“…In prior research, individuals with greater purpose in life prospectively demonstrated reduced risk of stroke, myocardial infarction, metabolic syndrome, cerebral infarcts, Alzheimer disease pathology, and mortality and also increased use of preventative health services (Boehm & Kubzansky, 2012; Boylan & Ryff, 2015; Boyle et al, 2012; Cohen, Bavishi, & Rozanski, 2016; Hill & Turiano, 2014; Kim, Strecher, et al, 2014; Kim et al, 2012, 2013; Ryff, 2014; Yu et al, 2015). Purpose in life has been linked with healthier automatic emotion regulation strategies (Schaefer et al, 2013) and sustained activity in reward circuitry (Heller et al, 2013), which may function as neural mechanisms linking purpose in life to physical health outcomes. Given the specificity of the inverse association between HbA1c to purpose in life, this construct may be ubiquitously protective across a number of physical health domains, and efforts to increase purpose in life, perhaps via volunteering or finding work in retirement (Barron et al, 2009; Greenfield & Marks, 2004; Weiss, Bass, Heimovitz, & Oka, 2005), may yield important physical health benefits across cultural contexts.…”