Participants in the higher enjoyment group were, on average, younger and more likely to be female, married, better educated, and wealthier than those with lower enjoyment scores (eTable 1). They had lower depression scores and fewer illnesses, were less likely to be smokers, and were more likely to be physically active. The proportion of people who died over the follow-up period was 20.4% in the lowest enjoyment quartile, 15.7% in the second, 11.6% in the third, and 6.4% in the highest enjoyment quartile. Compared with the lowest enjoyment group, the age- and sex-adjusted hazard ratio was reduced for all other quartiles in a dose-dependent fashion, so participants in the highest enjoyment quartile had a 57.5% reduced risk of death (Table). This was attenuated when demographic factors, baseline health, depression, and health behaviors were taken into account, but in the full model, the highest enjoyment group still showed a hazard ratio of 0.717. Other factors independently associated with mortality are detailed in eTable 2.