高い幸福感が全死因死亡リスクの低下に関連

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2026-01-28 青森県立保健大学

青森県立保健大学の安永明智教授と早稲田大学の岡浩一朗教授らの研究グループは、日本人成人を対象とした前向きコホート研究により、幸福感が高い人ほど全死因死亡リスクが低いことを明らかにした。幸福感は、喜びや満足感などの主観的な心理状態を示すウェルビーイングの一側面である。本研究では、年齢や性別に加え、教育歴や婚姻状況、経済状況といった社会経済的要因、さらにBMIや身体機能などの健康状態を統計的に調整した後も、この関連が独立して認められた。これにより、幸福感は単なる生活条件や健康状態の反映ではなく、長期的な生存に寄与する心理的要因である可能性が示唆された。本成果は、身体的健康のみならず、心理的ウェルビーイングを高めることが公衆衛生や健康増進政策において重要であることを示す科学的根拠となる。研究成果は国際学術誌『Health Psychology』に掲載された。

高い幸福感が全死因死亡リスクの低下に関連
図 日本の成人における幸福感と全死因死亡率の関連

<関連情報>

国家幸福度と死亡率の関連性:日本における前向きコホート研究からのエビデンス Association of State Happiness With Mortality: Evidence From a Prospective Cohort Study in Japan

Akitomo Yasunaga, Ai Shibata, Yoshino Hosokawa, Mohammad Javad Koohsari, Rina Miyawaki, Kuniko Araki, Kaori Ishii, Koichiro Oka
Health Psychology Published:January 19, 2026
DOI:https://doi.org/10.1037/hea0001571

Abstract

Objective: The aim of this study was to examine whether the association between happiness and all-cause mortality persists after adjustment for health status and sociodemographic factors in Japanese adults. The study addressed the gap in understanding the relationship between happiness and mortality in Japanese populations.

Method: A total of 3,187 adults from Minami-Izu, Japan, were included in a prospective study tracking all-cause mortality from October 2016 to October 2023. Happiness was assessed using a single-item, self-report measure of state emotional well-being. Sociodemographic factors (age, sex, marital status, education, and economic status) and health status (body mass index and physical function) were considered as covariates. Binary logistic regression models were used to examine the association between happiness and mortality, adjusted for these factors.

Results: During the follow-up, 277 participants died. The risk of all-cause mortality was higher in those who reported being unhappy compared with those who reported being happy after adjustment for age and sex (OR: 2.69, 95% CI: 1.63–4.44) and also significantly higher in those who reported being unhappy compared with those who reported being happy after adjustment for age, sex, all socioeconomic factors and health status (OR: 1.85, 95% CI: 1.09–3.16). Sensitivity analyses excluding deaths within the first year showed consistent results. Conclusions: Happiness is independently associated with reduced mortality risk, even after adjustment for sociodemographic and health status factors. These findings highlight the importance of promoting positive well-being in Japanese populations.

Public Significance Statement

This study found that greater happiness was associated with a lower risk of mortality among Japanese adults. The association remained after accounting for demographic, socioeconomic, and health-related factors. These findings suggest that positive emotional well-being may be a meaningful indicator of long-term health and could inform future public health research and practice.

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