The Faculty of Nursing and Health Sciences, Nord Universitet - Levanger Campus, Levanger, Norway
HUNT Research Centre, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Levanger, Norway.
J Epidemiol Community Health. 2020 Aug;74(8):624-630. doi: 10.1136/jech-2019-213313. Epub 2020 Apr 17.
Cultural activities can promote health and longevity, but longitudinal studies examining a broad spectrum of participation are scarce. This study investigated the gender-specific association between all-causes of mortality and participation in single types of cultural activities, amount and participation frequency.
We used cohort data from the Nord-Trøndelag Health Study (HUNT Study), Norway (2006-2008), resulting in 35 902 participants, aged 20 and above. Cultural participation in receptive and creative activities was measured. HRs were reported for partially and fully adjusted models.
A total of 1905 participants died during the median 8-year follow-up. Mortality risk was higher for non-participants in any receptive or creative activities, except sport event attendees. Gender association was also evaluated: among men, we found similar results as above except for parish work, while women increased their longevity only through creative activity participation. When a number of receptive activities was associated with all-cause mortality, reduced risk occurred with attendance in 2 or 3-4 activities (21% and 31%, respectively). Risk was reduced through creative activities, with participation in 3-5 activities (43%). Gender-specific analyses showed a clear gradient of protective effect in creative activity participation: for men, 28%, 44% and 44% reduction with 1, 2 or 3-5 activities, respectively, and a 28%, 35% and 44% reduction for women.
Frequently attending at least one cultural activity influenced longevity. Creative activities lowered mortality in both genders, while receptive activity benefits were mostly found for men. Thus, promoting and facilitating engaged cultural lifestyles are vital for longevity.
文化活动可以促进健康和长寿，但缺乏对广泛参与各种文化活动与全因死亡率之间关系的纵向研究。本研究调查了参与单一类型文化活动、参与量和参与频率与全因死亡率之间的性别特异性关联。
我们使用来自挪威特隆赫姆北部健康研究（HUNT 研究）的队列数据（2006-2008 年），共纳入 35902 名年龄在 20 岁及以上的参与者。文化参与包括接受性和创造性活动。报告了部分调整和完全调整模型的 HR。
在中位 8 年的随访期间，共有 1905 名参与者死亡。除参加体育赛事者外，不参加任何接受性或创造性活动的参与者的死亡风险更高。还评估了性别关联：在男性中，除了参加教区工作外，我们发现了与上述相似的结果，而女性仅通过创造性活动的参与增加了寿命。当多种接受性活动与全因死亡率相关时，参加 2 项或 3-4 项活动的风险降低（分别为 21%和 31%）。通过参加 3-5 项活动（43%），可以降低创造性活动的风险。性别特异性分析显示，在创造性活动参与方面，保护作用存在明显的梯度：对于男性，分别有 28%、44%和 44%的风险降低，参加 1、2 或 3-5 项活动，而女性的风险降低分别为 28%、35%和 44%。
经常参加至少一项文化活动会影响寿命。创造性活动降低了两性的死亡率，而接受性活动的益处主要见于男性。因此，促进和促进积极的文化生活方式对长寿至关重要。
