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Flourishing, a measure of well-being characterized by supportive relationships, contributing to the happiness of others, having purpose and meaning in life, and being optimistic, is associated with better health. Flourishing may promote healthy behaviors, help manage chronic diseases, and control stress. Flourishing-related traits typically remain stable after about age 25. With data from the Panel Study of Income Dynamics (PSID) and the 2016 PSID Well Being and Daily Life Supplement (1992–2013, n=7,197; 33,024 functional status transitions), we examined associations of a 7-item flourishing scale with three health outcomes: difficulty with activities of daily living (ADLs, not having help), ADL dependency (usually having help), and impairment in instrumental ADLs (IADLs). Multinomial logistic Markov models estimated annual probabilities of transitioning among IADL and ADL status states, adjusted for age and education, with estimates for African American, Hispanic, and white women and men. Using the probabilities, we created large populations with dynamic microsimulations, each individual having a known functional status each year, age 25 to death. In all groups people with low flourishing had significantly more IADL impairment, ADL disability, and ADL dependency throughout adult life than those with high flourishing (p |
