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Social Determinants of Health

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From:
"Adam P. Coutts" <[log in to unmask]>
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Social Determinants of Health <[log in to unmask]>
Date:
Tue, 6 Mar 2007 18:49:57 +0000
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http://observer.guardian.co.uk/politics/story/0,,2026207,00.html

Ministers' thinking is being influenced by new research that shows the 
contented live longer

It is a simple question, but it may just reveal whether or not you will 
live to a ripe old age: does somebody love you?

Those who can confidently answer 'yes' are significantly more likely to be 
alive for the next 10 years than those who feel all alone. For love is a 
more accurate factor than smoking in predicting life expectancy, according 
to David Halpern, a senior policy adviser in the Downing Street strategy 
unit.

His work on the science of happiness is increasingly influencing 
government. He says adored people are happy people, and the happier they 
are, the longer and more productive lives they lead. Such ideas may raise 
eyebrows, but they are being taken increasingly seriously within government 
as the startling impact of happiness on citizens' lives - and lifespans - 
becomes clearer.

'There is a study of college graduation photographs, the sort where you are 
told to smile,' Halpern told The Observer. 'A third of people have a true 
smile, about a third have got a fake smile, and the rest look miserable. 
People have used those photographs [to trace the students' future lives] 
and they are predictive of hard outcomes like your life expectancy and the 
state of your marriage.'

A similar study in nuns, meanwhile, analysing statements given when 
entering cloisters, showed life expectancy varying by nearly a decade 
between the happiest and unhappiest. And love, it seems, has the biggest 
impact of all: 'There is a pretty strong relationship between subjective 
wellbeing and longevity. The single strongest predictor of whether you will 
be alive in 10 years' time is whether you say yes to the question, "does 
somebody love you?" '

While the biological relationship between happiness and health is unclear, 
research has shown happy people have lower blood pressure and are less 
likely to abuse drink or drugs. Being shown kindness can even produce a 
measurable surge of oxytocin - the 'bonding' hormone released by 
breastfeeding mothers and couples during orgasm - which has a de-stressing 
effect.

Halpern's surprising findings are at the heart of the forthcoming policy 
review designed to establish Tony Blair's legacy. Ideas now being studied 
by ministers include proposals to stimulate kindness towards others - shown 
to make both giver and receiver happier - by offering special 'community 
credits' to those who do good works. In Japan, for example, such a scheme 
funds community care for the elderly.

Japanese couples who live too far from their ageing parents to look after 
them will 'adopt' an elderly stranger locally and care for them instead, 
earning credits that their own parents can use to 'buy' similar volunteer 
care near by. The US state of Minnesota has established a similar system of 
'community service dollars', where volunteering to care earns the caregiver 
favours in return.

A pro-happiness administration, Halpern argues, would prioritise reducing 
unemployment - a critical cause of unhappiness - over reducing inflation, 
which makes people unhappy but less so, and concentrate on improving 
parenting skills, since strong attachment between parents and young 
children is a strong indicator of future happiness.

It would also value more highly informal care, such as looking after 
elderly relatives; promote volunteering; and most controversially, ditch 
public service targets in favour of targets to ensure clients are 
satisfied: 'Do we say to health professionals, "We will scrap 95 per cent 
of those targets and the one thing we want you to worry about is whether 
your users are happy with what you do"?' said Halpern, who argues that what 
patients actually say they want most is respect and dignity.

A pro-happiness government might also treat public servants differently. In 
one of Halpern's studies doctors asked to make a diagnosis from x-rays did 
so faster and more creatively when offered sweets while working, which 
boosted their mood.

Many of his ideas are already being picked up in cabinet: Alan Johnson will 
publish a new parenting strategy later this month, while Work and Pensions 
Secretary John Hutton will sell a forthcoming welfare crackdown partly on 
the basis that working makes people healthier and happier. New ways of 
providing community care, such as the Japanese trading scheme, are also 
being debated inside the policy review.

'There's no doubt that ministers are really interested in [this issue]. We 
have to figure out what are the policy choices - what would a 
community-service pound look like?' said Halpern.

Other findings - such as that a materialistic culture of keeping up with 
the Joneses fuels unhappiness, since someone will always have possessions 
more desirable than yours - are ahead of their time. Halpern admits 
government is not ready for taxes on consumption. None the less his 
findings show that increased economic prosperity has not produced happier 
citizens. 'When you look at wealthy nations, GDP is less important than the 
measures of institutional freedoms,' said Halpern.

For ultimately, according to Halpern, our happiness relies on those closest 
to us: 'The way in which people treat each other is really, really 
important. Acts of consideration and kindness loom very large.' In other 
words, to do yourself a favour - first do a favour for someone else. It 
could just save your life.

Ways to happiness · Move nearer the office Commuting, says Halpern, is the 
best example of something people think will make them happier - buying a 
bigger house further out of the city - which actually has a proven negative 
effect.

· Get married But you don't necessarily have children. Happiness peaks in 
people when they are in their twenties and declines through their thirties 
and forties, the childraising years. It doesn't peak again until you 
retire. Evidence suggests the strain of combining job and family causes the 
happiness dip - although children should prove their own reward.

· Earn at least £25,700 a year Below this sum, individuals are less happy 
than average. But don't fret about earning too much more - graduates who 
state making money is a goal in life have lower life expectancy.

· Cultivate your garden A shortcut to happiness is so-called 'flow' 
activities, where the brain is sufficiently engaged to allow you to switch 
off daily worries. Gardening is a good example.

· Get out more Scandinavians, the happiest nations in Europe, tend to spend 
increased wealth on socialising more. Anglo-Saxons practise greater 
isolation as they grow richer, for instance by buying children televisions 
in their bedrooms which separate the family.

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