Attendance at cultural events, reading books or periodicals, and making music or singing in a choir as determinants for survival: Swedish interview survey of living conditions

Attendance at cultural events, reading books or periodicals, and making music or singing in a choir as determinants for survival: Swedish interview survey of living conditions
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DOI:
10.1136/bmj.313.7072.1577
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发表时间:
1996-12-21
影响因子:
--
通讯作者:
Johansson, SE
Johansson, SE
中科院分区:
医学1区
文献类型:
--
作者:
Bygren, LO;Konlaan, BB;Johansson, SE

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目的-调查参加文化活动,阅读书籍或期刊,制作音乐或在合唱团唱歌作为生存的决定因素的可能影响。设计-一个简单的随机抽样抽取了15 198个16-74岁的个体。其中85%(12 982人)在1982年至1983年期间接受了受过培训的非医疗采访人员关于文化活动的采访。对他们的生存情况进行了随访,直至1991年12月31日。Setting-Swedish interview survey of living conditions comprising a random sampling of adult Swedish population.Subjects-12 675 people interviewed between 1982 and 1983. Main outcome measures-Survival of subjects after controlling for eight confounding variables:结果:随访男性6301例,女性6374例,男性533例,女性314例。控制变量影响生存在预期的方向,除了社会网络的男性;一个显着的负效应时,发现男性和女性分别进行分析。我们发现,死亡率的影响时,八个控制变量控制的人很少参加活动相比,参加最经常,相对风险为1.57(95%置信区间1.18至2.09)。结论出席文化活动可能有积极的影响生存。在实验开始前,应使用对混杂因素控制良好且文化刺激更明确的大样本进行长期随访,以尝试证伪假设。
Objectives-To investigate the possible influence of attendance at cultural events, reading books or periodicals, making music or singing in a choir as determinants for survival.Design-A simple random sample was drawn of 15 198 individuals aged 16-74 years. Of these, 85% (12 982) were interviewed by trained non-medical interviewers between 1982 and 1983 about cultural activities. They were followed up with respect to survival until 31 December 1991.Setting-Swedish interview survey of living conditions comprising a random sample of the adult Swedish population.Subjects-12 675 people interviewed between 1982 and 1983.Main outcome measures-Survival of subjects after controlling for eight confounding variables: age, sex, education level, income, long term disease, social network, smoking, and physical exercise.Results-6301 men and 6374 women were followed up; 533 men and 314 women died during this period. The control variables influenced survival in the expected directions except for social network for men; a significant negative effective was found when the analysis was made separately for men and women. We found an influence on mortality when the eight control variables were controlled for in people who rarely attended events compared with those attending most often, the relative risk being 1.57 (95% confidence interval 1.18 to 2.09).Conclusion-Attendance at cultural events may have a positive influence on survival. Long term follow up of large samples with confounders that are well controlled for and with the cultural stimulation more highly specified should be used to try to falsify the hypothesis before experiments start.