a negative trendP =.08
Active engagement was positively associated with well-being ( β =0.12, 95% CI 0.04-0.20; P =.006), passive engagement showed a negative trend ( β =−0.08, 95% CI −0.18 to 0.02; P =.08), and institutional engagement was not significantly associated with well-being ( β =0.07, 95% CI −0.01 to 0.15; P =.11).