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What makes us happy!
Evidence from a national sample
Professor Alan Nevill
Faculty of Education,
Health and Wellbeing,
University of Wolverhampton

School of Sport, Performing Arts and Leisure
School of Sport, Performing Arts and Leisure
Introduction
! The World Health Organization estimates that millions
of people experience mental health problems, with one
in four experiencing a mental illness at some point in
their lives (WHO, 2011).
! Perceived happiness has been associated with longevity,
better physical health and protection from becoming ill
(Bjørnskov, 2008; Pawlowski, Downward & Rasciute,
2011; Caporale, Georgellis, Tsitsianis & Yin, 2009;
Stoll, Michaelson & Seaford, 2012; Veenhoven, 2008).
School of Sport, Performing Arts and Leisure
Introduction
! Some researchers suggest that the protective effect of
happiness on longevity is similar in magnitude to the effect
of not smoking (Veenhoven, 2008).
! Based on these views, public policy makers should consider
prioritising lifestyle health interventions that promote
happiness.

School of Sport, Performing Arts and Leisure
Aims
! Hence, the primary aim of this study was to
determine the factors associated with happiness in a
national sample of adults living in Northern Ireland.
! Secondly, to determine whether the associations
identified differed according to self-reported health
status (those in good or poor health) and,
! Finally to determine the extent to which modifiable
lifestyle behaviours may influence self-reported
happiness in this population.

School of Sport, Performing Arts and Leisure
Survey design
! The study is based on a cross-sectional survey of Northern Irish
adults conducted in 2009/10 and known as SAPAS (Sport and
Physical Activity Survey).
! It was commissioned by Sport Northern Ireland and carried out
by an independent market-research agency.
!  A total of 4653 adults (aged 16+) completed face-to-face
interviews in their homes using computer assisted personal
interviewing.

School of Sport, Performing Arts and Leisure
Sample

! Participants completed a detailed interview (average time - 30
minutes) with a trained interviewer.
! A total 4,653 interviews were completed, representing a
response rate of 54.6%.
! The dataset was weighted to control for the oversampling in the
Belfast and Derry strata, differences in household size, and to
ensure that the age/gender of participants closely matched that of
the adult population of Northern Ireland.
School of Sport, Performing Arts and Leisure
Sample

! The survey instrument was designed in partnership with Sport
Northern Ireland and was cognitively tested and piloted by the
market research agency.
! The survey was based on the Active People Survey (Sport
England) conducted annually by Sport England since 2005-06.

School of Sport, Performing Arts and Leisure
Sample
! The 30 minute interview collected data on participation in sport
and physical activity, perceived health and happiness, diet,
alcohol consumption and smoking habits as well as sociodemographic information.
! The list of physical activities was taken from the Department of
Culture Media and Sport (DCMS) and Sport England (Ipsos
MORI, 2007)

School of Sport, Performing Arts and Leisure
How did we measure happiness?

! Happiness was assessed in response to the self-rated question
“In general, how happy would you say you are?”
! Respondents answered on a 10 point scale (1 being the least
happy and 10 being the most happy).
! Responses were then dichotomised by assigning 1 to those
reporting above or equal to the median happiness score (found to
be 7) and 0 to those reporting below the median happiness score.

School of Sport, Performing Arts and Leisure
How did we measure
perceived health?
! Perceived health was obtained in response to the self-rated
health question “Over the past 12 months would you say your
health has been?” Respondents answered on a 5 point scale;
1=very good, 2=good, 3=average, 4=poor, 5=very poor.
! Responses to the self-rated health question were also
dichotomised by assigning 1 to those reporting either average,
poor, or very poor health; and 0 to those reporting very good or
good health.
School of Sport, Performing Arts and Leisure
Statistical methods

! Pearson’s chi-squared tests of independence were used to
investigate the association between the number of respondents
reporting happiness (as a dichotomy) and their perceived health,
also recorded as a dichotomy.
! Due to the likely influence of various confounding and/or
mediating variables e.g. social class, marital status and age etc.,
binary logistic regression was used to further explore the
differences and associations with happiness.
School of Sport, Performing Arts and Leisure
Results

School of Sport, Performing Arts and Leisure
! Respondents who report good health recorded above average
happiness scores (2062/2871=71.8%), see Table 1 above.
! Those respondents who recorded below average happiness
scores (1044/1770=59%) were also more likely to record poor
health.

School of Sport, Performing Arts and Leisure
Results
! Since the association between happiness and health is likely to
be influenced by a number of confounding or mediating
variables, we explored a wide range of other associations with
happiness using binary logistic regression
! a) for all respondents,
! b) for respondents reporting good health, and
! c) respondents reporting poor health.
! These associations are shown in Table 2.

School of Sport, Performing Arts and Leisure
School of Sport, Performing Arts and Leisure
School of Sport, Performing Arts and Leisure
Results
! The analysis identified that individuals who reported good or
very good health were over three times more likely to report
average or above average happiness scores, compared with those
reporting below average health (baseline level) having controlled
for a wide range of other confounding and modifiable/behavioral
variables.
! Odds Ratio (OR) = 3.19 (95% CI 2.79 to 3.66),

School of Sport, Performing Arts and Leisure
Results
! Women and men reported similar levels of happiness, while, the
logistic regression analysis identified a strong “U” shaped effect
of age where the middle-aged respondents (41-50) were nearly
1/3 less likely to report being happy (OR=0.37, 0.26-0.53)
compared with the 16-20 year-old baseline group and the oldest
71+ age group.

School of Sport, Performing Arts and Leisure
Results
! All social classes were more likely to report being happier than
the baseline unskilled manual class, with the managerial
OR=1.47 (1.16-1.85), skilled manual OR=1.30 (1.05-1.61) and
semi-skilled manual OR=1.30 (1.05-1.61) being significantly
more happy.

School of Sport, Performing Arts and Leisure
Results
! Marital status was identified as a very important source of
happiness.
! Those respondents who were either married or living as married,
were significantly happier OR= 1.53 (1.29-1.83) compared with
single respondents.
! Those respondents who were either divorced or separated were
more unhappy OR=0.78 (0.60 to 1.00) compared with their
single counterparts.

School of Sport, Performing Arts and Leisure
Results
! Smoking was also associated with a greater likelihood of being
unhappy, with regular daily smokers and occasional smokers
being more likely to report being unhappy compared with nonsmokers (OR=0.75 (0.63 to 0.88) and OR=0.60 (0.44 to 0.83)
respectively.
! However, regular daily smokers reported greater happiness than
occasional smokers.

School of Sport, Performing Arts and Leisure
Results
! Other modifiable behaviours associated with health;
! meeting the recommended PA guidelines (150 minutes of
moderate to vigorous intensity physical activity per week;
OR=1.33 (1.16-1.54) and
! eating five portions of fruit and vegetables or more per day
(OR=1.25 (1.10-1.43) significantly increased respondents
likelihood of reporting being happy.

School of Sport, Performing Arts and Leisure
Results
! Finally, those respondents having access to a car were also more
likely to report being happy OR=1.25 (1.05-1.75).
! Note that when body mass index was entered into the analysis
(either as a linear or quadratic effect) it was found not to have
any significant association with happiness.

School of Sport, Performing Arts and Leisure
Results
! When the respondents were divided into two groups; those
reporting good and poor health, the factors affecting happiness
remained similar for each group with the notable exceptions that
social class and eating five portions of fruit and vegetables
became unimportant to those who reported poor health in the
previous 12 months.
! Similarly, access to a car appeared unimportant to those who
reported good health. All the other sources of happiness: age,
marital status, smoking, and meeting the PA guidelines appeared
to have a similar effect in both good and poor health groups

School of Sport, Performing Arts and Leisure
Discussion/Conclusions (Health)

! This study provides an insight into the many variables that are
associated with happiness in a post conflict population in
Northern Ireland.
! We show that individuals in good health are three times more
likely to be happy than those in poor health.

School of Sport, Performing Arts and Leisure
Discussion/Conclusions (Age)
! The U shaped relationship exists between happiness and age
whereby those in the younger (16-20 years) and older age groups
(71+ years) were more likely to be happier than those in the
middle age groups.
! This association was present for all participants regardless of
being in good or poor health.
! Findings suggest that interventions to improve happiness should
be focused towards middle age people regardless of health
status.

School of Sport, Performing Arts and Leisure
Discussion/Conclusions (Social class)
! For the full sample all social classes were more likely to report
being happier than the baseline unskilled manual class (baseline
OR=1).
! However, perhaps surprisingly the highest social class status
group (professionals) were less happy than other groups and not
statistically different from the unskilled manual group.
! The social class with the highest levels of happiness would
appear to be the managerial group (1.47 (1.16-1.85)), a finding
reinforced amongst the health respondents (1.56 (1.15-2.11)).

School of Sport, Performing Arts and Leisure
Discussion/Conclusions (Social class)
! When analysed by health status, good health appeared to
influence this ordering wherein the most happy social classes
were the skilled manual group, closely followed by the
managerial classes.
! For those in poor health, no differences in the levels of
happiness were found between the different social class groups.
! Findings suggest that, provided you are in good health, being in
a skilled occupation (manual and non-manual) or in a managerial
position is associated with higher levels of happiness.

School of Sport, Performing Arts and Leisure
Discussion/Conclusions (Marital status)
! Those people who were married or living as married,
were more likely to be happy than those who are single.
Those who were divorced/separated or widowed were
more likely to be less happy.
! For respondents in good health, a similar association
emerged with those married/living as married and those
in a civil partnership tended to be happier, suggesting
that health and marriage combined is positive for
predicting happiness.
! However, despite good health, being divorced or
separated or widowed is associated with being less
happy.
School of Sport, Performing Arts and Leisure
Discussion/Conclusions (Smoking status)
! The association between smoking behaviours and self-reported
happiness is clear.
! Daily smokers, occasional smokers, ex-smokers and exoccasional smokers are all less happy compared to those who
have never smoked (in the case of daily and occasional smokers,
P<0.05).
! The same association is present regardless of health status.

School of Sport, Performing Arts and Leisure
Discussion/Conclusions
(Physical Activity)
! Achieving 150 minutes of physical activity per week was shown
to be associated with happiness, irrespective of whether
participants were in good or poor health.
! It appears that even among those reporting poor health, meeting
the 150 minutes of physical activity per week was associated
with greater levels of happiness (Full sample OR= 1.33; poor
health sample OR= 1.42).
! This supports previous work on the relationship between
physical activity and psychological wellbeing (Department of
Health, 2011) and extends findings to those in poor health.
School of Sport, Performing Arts and Leisure
Discussion/Conclusions (Diet)

! Similar to the findings for physical activity, adherence to the
public health message to eat at least five portions of fruit and
vegetables is associated with happiness.
! This is the case for all participants and those in good health.
! For those in poor health eating five fruit and vegetables a day
was not associated with happiness.
! An explanation for this finding is that health status appears to
over-ride an individual’s concerns regarding health eating/diet.
School of Sport, Performing Arts and Leisure
Discussion/Conclusions (Assess to a car)
! Finally access to a car was associated with happiness for
participants who reported poor health.
! This suggests that those in poor health value the mobility
provided by car access whereas this is viewed as less important
for those who are in good health.

School of Sport, Performing Arts and Leisure
Conclusions
! Clearly these differences and associations in happiness are only
true for the population of Northern Ireland.
! In light of the World Health Organization estimate that millions
of people across the world experience mental health problems
and governments are investing too little in mental health services
(WHO, 2011), promoting happiness by targeting selected health
behaviours should be considered.

School of Sport, Performing Arts and Leisure
Conclusions
! These findings have implications for policy makers in the
promotion of wellbeing and happiness in a nation that recently
has moved on from political and cultural violence known as the
troubles.
! Promoting happiness in populations through a healthy lifestyle
may have a positive effect on reducing the number of people
who experience mental health problems as outlined by the WHO
(2011).

School of Sport, Performing Arts and Leisure
Any questions?

School of Sport, Performing Arts and Leisure

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Happiness research semiar presentation

  • 1. What makes us happy! Evidence from a national sample Professor Alan Nevill Faculty of Education, Health and Wellbeing, University of Wolverhampton School of Sport, Performing Arts and Leisure
  • 2. School of Sport, Performing Arts and Leisure
  • 3. Introduction ! The World Health Organization estimates that millions of people experience mental health problems, with one in four experiencing a mental illness at some point in their lives (WHO, 2011). ! Perceived happiness has been associated with longevity, better physical health and protection from becoming ill (Bjørnskov, 2008; Pawlowski, Downward & Rasciute, 2011; Caporale, Georgellis, Tsitsianis & Yin, 2009; Stoll, Michaelson & Seaford, 2012; Veenhoven, 2008). School of Sport, Performing Arts and Leisure
  • 4. Introduction ! Some researchers suggest that the protective effect of happiness on longevity is similar in magnitude to the effect of not smoking (Veenhoven, 2008). ! Based on these views, public policy makers should consider prioritising lifestyle health interventions that promote happiness. School of Sport, Performing Arts and Leisure
  • 5. Aims ! Hence, the primary aim of this study was to determine the factors associated with happiness in a national sample of adults living in Northern Ireland. ! Secondly, to determine whether the associations identified differed according to self-reported health status (those in good or poor health) and, ! Finally to determine the extent to which modifiable lifestyle behaviours may influence self-reported happiness in this population. School of Sport, Performing Arts and Leisure
  • 6. Survey design ! The study is based on a cross-sectional survey of Northern Irish adults conducted in 2009/10 and known as SAPAS (Sport and Physical Activity Survey). ! It was commissioned by Sport Northern Ireland and carried out by an independent market-research agency. !  A total of 4653 adults (aged 16+) completed face-to-face interviews in their homes using computer assisted personal interviewing. School of Sport, Performing Arts and Leisure
  • 7. Sample ! Participants completed a detailed interview (average time - 30 minutes) with a trained interviewer. ! A total 4,653 interviews were completed, representing a response rate of 54.6%. ! The dataset was weighted to control for the oversampling in the Belfast and Derry strata, differences in household size, and to ensure that the age/gender of participants closely matched that of the adult population of Northern Ireland. School of Sport, Performing Arts and Leisure
  • 8. Sample ! The survey instrument was designed in partnership with Sport Northern Ireland and was cognitively tested and piloted by the market research agency. ! The survey was based on the Active People Survey (Sport England) conducted annually by Sport England since 2005-06. School of Sport, Performing Arts and Leisure
  • 9. Sample ! The 30 minute interview collected data on participation in sport and physical activity, perceived health and happiness, diet, alcohol consumption and smoking habits as well as sociodemographic information. ! The list of physical activities was taken from the Department of Culture Media and Sport (DCMS) and Sport England (Ipsos MORI, 2007) School of Sport, Performing Arts and Leisure
  • 10. How did we measure happiness? ! Happiness was assessed in response to the self-rated question “In general, how happy would you say you are?” ! Respondents answered on a 10 point scale (1 being the least happy and 10 being the most happy). ! Responses were then dichotomised by assigning 1 to those reporting above or equal to the median happiness score (found to be 7) and 0 to those reporting below the median happiness score. School of Sport, Performing Arts and Leisure
  • 11. How did we measure perceived health? ! Perceived health was obtained in response to the self-rated health question “Over the past 12 months would you say your health has been?” Respondents answered on a 5 point scale; 1=very good, 2=good, 3=average, 4=poor, 5=very poor. ! Responses to the self-rated health question were also dichotomised by assigning 1 to those reporting either average, poor, or very poor health; and 0 to those reporting very good or good health. School of Sport, Performing Arts and Leisure
  • 12. Statistical methods ! Pearson’s chi-squared tests of independence were used to investigate the association between the number of respondents reporting happiness (as a dichotomy) and their perceived health, also recorded as a dichotomy. ! Due to the likely influence of various confounding and/or mediating variables e.g. social class, marital status and age etc., binary logistic regression was used to further explore the differences and associations with happiness. School of Sport, Performing Arts and Leisure
  • 13. Results School of Sport, Performing Arts and Leisure
  • 14. ! Respondents who report good health recorded above average happiness scores (2062/2871=71.8%), see Table 1 above. ! Those respondents who recorded below average happiness scores (1044/1770=59%) were also more likely to record poor health. School of Sport, Performing Arts and Leisure
  • 15. Results ! Since the association between happiness and health is likely to be influenced by a number of confounding or mediating variables, we explored a wide range of other associations with happiness using binary logistic regression ! a) for all respondents, ! b) for respondents reporting good health, and ! c) respondents reporting poor health. ! These associations are shown in Table 2. School of Sport, Performing Arts and Leisure
  • 16. School of Sport, Performing Arts and Leisure
  • 17. School of Sport, Performing Arts and Leisure
  • 18. Results ! The analysis identified that individuals who reported good or very good health were over three times more likely to report average or above average happiness scores, compared with those reporting below average health (baseline level) having controlled for a wide range of other confounding and modifiable/behavioral variables. ! Odds Ratio (OR) = 3.19 (95% CI 2.79 to 3.66), School of Sport, Performing Arts and Leisure
  • 19. Results ! Women and men reported similar levels of happiness, while, the logistic regression analysis identified a strong “U” shaped effect of age where the middle-aged respondents (41-50) were nearly 1/3 less likely to report being happy (OR=0.37, 0.26-0.53) compared with the 16-20 year-old baseline group and the oldest 71+ age group. School of Sport, Performing Arts and Leisure
  • 20. Results ! All social classes were more likely to report being happier than the baseline unskilled manual class, with the managerial OR=1.47 (1.16-1.85), skilled manual OR=1.30 (1.05-1.61) and semi-skilled manual OR=1.30 (1.05-1.61) being significantly more happy. School of Sport, Performing Arts and Leisure
  • 21. Results ! Marital status was identified as a very important source of happiness. ! Those respondents who were either married or living as married, were significantly happier OR= 1.53 (1.29-1.83) compared with single respondents. ! Those respondents who were either divorced or separated were more unhappy OR=0.78 (0.60 to 1.00) compared with their single counterparts. School of Sport, Performing Arts and Leisure
  • 22. Results ! Smoking was also associated with a greater likelihood of being unhappy, with regular daily smokers and occasional smokers being more likely to report being unhappy compared with nonsmokers (OR=0.75 (0.63 to 0.88) and OR=0.60 (0.44 to 0.83) respectively. ! However, regular daily smokers reported greater happiness than occasional smokers. School of Sport, Performing Arts and Leisure
  • 23. Results ! Other modifiable behaviours associated with health; ! meeting the recommended PA guidelines (150 minutes of moderate to vigorous intensity physical activity per week; OR=1.33 (1.16-1.54) and ! eating five portions of fruit and vegetables or more per day (OR=1.25 (1.10-1.43) significantly increased respondents likelihood of reporting being happy. School of Sport, Performing Arts and Leisure
  • 24. Results ! Finally, those respondents having access to a car were also more likely to report being happy OR=1.25 (1.05-1.75). ! Note that when body mass index was entered into the analysis (either as a linear or quadratic effect) it was found not to have any significant association with happiness. School of Sport, Performing Arts and Leisure
  • 25. Results ! When the respondents were divided into two groups; those reporting good and poor health, the factors affecting happiness remained similar for each group with the notable exceptions that social class and eating five portions of fruit and vegetables became unimportant to those who reported poor health in the previous 12 months. ! Similarly, access to a car appeared unimportant to those who reported good health. All the other sources of happiness: age, marital status, smoking, and meeting the PA guidelines appeared to have a similar effect in both good and poor health groups School of Sport, Performing Arts and Leisure
  • 26. Discussion/Conclusions (Health) ! This study provides an insight into the many variables that are associated with happiness in a post conflict population in Northern Ireland. ! We show that individuals in good health are three times more likely to be happy than those in poor health. School of Sport, Performing Arts and Leisure
  • 27. Discussion/Conclusions (Age) ! The U shaped relationship exists between happiness and age whereby those in the younger (16-20 years) and older age groups (71+ years) were more likely to be happier than those in the middle age groups. ! This association was present for all participants regardless of being in good or poor health. ! Findings suggest that interventions to improve happiness should be focused towards middle age people regardless of health status. School of Sport, Performing Arts and Leisure
  • 28. Discussion/Conclusions (Social class) ! For the full sample all social classes were more likely to report being happier than the baseline unskilled manual class (baseline OR=1). ! However, perhaps surprisingly the highest social class status group (professionals) were less happy than other groups and not statistically different from the unskilled manual group. ! The social class with the highest levels of happiness would appear to be the managerial group (1.47 (1.16-1.85)), a finding reinforced amongst the health respondents (1.56 (1.15-2.11)). School of Sport, Performing Arts and Leisure
  • 29. Discussion/Conclusions (Social class) ! When analysed by health status, good health appeared to influence this ordering wherein the most happy social classes were the skilled manual group, closely followed by the managerial classes. ! For those in poor health, no differences in the levels of happiness were found between the different social class groups. ! Findings suggest that, provided you are in good health, being in a skilled occupation (manual and non-manual) or in a managerial position is associated with higher levels of happiness. School of Sport, Performing Arts and Leisure
  • 30. Discussion/Conclusions (Marital status) ! Those people who were married or living as married, were more likely to be happy than those who are single. Those who were divorced/separated or widowed were more likely to be less happy. ! For respondents in good health, a similar association emerged with those married/living as married and those in a civil partnership tended to be happier, suggesting that health and marriage combined is positive for predicting happiness. ! However, despite good health, being divorced or separated or widowed is associated with being less happy. School of Sport, Performing Arts and Leisure
  • 31. Discussion/Conclusions (Smoking status) ! The association between smoking behaviours and self-reported happiness is clear. ! Daily smokers, occasional smokers, ex-smokers and exoccasional smokers are all less happy compared to those who have never smoked (in the case of daily and occasional smokers, P<0.05). ! The same association is present regardless of health status. School of Sport, Performing Arts and Leisure
  • 32. Discussion/Conclusions (Physical Activity) ! Achieving 150 minutes of physical activity per week was shown to be associated with happiness, irrespective of whether participants were in good or poor health. ! It appears that even among those reporting poor health, meeting the 150 minutes of physical activity per week was associated with greater levels of happiness (Full sample OR= 1.33; poor health sample OR= 1.42). ! This supports previous work on the relationship between physical activity and psychological wellbeing (Department of Health, 2011) and extends findings to those in poor health. School of Sport, Performing Arts and Leisure
  • 33. Discussion/Conclusions (Diet) ! Similar to the findings for physical activity, adherence to the public health message to eat at least five portions of fruit and vegetables is associated with happiness. ! This is the case for all participants and those in good health. ! For those in poor health eating five fruit and vegetables a day was not associated with happiness. ! An explanation for this finding is that health status appears to over-ride an individual’s concerns regarding health eating/diet. School of Sport, Performing Arts and Leisure
  • 34. Discussion/Conclusions (Assess to a car) ! Finally access to a car was associated with happiness for participants who reported poor health. ! This suggests that those in poor health value the mobility provided by car access whereas this is viewed as less important for those who are in good health. School of Sport, Performing Arts and Leisure
  • 35. Conclusions ! Clearly these differences and associations in happiness are only true for the population of Northern Ireland. ! In light of the World Health Organization estimate that millions of people across the world experience mental health problems and governments are investing too little in mental health services (WHO, 2011), promoting happiness by targeting selected health behaviours should be considered. School of Sport, Performing Arts and Leisure
  • 36. Conclusions ! These findings have implications for policy makers in the promotion of wellbeing and happiness in a nation that recently has moved on from political and cultural violence known as the troubles. ! Promoting happiness in populations through a healthy lifestyle may have a positive effect on reducing the number of people who experience mental health problems as outlined by the WHO (2011). School of Sport, Performing Arts and Leisure
  • 37. Any questions? School of Sport, Performing Arts and Leisure