Association Between Housing Items and Amenities With Psychological Wellbeing, and Their Possible Impact on All-Cause and Cardiovascular Mortality Risk in Lithuania

Abstract

Objectives: To determine the association of housing items and amenities with psychological wellbeing (PWB) and their relationship with all-cause and cardiovascular disease (CVD) mortality.

Methods: This study was based on the framework of the HAPIEE study. Data from the Lithuanian Mortality Register were used to evaluate CVD and all-cause mortality from baseline survey (2006-2008) till 2023. The logistic regression model and multivariate Cox regression model were applied for data analysis.

Results: The multivariable regression models showed that the material aspects of people's lives influenced their PWB status: increasing the number of housing items per 1 unit significantly increased the odds ratio (OR) of higher PWB status for males [OR = 1.14 (95% CI 1.11-1.18)] and females [OR = 1.13 (95% CI 1.11-1.17)] and decreased the risk of all-cause and CVD mortality in females [respectively HR = 0.93 (95% CI 0.91-0.96) and HR = 0.91 (95% CI 0.87-0.95)] and in males [respectively HR = 0.92 (95% CI 0.90-0.94) and HR = 0.90 (95% CI 0.87-0.93)].

Conclusion: These data suggest that the household items and amenities influenced PWB and may be used as risk factors in assessing the risk of all-cause and CVD mortality.

Keywords: CVD mortality risk; all-cause mortality; housing items; longitudinal study; psychological wellbeing.