Department of Medicine, University of Toronto, Toronto, Canada.
Evaluative Clinical Sciences Platform, Sunnybrook Research Institute, Toronto, Canada.
PLoS One. 2022 Apr 13;17(4):e0266563. doi: 10.1371/journal.pone.0266563. eCollection 2022.
Social status gradients are powerful health determinants for individuals living in poverty. We tested whether winning an Academy award (Oscar) for acting was associated with long-term survival.
We conducted a longitudinal cohort analysis of all actors and actresses nominated for an Academy award in a leading or a supporting role. For each, a control was identified based on age, sex, and co-staring in the same film.
Overall, 2,111 individuals were analyzed with 1,122 total deaths occurring during a median follow-up of 68.8 years. Comparisons of winners to controls yielded a 4.8% relative difference average life-span (95% confidence interval: 1.6 to 7.9, p = 0.004), a 5.1 year absolute increase in life expectancy (95% confidence interval: 3.0 to 7.2, p < 0.001), and a 41% improvement in mortality hazard (95% confidence interval: 19 to 68, p < 0.001). The increased survival tended to be greater in recent years, for individuals winning at a younger age, and among those with multiple wins. The increased survival replicated in secondary analyses comparing winners to nominees and was not observed in analyses comparing nominees to controls.
Academy award winning actors and actresses show a positive association between success and survival, suggesting the importance of behavioral, psychological, or other modifiable health factors unrelated to poverty.
社会地位梯度是生活在贫困中的个体的强大健康决定因素。我们测试了演员获得奥斯卡金像奖（奥斯卡奖）是否与长期生存相关。
我们对所有获得奥斯卡奖提名的男女演员进行了一项纵向队列分析，这些演员要么是主角，要么是配角。对于每个人，我们根据年龄、性别和同部电影中的共同出演来确定一个对照组。
总体而言，我们分析了 2111 人，其中 1122 人在中位数为 68.8 年的随访期间死亡。与对照组相比，获奖者的平均预期寿命相差 4.8%（95%置信区间：1.6 至 7.9，p = 0.004），预期寿命绝对增加了 5.1 年（95%置信区间：3.0 至 7.2，p < 0.001），死亡率风险降低了 41%（95%置信区间：19 至 68，p < 0.001）。近年来，这种生存获益趋势更大，对于年龄较小的获奖者以及多次获奖的获奖者来说更是如此。在将获奖者与提名者进行的二次分析中，这种生存获益得到了复制，而在将提名者与对照组进行的分析中则没有观察到这种获益。
奥斯卡奖得主演员与生存之间存在积极关联，这表明与贫困无关的行为、心理或其他可改变的健康因素的重要性。
