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Leave the Drama on the Stage: The Effect of Cultural Participation on Health

Author

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  • Lars Thiel
Abstract
The aim of this study is to estimate the causal effect of cultural participation on health status. Cultural activities may directly impact upon health through palliative coping or substituting health-compromising behaviors. Cultural engagement may also facilitate the development of social networks, which can improve health via social support and the dissemination of social health norms. Previous estimates on the arts-health relationship are potentially biased due to reverse causality and unobserved heterogeneity. Using individual-level data from Germany, we employ propensity-score matching methods. The treatment group is confined to individuals that visit cultural events at least once a month. The participation equation includes a rich set of personal characteristics that cover the respondents' demographic and social background, social capital and leisure-time activities, health-related lifestyle, personality and childhood environment. We explicitly consider reverse causality by including the pre-treatment trends in health outcomes among the covariates. To deal with time-fixed unobserved heterogeneity, we combine the matching model with a difference-indifference approach. We find that frequent cultural-event visits are unrelated to health once we account for unobserved persistent differences across individuals. However, examining the dose-response relationship we find positive mental-health effects of low levels of cultural participation compared to non-attendance. Our results may thus yield important insights on the effectiveness of arts participation as a means to reduce social inequalities in health.

Suggested Citation

  • Lars Thiel, 2015. "Leave the Drama on the Stage: The Effect of Cultural Participation on Health," SOEPpapers on Multidisciplinary Panel Data Research 767, DIW Berlin, The German Socio-Economic Panel (SOEP).
    • Handle: RePEc:diw:diwsop:diw_sp767
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    File URL: https://www.diw.de/documents/publikationen/73/diw_01.c.510133.de/diw_sp0767.pdf
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    References listed on IDEAS

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    Cited by:

    1. Aleksandra Grobelna & Ewa M. Wyszkowska-Wrobel, 2021. "Understanding Employment Aspirations of Future Tourism and Hospitality Workforce: The Critical Role of Cultural Participation and Study Engagement," European Research Studies Journal, European Research Studies Journal, vol. 0(Special 1), pages 1312-1332.
    2. Andrej Srakar, 2017. "Prevalence of Diseases and Health Care Utilization ofthe Self-Employed Artists and TheirEmpirical Determinants: Evidence From a Slovenian Survey," ACEI Working Paper Series AWP-08-2017, Association for Cultural Economics International, revised Sep 2017.

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    More about this item

    Keywords

    Cultural participation; mental health; physical health; propensity-score matching; multivalued treatment;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • Z11 - Other Special Topics - - Cultural Economics - - - Economics of the Arts and Literature

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