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Previous research has established the negative influence of obesity on subjective well-being. In the present work, the authors use multilevel modeling and Behavior Risk Factor Surveillance System data (N = 1,319,340) to examine how this relationship is influenced by the prevalence of obesity in the contexts in which individuals are living and how such relationships vary by gender. The results suggest that some of the influence of obesity on life satisfaction is the result of relative comparison. Implications for both our understanding of the growing "obesity epidemic" and the study of subjective well-being are discussed.

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Objective We examine the links between 41 problems related to alcohol consumption and the risk of death among adults in the United States. Method We use Cox proportional hazards models and data from the nationally representative prospective National Health Interview Survey-Linked Mortality Files (NHIS-LMF). Results Drinking problems are relatively common among moderate and heavy drinkers and these problems are associated with increases in the risk of death. The strongest associations between problem drinking and mortality involved cases in which physicians, family members, or friends intervened to suggest reduced drinking. Losing one's job because of drinking problems within their lifetime (HR=1.36, 95% confidence interval [CI]: 1.11, 1.65) was strongly linked to mortality risk. Social risks were equally or more strongly linked to mortality than physiological consequences of alcohol abuse such as lifetime reports of needing a drink to stop shaking or getting sick (HR=1.23, 95% CI: 1.09, 1.40). Most importantly, these associations were evident despite statistical controls for alcohol consumption levels and demographic, social, economic, behavioral, health, and geographic factors. Conclusions Our results highlight the independent and additive effects of alcohol-related problems and alcohol consumption levels on the risk of death. We recommend that studies examining the mortality risks of alcohol consumption take into account drinking status and also specific drinking-related problems, paying particular attention to social problems related to alcohol use or abuse.

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