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[BMJ圣诞专刊]:艺术生活与死亡:英国老年人艺术参与度与死亡相关性的14年随访分析
2020年01月04日 时讯速递, 进展交流 暂无评论

Research Christmas 2019: Express Yourself

The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing

Daisy Fancourt, Andrew Steptoe

BMJ 2019;367:l6377 doi: https://doi.org/10.1136/bmj.l6377 (Published 18 December 2019)

Abstract

Objective 目的

To explore associations between different frequencies of arts engagement and mortality over a 14 year follow-up period.

验证在14年随访期间不同频度的艺术参与度与死亡之间的相关性。

Design 试验设计

Prospective cohort study.

前瞻队列研究

Participants 研究对象

English Longitudinal Study of Ageing cohort of 6710 community dwelling adults aged 50 years and older (53.6% women, average age 65.9 years, standard deviation 9.4) who provided baseline data in 2004-05.

英国老年人纵向研究队列中于2004-05年提供基线数据的6710名50岁以上社区居住的成年人(女性53.6%, 平均年龄 65.9 岁, 标准差 9.4)。

Intervention 干预措施

Self reported receptive arts engagement (going to museums, art galleries, exhibitions, the theatre, concerts, or the opera).

自行报告可接受的艺术参与度(造访博物馆,美术馆,展览,剧院,音乐会或歌剧)

Measurement 指标

Mortality measured through data linkage to the National Health Service central register.

通过与NHS中心注册数据链接得到的死亡率

Results 结果

People who engaged with receptive arts activities on an infrequent basis (once or twice a year) had a 14% lower risk of dying at any point during the follow-up (809/3042 deaths, hazard ratio 0.86, 95% confidence interval 0.77 to 0.96) compared with those who never engaged (837/1762 deaths). People who engaged with receptive arts activities on a frequent basis (every few months or more) had a 31% lower risk of dying (355/1906 deaths, 0.69, 0.59 to 0.80), independent of demographic, socioeconomic, health related, behavioural, and social factors. Results were robust to a range of sensitivity analyses with no evidence of moderation by sex, socioeconomic status, or social factors. This study was observational and so causality cannot be assumed.

与从不参与艺术活动的人相比,不频繁(每年一次或两次)参与可接受艺术活动者在随访期间死亡风险降低14% (809/3042 vs. 837/1762, 风险比 0.86, 95% 可信区间 0.77 to 0.96)。频繁(数月一次)参与可接受艺术活动者死亡风险降低 31% (355/1906, 0.69, 0.59 to 0.80),且与人口统计学、社会经济、健康相关、行为及社会因素无关。本研究为观察性研究,因此无法确定因果关系。

Conclusions 结论

Receptive arts engagement could have a protective association with longevity in older adults. This association might be partly explained by differences in cognition, mental health, and physical activity among those who do and do not engage in the arts, but remains even when the model is adjusted for these factors.

可接受艺术参与度可能与老年人寿命具有保护性作用。这一相关性可能部分与参与或不参与艺术活动者的认知、意识健康及体力活动的差异有关,但即使针对这些因素进行校正后上述相关性仍然存在。

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