Association between engagement in cultural activities and use of general practitioner consultations: 7-year follow-up of adults from the HUNT study, Norway.

OBJECTIVE: Assess whether engagement in a range of cultural activities, both ‘passive’ and ‘active’ (ie, receptive and creative) participation, is associated with later demand for general practitioner (GP) consultations. DESIGN: Longitudinal prospective cohort study. SETTING: Data from the populatio...

Descripción completa

Detalles Bibliográficos
Autores principales: Løkken, Bente Irene, Sund, Erik R, Krokstad, Steinar, Bjerkeset, Ottar, Rangul, Vegar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10496689/
https://www.ncbi.nlm.nih.gov/pubmed/37696637
http://dx.doi.org/10.1136/bmjopen-2022-068004
_version_ 1785105156203872256
author Løkken, Bente Irene
Sund, Erik R
Krokstad, Steinar
Bjerkeset, Ottar
Rangul, Vegar
author_facet Løkken, Bente Irene
Sund, Erik R
Krokstad, Steinar
Bjerkeset, Ottar
Rangul, Vegar
author_sort Løkken, Bente Irene
collection PubMed
description OBJECTIVE: Assess whether engagement in a range of cultural activities, both ‘passive’ and ‘active’ (ie, receptive and creative) participation, is associated with later demand for general practitioner (GP) consultations. DESIGN: Longitudinal prospective cohort study. SETTING: Data from the population-based the third Survey of Trøndelag Health Study (2006–2008) in Norway was linked to an administrative register including service information from all GP offices nationwide. PARTICIPANTS: This study included 17 396 (54.6%) women and 14 451 (45.4%) men aged 30–79 years. MAIN OUTCOME MEASURES: Multilevel negative binomial regression models assessed the relationship between cultural engagement and GP consultations, and reported as rate ratios. RESULTS: A mean of 3.57 GP visits per patient was recorded during the 7 years of follow-up. Participation in creative activities and a combination of both receptive and creative activities was associated with lower number of GP consultation. Gender-specific analyses suggest that these effects were attributable to men. The rate ratio of GP consultations among men taking part in creative activities less than once, twice and more than twice (<9 times) per week is 0.90, 0.89 and 0.87 times lower, respectively, compared with non-participants. Whereas weekly frequency of receptive and creative activity engagement showed a 0.92, 0.87 and 0.83 times lower rate ratio among engaged men. The variety of activities shows a similar pattern and participation in creative activities lowers the rate ratio among men. Engagement in a wide range/variety of activities, compared with non-engagement, was associated with lower numbers of GP consultations in men, but not women. CONCLUSIONS: Engagement in creative or combined receptive and creative cultural activities was associated with lower numbers of GP consultations among men. Thus, facilitating and promoting a culturally engaged lifestyle, particularly in men, may affect primary healthcare use. However, this study design gives no evidence of a causal relationship between cultural engagement and use of GP consultations.
format Online
Article
Text
id pubmed-10496689
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-104966892023-09-13 Association between engagement in cultural activities and use of general practitioner consultations: 7-year follow-up of adults from the HUNT study, Norway. Løkken, Bente Irene Sund, Erik R Krokstad, Steinar Bjerkeset, Ottar Rangul, Vegar BMJ Open Public Health OBJECTIVE: Assess whether engagement in a range of cultural activities, both ‘passive’ and ‘active’ (ie, receptive and creative) participation, is associated with later demand for general practitioner (GP) consultations. DESIGN: Longitudinal prospective cohort study. SETTING: Data from the population-based the third Survey of Trøndelag Health Study (2006–2008) in Norway was linked to an administrative register including service information from all GP offices nationwide. PARTICIPANTS: This study included 17 396 (54.6%) women and 14 451 (45.4%) men aged 30–79 years. MAIN OUTCOME MEASURES: Multilevel negative binomial regression models assessed the relationship between cultural engagement and GP consultations, and reported as rate ratios. RESULTS: A mean of 3.57 GP visits per patient was recorded during the 7 years of follow-up. Participation in creative activities and a combination of both receptive and creative activities was associated with lower number of GP consultation. Gender-specific analyses suggest that these effects were attributable to men. The rate ratio of GP consultations among men taking part in creative activities less than once, twice and more than twice (<9 times) per week is 0.90, 0.89 and 0.87 times lower, respectively, compared with non-participants. Whereas weekly frequency of receptive and creative activity engagement showed a 0.92, 0.87 and 0.83 times lower rate ratio among engaged men. The variety of activities shows a similar pattern and participation in creative activities lowers the rate ratio among men. Engagement in a wide range/variety of activities, compared with non-engagement, was associated with lower numbers of GP consultations in men, but not women. CONCLUSIONS: Engagement in creative or combined receptive and creative cultural activities was associated with lower numbers of GP consultations among men. Thus, facilitating and promoting a culturally engaged lifestyle, particularly in men, may affect primary healthcare use. However, this study design gives no evidence of a causal relationship between cultural engagement and use of GP consultations. BMJ Publishing Group 2023-09-11 /pmc/articles/PMC10496689/ /pubmed/37696637 http://dx.doi.org/10.1136/bmjopen-2022-068004 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Løkken, Bente Irene
Sund, Erik R
Krokstad, Steinar
Bjerkeset, Ottar
Rangul, Vegar
Association between engagement in cultural activities and use of general practitioner consultations: 7-year follow-up of adults from the HUNT study, Norway.
title Association between engagement in cultural activities and use of general practitioner consultations: 7-year follow-up of adults from the HUNT study, Norway.
title_full Association between engagement in cultural activities and use of general practitioner consultations: 7-year follow-up of adults from the HUNT study, Norway.
title_fullStr Association between engagement in cultural activities and use of general practitioner consultations: 7-year follow-up of adults from the HUNT study, Norway.
title_full_unstemmed Association between engagement in cultural activities and use of general practitioner consultations: 7-year follow-up of adults from the HUNT study, Norway.
title_short Association between engagement in cultural activities and use of general practitioner consultations: 7-year follow-up of adults from the HUNT study, Norway.
title_sort association between engagement in cultural activities and use of general practitioner consultations: 7-year follow-up of adults from the hunt study, norway.
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10496689/
https://www.ncbi.nlm.nih.gov/pubmed/37696637
http://dx.doi.org/10.1136/bmjopen-2022-068004
work_keys_str_mv AT løkkenbenteirene associationbetweenengagementinculturalactivitiesanduseofgeneralpractitionerconsultations7yearfollowupofadultsfromthehuntstudynorway
AT sunderikr associationbetweenengagementinculturalactivitiesanduseofgeneralpractitionerconsultations7yearfollowupofadultsfromthehuntstudynorway
AT krokstadsteinar associationbetweenengagementinculturalactivitiesanduseofgeneralpractitionerconsultations7yearfollowupofadultsfromthehuntstudynorway
AT bjerkesetottar associationbetweenengagementinculturalactivitiesanduseofgeneralpractitionerconsultations7yearfollowupofadultsfromthehuntstudynorway
AT rangulvegar associationbetweenengagementinculturalactivitiesanduseofgeneralpractitionerconsultations7yearfollowupofadultsfromthehuntstudynorway