Evaluating Well-being at Community Level

Objective: To measure well-being at a community level using a valid instrument. Patients and Methods: Written surveys were mailed to a random sample of residents in Olmsted County, Minnesota, in 2015 and 2019 including the 5-item World Health Organization Well-being Index (0-100; for which 100 is th...

Full description

Bibliographic Details
Main Authors: Angela L. Murad, MPH, RDN, Meaghan Sherdan, MPH, Graham Briggs, MS, Derrick Fritz, BA, CHES, Zhen Wang, PhD, M. Hassan Murad, MD, MPH, Robin G. Molella, MD, MPH
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Mayo Clinic Proceedings: Innovations, Quality & Outcomes
Online Access:http://www.sciencedirect.com/science/article/pii/S2542454821001314
_version_ 1819174930304991232
author Angela L. Murad, MPH, RDN
Meaghan Sherdan, MPH
Graham Briggs, MS
Derrick Fritz, BA, CHES
Zhen Wang, PhD
M. Hassan Murad, MD, MPH
Robin G. Molella, MD, MPH
author_facet Angela L. Murad, MPH, RDN
Meaghan Sherdan, MPH
Graham Briggs, MS
Derrick Fritz, BA, CHES
Zhen Wang, PhD
M. Hassan Murad, MD, MPH
Robin G. Molella, MD, MPH
author_sort Angela L. Murad, MPH, RDN
collection DOAJ
description Objective: To measure well-being at a community level using a valid instrument. Patients and Methods: Written surveys were mailed to a random sample of residents in Olmsted County, Minnesota, in 2015 and 2019 including the 5-item World Health Organization Well-being Index (0-100; for which 100 is the best imaginable well-being or quality of life). Multivariable hierarchical regression was used to evaluate the association between well-being and demographic characteristics, comorbid conditions, and environmental factors. Results: The survey was returned by 1232 of 4000 individuals (response rate, 30.80%). The average well-being score was 70.02. Impaired well-being was identified in 223/1187 individuals (18.79%). Adjusted regression models showed that impaired well-being was independently associated with household poverty, financial stress, reduced access to medical or mental health care, ever having depression diagnosed, living in an unsafe community, or being socially isolated. Conclusion: One in 5 people in a county in the US Midwest have impaired well-being. Well-being was associated with several modifiable factors. Data provide a rationale for policies that align transportation and housing and create opportunities for community members to connect and interact in a safe environment.
first_indexed 2024-12-22T20:46:48Z
format Article
id doaj.art-f27f172a8d604ea08b60fed7ffe7a800
institution Directory Open Access Journal
issn 2542-4548
language English
last_indexed 2024-12-22T20:46:48Z
publishDate 2021-12-01
publisher Elsevier
record_format Article
series Mayo Clinic Proceedings: Innovations, Quality & Outcomes
spelling doaj.art-f27f172a8d604ea08b60fed7ffe7a8002022-12-21T18:13:12ZengElsevierMayo Clinic Proceedings: Innovations, Quality & Outcomes2542-45482021-12-0156961968Evaluating Well-being at Community LevelAngela L. Murad, MPH, RDN0Meaghan Sherdan, MPH1Graham Briggs, MS2Derrick Fritz, BA, CHES3Zhen Wang, PhD4M. Hassan Murad, MD, MPH5Robin G. Molella, MD, MPH6Olmsted County Public Health Services, Rochester, MNOlmsted County Public Health Services, Rochester, MNOlmsted County Public Health Services, Rochester, MNOlmsted County Public Health Services, Rochester, MNKern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MNKern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN; Division of Preventive Medicine, Mayo Clinic, Rochester, MN; Correspondence: Address to M. Hassan Murad, MD, MPH, Mayo Clinic, 200 1st St SW, Rochester, MN 55905.Olmsted County Public Health Services, Rochester, MN; Division of Preventive Medicine, Mayo Clinic, Rochester, MNObjective: To measure well-being at a community level using a valid instrument. Patients and Methods: Written surveys were mailed to a random sample of residents in Olmsted County, Minnesota, in 2015 and 2019 including the 5-item World Health Organization Well-being Index (0-100; for which 100 is the best imaginable well-being or quality of life). Multivariable hierarchical regression was used to evaluate the association between well-being and demographic characteristics, comorbid conditions, and environmental factors. Results: The survey was returned by 1232 of 4000 individuals (response rate, 30.80%). The average well-being score was 70.02. Impaired well-being was identified in 223/1187 individuals (18.79%). Adjusted regression models showed that impaired well-being was independently associated with household poverty, financial stress, reduced access to medical or mental health care, ever having depression diagnosed, living in an unsafe community, or being socially isolated. Conclusion: One in 5 people in a county in the US Midwest have impaired well-being. Well-being was associated with several modifiable factors. Data provide a rationale for policies that align transportation and housing and create opportunities for community members to connect and interact in a safe environment.http://www.sciencedirect.com/science/article/pii/S2542454821001314
spellingShingle Angela L. Murad, MPH, RDN
Meaghan Sherdan, MPH
Graham Briggs, MS
Derrick Fritz, BA, CHES
Zhen Wang, PhD
M. Hassan Murad, MD, MPH
Robin G. Molella, MD, MPH
Evaluating Well-being at Community Level
Mayo Clinic Proceedings: Innovations, Quality & Outcomes
title Evaluating Well-being at Community Level
title_full Evaluating Well-being at Community Level
title_fullStr Evaluating Well-being at Community Level
title_full_unstemmed Evaluating Well-being at Community Level
title_short Evaluating Well-being at Community Level
title_sort evaluating well being at community level
url http://www.sciencedirect.com/science/article/pii/S2542454821001314
work_keys_str_mv AT angelalmuradmphrdn evaluatingwellbeingatcommunitylevel
AT meaghansherdanmph evaluatingwellbeingatcommunitylevel
AT grahambriggsms evaluatingwellbeingatcommunitylevel
AT derrickfritzbaches evaluatingwellbeingatcommunitylevel
AT zhenwangphd evaluatingwellbeingatcommunitylevel
AT mhassanmuradmdmph evaluatingwellbeingatcommunitylevel
AT robingmolellamdmph evaluatingwellbeingatcommunitylevel