Social Medicine and Health Policy, Department of Clinical Sciences and Center for Primary Health Care Research, Lund University and Region Skåne, Malmö, 205 02, Sweden.
BMC Public Health. 2024 Sep 28;24(1):2654. doi: 10.1186/s12889-024-20031-9.
International research demonstrates an association between arts and culture activities and health and wellbeing. A similar association exists for sports event attendance and health. The aim of this study was to investigate associations between arts and culture engagement and attending sports events during the past year and self-rated health (SRH).
A cross-sectional study. A public health survey with three reminders was sent to a stratified random sample of the adult 18-84 population in Scania in the southernmost part of Sweden in October-December 2019. The weighted response rate was 44%, and 40,087 total respondents were included in the present study. Analyses were performed in logistic regression models with multiple adjustments for age, education, country of birth, leisure-time physical activity (LTPA), smoking, alcohol consumption, and economic stress.
The prevalence of poor SRH was 32.8% among women and 27.6% among men. The prevalence of theatre/cinema attendance was 63.2% among women and 55.2% among men, arts exhibition/museum attendance was 41.0% among women and 36.0% among men, and for sports attendance it was 33.8% among women and 48.2% among men. All items included in the final models showed statistically significant associations with self-rated health in bivariate logistic regression models. In the multiple model, adjusted for all covariates including both men and women, the odds ratios (ORs) of poor SRH were statistically significant OR 1.21 (95% confidence interval: 1.14-1.29) for not visiting theatre/cinema during the past year, OR 1.11 (1.04-1.17) for not visiting arts exhibition and OR 1.31 (1.24-1.39) for not visiting a sports event.
Significant associations between arts and culture engagement and sports event attendance, and SRH were observed, although effect measures were comparatively low for arts and cultural engagement. The results may be useful for informing public health promotion and prevention strategies.
国际研究表明，艺术文化活动与健康和幸福感之间存在关联。参加体育赛事与健康之间也存在类似的关联。本研究旨在调查过去一年中参与艺术文化活动和参加体育赛事与自我评估健康（SRH）之间的关联。
这是一项横断面研究。2019 年 10 月至 12 月，在瑞典最南端斯科讷的成年人 18-84 岁人群中，采用分层随机抽样方法，通过三次提醒发送了一项公共卫生调查。加权应答率为 44%，共有 40877 名总应答者纳入本研究。使用逻辑回归模型进行分析，并对年龄、教育程度、出生地、休闲时间体力活动（LTPA）、吸烟、饮酒和经济压力进行了多项调整。
女性中 SRH 较差的患病率为 32.8%，男性中为 27.6%。女性中观看戏剧/电影的比例为 63.2%，男性为 55.2%；参观艺术展览/博物馆的比例为 41.0%，男性为 36.0%；观看体育比赛的比例为 33.8%，男性为 48.2%。最终模型中的所有项目在双变量逻辑回归模型中均显示与自我评估健康有统计学意义的关联。在多模型中，调整了包括男性和女性在内的所有协变量后，过去一年未观看戏剧/电影（OR 1.21，95%置信区间：1.14-1.29）、未参观艺术展览（OR 1.11，1.04-1.17）和未观看体育赛事（OR 1.31，1.24-1.39）的 SRH 较差的比值比（OR）均具有统计学意义。
观察到参与艺术文化活动和参加体育赛事与 SRH 之间存在显著关联，尽管艺术文化参与的效应量相对较低。结果可能有助于为公共卫生促进和预防策略提供信息。
