Institute of Music Physiology and Musicians' Medicine, Hannover University of Music Drama and Media, Neues Haus 1, 30175 Hannover, Germany Prince of Wales Clinical School, Faculty of Medicine, UNSW Sydney, Australia.
Institute of Music Physiology and Musicians' Medicine, Hannover University of Music Drama and Media, Hannover, Germany.
Perspect Public Health. 2022 Mar;142(2):94-101. doi: 10.1177/17579139221081397.
Recent reviews have demonstrated broad links between performing arts participation (e.g. ) and receptive engagement (e.g. and improved health, including reduced disease and mortality risk. However, no investigations to date have interrogated the links between community-level performing arts activity (i.e. ) and health outcomes - that is, do the performing arts help create healthy communities? This study aims to address this question by examining links between performing arts activity and health outcomes across 500 cities in the US.
Secondary analysis of demographic, health outcome, performing arts activity (estimated by annual performing arts revenue), and preventive/unhealthy behaviour data for 500 large cities in the US - data extracted from the US Centers for Disease Control 500 Cities Project, Dun & Bradstreet Hoovers Database, and US Census. Links between performing arts activity and 12 health/disease outcomes were evaluated using a series of hierarchical beta regression models which progressively controlled for demographic variables and preventive/unhealthy behaviour prevalence.
The 500 analysed US cities comprise 33.4% of the total US population and 84,010 performing arts businesses (total annual revenue $27.84 billion). No significant associations were found between performing arts activity and 9 of 12 health outcomes in fully adjusted models ( ⩾ .17). Statistically significant relationships ( < .01) between increased performing arts activity and increased prevalence of chronic kidney disease, coronary heart disease, and stroke were determined to be clinically equivocal.
This study contributes to a growing body of conflicting epidemiologic evidence regarding the impact of the performing arts on health/disease and mortality outcomes, evaluated using a range of disparate methodologies. A consensus, psychometrically rigorous approach is required to address this prevailing uncertainty in future epidemiologic studies examining the effects of performing arts activities both within and across countries and communities.
最近的综述表明，参与表演艺术（例如）与接受性参与（例如）之间存在广泛的联系，并且可以改善健康状况，包括降低疾病和死亡率风险。然而，迄今为止，尚无研究探讨社区层面的表演艺术活动（即）与健康结果之间的联系——也就是说，表演艺术是否有助于创建健康社区？本研究通过检查美国 500 个城市的表演艺术活动与健康结果之间的联系来解决这个问题。
对美国 500 个大城市的人口统计学、健康结果、表演艺术活动（通过年度表演艺术收入估算）和预防/不健康行为数据进行二次分析——数据取自美国疾病控制与预防中心的 500 个城市项目、邓白氏胡佛数据库和美国人口普查。使用一系列层次化贝塔回归模型评估表演艺术活动与 12 种健康/疾病结果之间的联系，这些模型逐步控制了人口统计学变量和预防/不健康行为的流行率。
在经过完全调整的模型中，分析的 500 个美国城市占美国总人口的 33.4%，有 84,010 家表演艺术企业（总年收入 278.4 亿美元）。在完全调整的模型中，没有发现表演艺术活动与 12 种健康结果中的 9 种之间存在显著关联（≥0.17）。与增加表演艺术活动相关的慢性肾脏病、冠心病和中风的患病率增加之间存在统计学上显著的关系（<0.01），但被认为具有临床意义上的不确定性。
本研究使用一系列不同的方法，为关于表演艺术对健康/疾病和死亡率结果的影响的日益增多的矛盾的流行病学证据做出了贡献。在未来的流行病学研究中，需要采用一种共识、心理测量学上严格的方法来解决当前对跨越国家和社区的表演艺术活动的影响的不确定性。
