The link between happiness and health has long been a topic of interest in the field of public health. A recent study published in Frontiers in Medicine delved into this relationship to determine if there is a specific threshold of happiness that is associated with improved health outcomes.
The study, led by Prof Iulia Iuga from 1 Decembrie 1918 University of Alba Iulia, found that subjective well-being, or happiness, begins to function as a population health asset once a minimum threshold of approximately 2.7 on the Life Ladder scale is surpassed. This scale is a simple zero to 10 happiness ruler, where zero represents the worst possible life and 10 the best possible life. People or countries below this threshold are considered unhappy or struggling.
The data used in the study was collected from 123 countries between 2006 and 2021. The findings revealed that once the threshold of 2.7 is exceeded, each 1% increase in subjective well-being is associated with a 0.43% decrease in the country’s non-communicable disease (NCD) mortality rate among individuals aged 30 to 70. This suggests that higher levels of happiness are linked to lower rates of NCD-related deaths.
Countries that surpassed this happiness threshold tended to have higher per capita health spending, stronger social safety nets, and more stable governance compared to those below the threshold. The study highlighted the importance of promoting healthy living, improving the environment, and increasing health spending to raise countries above the 2.7 threshold.
While the study provides valuable insights into the relationship between happiness and health, the authors acknowledge some limitations. The data used was self-reported, which may have introduced measurement errors or reporting bias. Future studies should include more measures and expand coverage to low-income or conflict states.
Overall, the study underscores the importance of happiness as a public health resource and suggests that identifying and surpassing the 2.7 happiness threshold could lead to significant improvements in population health. By integrating well-being into national agendas and health policies, governments can work towards creating healthier and happier communities.
For more information, the full study titled “How Happy is Healthy Enough? Uncovering the Happiness Threshold for Global Non-Communicable Disease Prevention” can be found in Frontiers in Medicine (2025).

