A longitudinal study of the association between attending cultural events and coronary heart disease
(2023) In Communications medicine 3(1).- Abstract
Background: The experiences of art and music are an essential part of human life and this study aimed to examine the longitudinal association between cultural participation and coronary heart disease. Methods: This was a longitudinal study on a randomly selected representative adult cohort (n = 3296) of the Swedish population. The study period was over 36 years (1982–2017) with three separate eight-year interval measurements of cultural exposure (for example, visiting theatres and museums) starting in 1982/83. The outcome was coronary heart disease during the study period. Marginal structural Cox models with inverse probability weighting were used to account for time-varying weights of the exposure and potential confounders during the... (More)
Background: The experiences of art and music are an essential part of human life and this study aimed to examine the longitudinal association between cultural participation and coronary heart disease. Methods: This was a longitudinal study on a randomly selected representative adult cohort (n = 3296) of the Swedish population. The study period was over 36 years (1982–2017) with three separate eight-year interval measurements of cultural exposure (for example, visiting theatres and museums) starting in 1982/83. The outcome was coronary heart disease during the study period. Marginal structural Cox models with inverse probability weighting were used to account for time-varying weights of the exposure and potential confounders during the follow-up. The associations were also examined through a time-varying Cox proportional hazard regression model. Results: Cultural participation shows a graded association, the higher the exposure the lower the risk of coronary heart disease; the hazard ratio was 0.66 (95% confidence interval, 0.50 to 0.86) for coronary heart disease in participants with the highest level of cultural exposure compared with the lowest level. Conclusion: Although causality cannot be determined due to the remaining risk of residual confounding and bias, the use of marginal structural Cox models with inverse probability weighting strengthens the evidence for a potentially causal association with cardiovascular health, which warrants further studies.
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- author
- Johansson, Sven Erik LU ; Jansåker, Filip LU ; Sundquist, Kristina LU and Bygren, Lars Olov
- organization
- publishing date
- 2023-12
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Communications medicine
- volume
- 3
- issue
- 1
- article number
- 72
- publisher
- Nature Publishing Group
- external identifiers
-
- scopus:85203698118
- pmid:37225790
- ISSN
- 2730-664X
- DOI
- 10.1038/s43856-023-00301-0
- language
- English
- LU publication?
- yes
- id
- 7d527b5e-e721-4c37-a3da-cf7f91408349
- date added to LUP
- 2024-12-16 12:02:53
- date last changed
- 2025-07-29 05:30:17
@article{7d527b5e-e721-4c37-a3da-cf7f91408349,
abstract = {{<p>Background: The experiences of art and music are an essential part of human life and this study aimed to examine the longitudinal association between cultural participation and coronary heart disease. Methods: This was a longitudinal study on a randomly selected representative adult cohort (n = 3296) of the Swedish population. The study period was over 36 years (1982–2017) with three separate eight-year interval measurements of cultural exposure (for example, visiting theatres and museums) starting in 1982/83. The outcome was coronary heart disease during the study period. Marginal structural Cox models with inverse probability weighting were used to account for time-varying weights of the exposure and potential confounders during the follow-up. The associations were also examined through a time-varying Cox proportional hazard regression model. Results: Cultural participation shows a graded association, the higher the exposure the lower the risk of coronary heart disease; the hazard ratio was 0.66 (95% confidence interval, 0.50 to 0.86) for coronary heart disease in participants with the highest level of cultural exposure compared with the lowest level. Conclusion: Although causality cannot be determined due to the remaining risk of residual confounding and bias, the use of marginal structural Cox models with inverse probability weighting strengthens the evidence for a potentially causal association with cardiovascular health, which warrants further studies.</p>}},
author = {{Johansson, Sven Erik and Jansåker, Filip and Sundquist, Kristina and Bygren, Lars Olov}},
issn = {{2730-664X}},
language = {{eng}},
number = {{1}},
publisher = {{Nature Publishing Group}},
series = {{Communications medicine}},
title = {{A longitudinal study of the association between attending cultural events and coronary heart disease}},
url = {{http://dx.doi.org/10.1038/s43856-023-00301-0}},
doi = {{10.1038/s43856-023-00301-0}},
volume = {{3}},
year = {{2023}},
}