individuals sampled from each
  • 6. Health - Gallup World Poll - Health Index (0-100) - Range = 56 – 84, M = 73.74, SD = 6.31 - 72 countries, approximately 1000 individuals sampled from each (1) Are you satisfied or dissatisfied with your personal health? (2) Do you have any health problems that prevent you from doing any of the things people your age normally can do? (3) Did you feel well rested yesterday? (4) Did you experience the following feelings during a lot of the day yesterday? Physical pain. (5) Did you experience the following feelings during a lot of the day yesterday? Sadness. (6) Did you experience the following feelings during a lot of the day yesterday? Worry. Measures (Cont’d.)
  • 7. Norway Switzerland Denmark U.S Japan Wealth and Happiness Netherlands Ireland Germany New Zealand Puerto Rico Italy Israel El Salvador Mexico Philippines Hungary Indonesia Moldova Russia Romania Bulgaria 200 180 160 140 120 100 80 0 5 10 15 20 25 30 35 40 Happiness GDP Note: Sources: World Values Survey Wave 4 (1999-2004); World Bank (2000). Wealth measured in Nominal Per Capita Gross Domestic Product (GDP). Sample contains 71 countries (N = 71).
  • 8. Switzerland Wealth and Health Netherlands Japan Norway Denmark U.S Ireland Health GDP Israel Saudi Arabia Taiwan El Salvador Colombia Russia Venezuela Mexico Hungary Belarus Moldova Ukraine 90 85 80 75 70 65 60 55 0 5 10 15 20 25 30 35 40 Note: Sources: Gallup World Poll (2005-2007); World Bank (2000). Wealth measured in Nominal Per Capita Gross Domestic Product (GDP). Sample contains 72 countries (N = 72).
  • 9. Ireland Denmark Switzerland United States Japan Netherlands Happiness and Health Slovenia Health Happiness Hungary Bulgaria Belarus Macedonia Ukraine Georgia Moldova 90 85 80 75 70 65 60 55 50 50 70 90 110 130 150 170 190 210 Note: Sources: World Values Survey waves 1-4 (1981-2004); Gallup World Poll (2005-2007). Sample contains 71 countries (N = 71).
  • 10. Does happiness mediate the rela8onship between wealth and health?
  • 11. Mediation Analysis (1) Hierarchical Regression (Baron & Kenny, 1986) (2) PROCESS (Hayes, 2012) Ÿ Based on 10,000 bootstrapped samples
  • 12. Purchasing Power Parity (PPP) per capita GDP, Happiness, Health GDP (PPP) Happiness Health .498*** .753*** (.816***) .126 (.501***) *p<.05; **p<.01; ***p<.001 Figure 1. Standardized Effects of Log Transformed Purchasing Power Parity Per Capita Gross Domes8c Product (PPP GDP) and Happiness on Health, with Total Effects Shown in Parentheses (N = 71).
  • 13. Purchasing Power Parity (PPP) per capita GDP, Happiness, Health GDP (PPP) Health Happiness .501*** .756*** (.816***) .119 (.498***) *p<.05; **p<.01; ***p<.001 Figure 2. Standardized Effects of Log Transformed Purchasing Power Parity Per Capita Gross Domes8c Product (PPP GDP) and Health on Happiness, with Total Effects Shown in Parentheses (N = 71).
  • 14. Conclusion Well-being is a psychological function of the experience of happiness, which GDP and wealth alone cannot satisfy.
  • 15. Implications ¤ New national indicators of success and flourishing ¤ Once basic needs are met, focus on increasing happiness ¤ Provide opportunities for engagement and flow ¤ Increase hope and optimism
  • 16. Limitations and Future Directions ¤ Cross Sectional vs. Time Series ¤ Health items might overlap with happiness index ¤ Extend data collection to additional countries ¤ Individual-level data ¤ Health index as a proxy for objective health
  • 17. Thank You Daniel T. Gruner PhD Student, Posi8ve Developmental Psychology Claremont Graduate University Quality of Life Research Center Email: dtgruner@gmail.com
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