The association between subjective well-being and physical-psychological-cognitive multimorbidity: a longitudinal analysis of a nationally representative survey.

ABSTRACT: While subjective well-being (SWB) significantly influences individual physical and mental health, its impact on complex multimorbidity remains unclear. This study aimed to investigate the effect of SWB on physical-psychological-cognitive multimorbidity (PPC-MM). Using data from four waves (2011, 2013, 2015, and 2018) of the China Health and Retirement Longitudinal Study, we employed discrete-time survival models (pooled logistic regression with complementary log-log link) as the primary analysis to examine the association between SWB and incident PPC-MM, accounting for interval-censored data. Marginal structural models (MSMs) with inverse probability weighting were used to handle time-varying SWB and confounding. Competing risks were addressed via Fine-Gray models, with death as a competin

SUBMITTER: Xinwei Z 

PROVIDER: S-EPMC12783124 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature