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. 2016 Dec 13;355:i6267. doi: 10.1136/bmj.i6267

Table 5.

Sustained enjoyment of life and up to seven year mortality in the English Longitudinal Study of Ageing cohort (complete case, n=5262)

No of reports of high enjoyment of life between 2002 and 2006 per participant
None One Two Three Per one report increase
All cause mortality (No (%)) 179 (30) 125 (21) 127 (21) 172 (29)
Covariates (hazard ratio (95% CI)):
 Model 1 (age, sex) 1 (reference) 0.83 (0.66 to 1.04) 0.69 (0.55 to 0.87) 0.57 (0.46 to 0.70) 0.83 (0.78 to 0.89)
 Model 1 plus baseline demographic factors* (model 2) 1 (reference) 0.84 (0.67 to 1.06) 0.73 (0.58 to 0.91) 0.61 (0.49 to 0.75) 0.85 (0.79 to 0.91)
 Model 1 plus baseline health indicators† (model 3) 1 (reference) 0.91 (0.72 to 1.14) 0.79 (0.63 to 1.00) 0.72 (0.58 to 0.90) 0.90 (0.83 to 0.96)
 Model 1 plus baseline depression‡ (model 4) 1 (reference) 0.84 (0.66 to 1.05) 0.70 (0.56 to 0.88) 0.58 (0.47 to 0.72) 0.83 (0.78 to 0.89)
 Fully adjusted (model 5) 1 (reference) 0.90 (0.71 to 1.14) 0.80 (0.63 to 1.01) 0.72 (0.58 to 0.90) 0.90 (0.83 to 0.96)

*Wealth, education, ethnicity, marital status, and employment.

†Fair/poor self-rated health, limiting longstanding illness, coronary heart disease, cancer, stroke, chronic lung disease, diabetes, arthritis, and impaired mobility and activities of daily living.

‡Depressive illness and current symptoms of depression.