Patterns of receptive and creative cultural activities and their association with perceived health, anxiety, depression and satisfaction with life among adults: the HUNT study, Norway

Cuypers, Koenraad; Krokstad, Steinar; Holmen, Turid Lingaas; Knudtsen, Margunn Skjei; Bygren, Lars Olov; Holmen, Jostein

doi:10.1136/jech.2010.113571

Cited by 207 publications

(231 citation statements)

References 26 publications

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“…Cultural activities can thus be seen as a form of social capital that can be used as inputs in health production (e.g. Folland, 2008) Several empirical studies using individual-level survey data have found a positive association of cultural-event attendance with perceived health in various populations (Cuypers et al, 2012;Johansson et al, 2001;Khawaja and Mowafi, 2006;Renton et al, 2012;Wilkinson et al, 2007). It is questionable, however, whether the observed correlations reflect causal effects of arts participation on health.…”

Section: Previous Literaturementioning

confidence: 99%

“…Furthermore, creative activities have been shown to be correlated with perceived health (e.g. Cuypers et al, 2012). On the other hand, other leisure-time activities could reflect time constraints that reduce the opportunities to engage in both cultural and health enhancing activities.…”

Section: Definition Of the Conditioning Setmentioning

confidence: 99%

“…More recently, several studies have stressed the role of passive or receptive arts activities for the health of the general population (e.g. Cuypers et al, 2012). To put it in a nutshell, frequent visits to cultural events may influence health directly by serving as a coping strategy or replacing health-compromising behaviors.…”

Section: Introductionmentioning

confidence: 99%

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Leave the Drama on the Stage: The Effect of Cultural Participation on Health

Thiel

2015

SSRN Journal

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. Terms of use: Documents in SOEPpapers on Multidisciplinary Panel Data Research at DIW BerlinThis series presents research findings based either directly on data from the German SocioEconomic Panel study (SOEP) or using SOEP data as part of an internationally comparable data set (e.g. CNEF, ECHP, LIS, LWS, CHER/PACO). SOEP is a truly multidisciplinary household panel study covering a wide range of social and behavioral sciences: economics, sociology, psychology, survey methodology, econometrics and applied statistics, educational science, political science, public health, behavioral genetics, demography, geography, and sport science.The decision to publish a submission in SOEPpapers is made by a board of editors chosen by the DIW Berlin to represent the wide range of disciplines covered by SOEP. There is no external referee process and papers are either accepted or rejected without revision. Papers appear in this series as works in progress and may also appear elsewhere. They often represent preliminary studies and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be requested from the author directly.Any opinions expressed in this series are those of the author(s) and not those of DIW Berlin.Research disseminated by DIW Berlin may include views on public policy issues, but the institute itself takes no institutional policy positions. AbstractThe aim of this study is to estimate the causal effect of cultural participation on health status. Cultural activities may directly impact upon health through palliative coping or substituting health-compromising behaviors. Cultural engagement may also facilitate the development of social networks, which can improve health via social support and the dissemination of social health norms. Previous estimates on the arts-health relationship are potentially biased due to reverse causality and unobserved heterogeneity. Using individuallevel data from Germany, we employ propensity-score matching methods. The treatment group is confined to individuals that visit cultural events at least once a month. The participation equation includes a rich set of personal characteristics that cover the respondents' demographic and social background, social capital and leisure-time activities, health-related lifestyle, personality and childhood environment. We explicitly consider reverse causality by including the pre-treatment trends in health outcomes am...

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Section: Previous Literaturementioning

confidence: 99%

Section: Definition Of the Conditioning Setmentioning

confidence: 99%

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Leave the Drama on the Stage: The Effect of Cultural Participation on Health

Thiel

2015

SSRN Journal

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“…fylkeskultursjef R. Kvalø) [15]. Data fra HUNT3 viste at de som var kulturelt aktive opplevde bedre helse, var mer tilfreds med livet sitt og erfarte mindre angst og depresjon [12].Definisjonen av kulturdeltagelse er imidlertid ikke enkel, saerlig når spørsmålene skal inkluderes i et spørreskjema som i HUNT. Også ved HUNT3 var det…”

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“…Ofte er antallet deltagere relativt lavt, og seleksjon er dessuten en utfordring, da det oftest ikke er tilfeldig hvem som deltar i slike studier. Sosioøkonomi er en viktig konfunderende faktor, etter som de med høy utdanning og inntekt oftere deltar i kulturaktiviteter, samtidig som de også har bedre helse enn de som har mindre utdanning og lavere inntekt [12]. Definisjonen av begrepene kultur og kulturdeltagelse kan variere fra studie til studie, og det er brukt ulike helsemål, slik at det ikke er lett å sammenlikne resultatene.…”

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Kultur og helse i HUNT – En metodeevaluering

Holmen¹,

Nguyen²,

Håpnes³

et al. 2016

Nor J Epidemiol

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Det er alltid betydelige metodiske utfordringer ved slike studier. Mange studier er tverrsnittstudier som ikke kan si noe som årsaksforhold. Ofte er antallet deltagere relativt lavt, og seleksjon er dessuten en utfordring, da det oftest ikke er tilfeldig hvem som deltar i slike studier. Sosioøkonomi er en viktig konfunderende faktor, etter som de med høy utdanning og inntekt oftere deltar i kulturaktiviteter, samtidig som de også har bedre helse enn de som har mindre utdanning og lavere inntekt [12]. Definisjonen av begrepene kultur og kulturdeltagelse kan variere fra studie til studie, og det er brukt ulike helsemål, slik at det ikke er lett å sammenlikne resultatene.Ved befolkningsundersøkelser, dvs. innsamling av helsedata fra et stort antall personer, kan en omgå noen av disse utfordringene. Etter som utvalget deltagere er større, er representativiteten ofte bedre, det er lettere å kontrollere for sosioøkonomi og andre konfunderende faktorer, og en kan studere kjønns-og aldersgrupper for seg. Ved å sammenstille data mot helseregistre som Kreftregisteret, Dødsårsaksregisteret og andre, er det også mulig å studere effekten av kulturdeltagelse på sykelighet og dødelighet. Ved den tredje runden av Helseundersøkelsen i Nord-Trøndelag (HUNT3, 2006-08) [13] ble spørsmål om kulturdeltagelse inkludert i et spørreskjema (skjema 2) som ble utlevert ved frammøte og innsendt i posten, og ca. 51 000 personer (54,1%) svarte på spørsmålene (Figur 1) [14]. Det ble demonstrert at kulturdeltagelsen var svaert ulik i ulike kommuner i Nord-Trøndelag, noe som i ettertid førte til at fylkeskommunen økte de økonomiske rammene på 1 mill. kroner for å styrke Den kulturelle skolesekken i enkelte kommuner, nettopp for å utjevne denne skjevheten (personlig kommunikasjon, tidl. fylkeskultursjef R. Kvalø) [15]. Data fra HUNT3 viste at de som var kulturelt aktive opplevde bedre helse, var mer tilfreds med livet sitt og erfarte mindre angst og depresjon [12].Definisjonen av kulturdeltagelse er imidlertid ikke enkel, saerlig når spørsmålene skal inkluderes i et spørreskjema som i HUNT. Også ved HUNT3 var det

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Associations of Social, Cultural, and Community Engagement With Health Care Utilization in the US Health and Retirement Study

Gao

Bone

et al. 2023

JAMA Netw Open

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ImportanceThere is growing evidence for the health benefits associated with social, cultural, and community engagement (SCCE), including for supporting healthy behaviors. However, health care utilization is an important health behavior that has not been investigated in association with SCCE.ObjectiveTo examine the associations between SCCE and health care utilization.Design, Setting, and ParticipantsThis population-based cohort study used data from the 2008 to 2016 waves of the Health and Retirement Study (HRS), a longitudinal panel study using a nationally representative sample of the US population aged 50 years and older. Participants were eligible if they reported SCCE and health care utilization in the relevant HRS waves. Data were analyzed from July to September 2022.ExposuresSCCE was measured with a 15-item Social Engagement scale (including community, cognitive, creative, or physical activities) at baseline (frequency) and longitudinally over 4 years (no, consistent, increased, or decreased engagement).Main Outcomes and MeasuresHealth care utilization was assessed in association with SCCE within 4 overarching categories: inpatient care (ie, hospital stays, hospital readmissions, length of hospital stays), outpatient care (ie, outpatient surgery, physician visits, number of physician visits), dental care (including dentures), and community health care (ie, home health care, nursing home stays, nights in a nursing home).ResultsA total of 12 412 older adults (mean [SE] age, 65.0 [0.1] years; 6740 [54.3%] women) were included in short-term analyses with 2 years of follow-up. Independent of confounders, more SCCE was associated with shorter hospital stays (incidence rate ratio [IRR], 0.75; 95% CI, 0.58-0.98), greater odds of outpatient surgery (odds ratio [OR], 1.34; 95% CI, 1.12-1.60) and dental care (OR, 1.73; 95% CI, 1.46-2.05), and lower odds of home health care (OR, 0.75; 95% CI, 0.57-0.99) and nursing home stays (OR, 0.46; 95% CI, 0.29-0.71). Longitudinal analysis included 8635 older adults (mean [SE] age, 63.7 [0.1] years; 4784 [55.4%] women) with data on health care utilization 6 years after baseline. Compared with consistent SCCE, reduced SCCE or consistent nonparticipation in SCCE was associated with more inpatient care utilization, such as hospital stays (decreased SCCE: IRR, 1.29; 95% CI, 1.00-1.67; consistent nonparticipation: IRR, 1.32; 95% CI, 1.04-1.68) but lower levels of subsequent outpatient care, such as physician visits (decreased SCCE: OR, 0.68; 95% CI, 0.50-0.93; consistent nonparticipation: OR, 0.62; 95% CI, 0.46-0.82) and dental care utilization (decreased SCCE: OR, 0.68; 95% CI, 0.57-0.81; consistent nonparticipation: OR, 0.51; 95% CI, 0.44-0.60).Conclusions and RelevanceThese findings suggest that more SCCE was associated with more dental and outpatient care utilization and reduced inpatient and community health care utilization. SCCE might be associated with shaping beneficial early and preventive health-seeking behaviors, facilitating health care decentralization and alleviating financial burden by optimizing health care utilization.

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Patterns of receptive and creative cultural activities and their association with perceived health, anxiety, depression and satisfaction with life among adults: the HUNT study, Norway

Cited by 207 publications

References 26 publications

Leave the Drama on the Stage: The Effect of Cultural Participation on Health

Leave the Drama on the Stage: The Effect of Cultural Participation on Health

Kultur og helse i HUNT – En metodeevaluering

Associations of Social, Cultural, and Community Engagement With Health Care Utilization in the US Health and Retirement Study

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