Sustaining habits of attending cultural events and maintenance of health: a longitudinal study
Sustaining habits of attending cultural events and maintenance of health: a longitudinal study
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DOI：
10.1093/heapro/16.3.229
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发表时间：
2001-09-01
影响因子：
2.7
通讯作者：
Bygren, LO
中科院分区：
文献类型：
--
作者：
Johansson, SE;Konlaan, BB;Bygren, LO
本研究的目的是评估参加社区文化活动习惯的变化如何预测自我报告的健康状况。本研究使用了基于两次访谈的数据，间隔8年，从瑞典人口中随机抽取3793名年龄在25-74岁之间的成年人。研究对象于1982-1983年进行问卷调查，1990-1991年再次进行问卷调查。研究的背景是瑞典的一项生活条件访谈调查，其中包括随机抽取的成年人口样本。自我报告的健康状况是主要的结局指标。用于控制目的的变量是根据1982-1983年调查得出的基线健康状况、年龄（基线）、居住类型、居住地理区域和社会经济地位（教育水平）。发现健康状况不佳与所有自变量之间存在相关性，并对所有自变量的预期方向产生影响；教育程度低、年龄增长和城市化程度低都预示着较差的健康感知。在静态模型（包括所有9个自变量）中，那些在第一次和第二次之间文化活动较少的人，或者那些在两次文化活动中都不活跃的人，与两次文化活动都活跃的人相比，感知健康受损的风险高出65%。此外，那些从文化上不太活跃转变为更活跃的人的感知风险水平与在两种情况下都活跃的人大致相同。这些结果可能与刺激的因果影响一致，并表明文化刺激是一种“易腐商品”。虽然在这种情况下招募新的消费者会促进健康，但持续频繁地补充文化刺激可能同样重要。
The purpose of this study was to assess how changes in the habit of attending cultural events in the community might predict self-reported health, This study made use of data based on two interviews, 8 years apart, with 3793 adults aged 25-74 years from a simple random sample of the Swedish population. The subjects were interviewed in 1982-1983 and re-interviewed using the same questionnaire in 1990-1991. The setting was a Swedish interview survey of living conditions comprising a random sample of the adult population. Self-reported health status was the main outcome measure. The variables used for control purposes were baseline health status according to the survey of 1982-1983, age (at baseline), type of residence, geographical region of domicile, and socio-economic status (level of education). A correlation was found between perceived poor health and all the independent variables, as well as an influence in the expected direction for all of them; poor education, increasing age and a low degree of urbanization all predicted poorer perceived health. In the still model (including all nine independent variables), those who became culturally less active between the first and second occasion, or those who were culturally inactive on both occasions ran a 65% excess risk of impaired perceived health compared with those who were culturally active on both occasions. Furthermore, those who changed from being culturally less active to being more active had about the same level of perceived risk as those active on both occasions. These results could be in agreement with a causal influence of stimulation and suggest that cultural stimulation is a 'perishable commodity'. While recruiting new consumers would in that case promote health, continued frequent replenishment of the cultural stimulation may be just as important.