Nord University, Levanger, Norway.
School of Health Science, Western Sydney University, Sydney, New South Wales, Australia.
PLoS One. 2021 Mar 11;16(3):e0248332. doi: 10.1371/journal.pone.0248332. eCollection 2021.
Participation in cultural activities may protect against cause-specific mortality; however, there is limited knowledge regarding this association. The present study examines the association between participation in a range of receptive and creative cultural activities and risk of cardiovascular disease- and cancer-related mortality. We also examined whether participation in such activities and influence by gender have on this association. We followed 35,902 participants of the Nord-Trøndelag Health Study (HUNT3) of Cardiovascular-Disease and Cancer Mortality from 2006-08 to 2016. Cox proportional-hazards regression was used to estimate the risk of specific mortality based on baseline cultural participation. During the eight-year follow-up, there were 563 cardiovascular-disease- and 752 cancer-related deaths among the sample (292,416 person years). Risk of cardiovascular-disease mortality was higher among non-participants in associations/club meetings (22%) and outdoor activities (23%), respectively, as well as non-attendees of art exhibitions (28%). People who engaged in music, singing, and theatre had a 27% reduced risk of cancer-related mortality when compared to non-participants. Among women, participating in associations/club meetings reduced the risk of cardiovascular-disease mortality by 36%. Men who participated in music, singing, and theatre had a 33% reduced risk of cancer mortality. Overall, a reduced risk of cardiovascular-disease mortality was associated with engaging in creative activities on weekly basis to less than twice per week. For both genders, participating in creative activities less than once a week reduced cardiovascular-disease mortality risk by 40% and 33%, respectively. For the overall sample, participating > 2 times per week in combined receptive and creative activities reduced cancer-related mortality by 29%. Participating frequently in both receptive and creative activities cultural activities was associated with lower risks of CVD and cancer-related mortality. Our data suggest that, to counteract the public health burden of cardiovascular disease- and cancer mortality, policies and initiatives to increase citizens' participation in cultural activities should be considered.
参与文化活动可能有助于预防特定原因导致的死亡率；然而，人们对此关联的了解有限。本研究探讨了参与一系列接受性和创造性文化活动与心血管疾病和癌症相关死亡率风险之间的关系。我们还研究了参与这些活动以及性别对这种关联的影响。我们随访了来自心血管疾病和癌症死亡率的诺德兰特罗姆斯健康研究（HUNT3）的 35902 名参与者，随访时间从 2006-08 年到 2016 年。使用 Cox 比例风险回归来根据基线文化参与情况估计特定死亡率的风险。在八年的随访期间，样本中发生了 563 例心血管疾病和 752 例癌症相关死亡（292416 人年）。与非参与者相比，协会/俱乐部会议（22%）和户外活动（23%）的参与者以及艺术展览的不参与者，心血管疾病死亡率风险更高。与非参与者相比，从事音乐、唱歌和戏剧的人患癌症相关死亡率的风险降低了 27%。在女性中，参加协会/俱乐部会议可使心血管疾病死亡率的风险降低 36%。男性从事音乐、唱歌和戏剧的人患癌症死亡率的风险降低了 33%。总体而言，每周进行一次或少于每周两次的创造性活动与心血管疾病死亡率风险降低相关。对于两种性别，每周参与一次或少于一次的创造性活动分别使心血管疾病死亡率风险降低了 40%和 33%。对于整个样本，每周进行两次或更多次结合接受性和创造性活动的参与可使癌症相关死亡率降低 29%。频繁参与接受性和创造性文化活动与降低心血管疾病和癌症相关死亡率的风险相关。我们的数据表明，为了应对心血管疾病和癌症死亡率的公共卫生负担，应考虑制定和实施增加公民参与文化活动的政策和举措。
