Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
Centre for Population Health Sciences (CePHaS), Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
BMJ Open. 2019 Nov 21;9(11):e029555. doi: 10.1136/bmjopen-2019-029555.
To assess the frequency and intensity of arts engagement inclusive of active and passive engagements in arts, culture and heritage activities among Singaporean adults aged 50 and above, and examine the relationships between participatory art and holistic well-being.
Cross-sectional stratified household survey.
All residential areas across Singapore's Central, East, North, North-East and West Regions.
1067 community-dwelling, Singaporean older adults between the ages of 50 and 95 years were recruited.
Respondents completed a self-reported questionnaire, consisting of standardised ad hoc items assessing the frequencies and durations of active and passive participatory arts engagement, as well as validated psychometric assessments on psychosociospiritual health including the primary outcome measure on quality of life, and the secondary outcome measures on physical, psychological, emotional, spiritual, and social well-being. sociodemographic information, as well as frequency and intensity of physical activity were also collected.
Passive engagement (60%) and active engagement (17%) in the arts were associated with better holistic wellness and social support. Specifically, findings from the propensity score matching and independent t-test analyses revealed that adults aged 50 and above who passively engaged in arts and culture-related events experienced higher quality of life ((728)=3.35, p=0.0008, =0.25), perceived health ((728)=2.21, p=0.0277, =0.16) and sense of belonging ((728)=2.17, p=0.03, =0.16), as compared with those who did not. Moreover, those who actively engaged in participatory arts experienced greater quality of life ((442)=3.68, p=0.0003, =0.36), self-rated health ((442)=2.59, p=0.0099, =0.25), spiritual well-being ((442)=3.75, p=0.0002, =0.37), meaning in life ((442)=5.03, p<0.0001, =0.50) and sense of peace ((442)=3.72, p0.0002, =0.36), as compared with those who did not actively engaged in the arts.
This study provided robust evidence to support a significant causal relationship between arts engagements and holistic well-being. Recommendations for art-based public health and elderly care research, practice and policy are discussed.
评估新加坡 50 岁及以上成年人参与艺术、文化和遗产活动的艺术参与频率和强度，包括主动和被动参与，并探讨参与性艺术与整体幸福感之间的关系。
横断面分层家庭调查。
新加坡中部、东部、北部、东北部和西部所有住宅区。
招募了 1067 名居住在社区的 50 至 95 岁新加坡老年人。
受访者完成了一份自我报告问卷，其中包括评估主动和被动参与性艺术参与频率和持续时间的标准特定项目，以及心理社会精神健康的验证心理测量评估，包括生活质量的主要结果测量，以及身体、心理、情感、精神和社会幸福感的次要结果测量。还收集了社会人口统计学信息以及身体活动的频率和强度。
被动参与（60%）和主动参与（17%）艺术与整体健康和社会支持相关。具体来说，倾向评分匹配和独立 t 检验分析的结果表明，50 岁及以上被动参与艺术和文化相关活动的成年人生活质量更高（(728)=3.35，p=0.0008，=0.25），感知健康（(728)=2.21，p=0.0277，=0.16）和归属感（(728)=2.17，p=0.03，=0.16），与不参与的人相比。此外，那些积极参与参与性艺术的人经历了更大的生活质量（(442)=3.68，p=0.0003，=0.36），自我评估的健康（(442)=2.59，p=0.0099，=0.25），精神幸福感（(442)=3.75，p=0.0002，=0.37），生活意义（(442)=5.03，p<0.0001，=0.50）和和平感（(442)=3.72，p0.0002，=0.36），与不积极参与艺术的人相比。
本研究提供了强有力的证据支持艺术参与与整体幸福感之间存在显著的因果关系。讨论了基于艺术的公共卫生和老年人护理研究、实践和政策的建议。
