Evidence map›Paper›PMID 41364193›Full record

ArticleAnnals of the New York Academy of Sciences2026

Global Arts Engagement Inequalities in and Outside School: Analyses of 441,183 15-Year-Olds Across 73 Countries.

Hei Wan Mak, Nisha Sajnani, Nils Fietje, Daisy Fancourt

Abstract read
In one paragraph

Article in Annals of the New York Academy of Sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hei Wan MakDepartment of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK.ORCID 0000-0002-2013-1644
Nisha SajnaniProgram in Drama Therapy, Jameel Arts & Health Lab, New York University, New York, New York, USA.
Nils FietjeBehavioural and Cultural Insights Unit, WHO Regional Office for Europe, Copenhagen, Denmark.
Daisy FancourtDepartment of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK.

Funding

1862896-38-C-20Jameel Arts and Health LabNational Endowment for the ArtsWorld Health Organization 001
6 · The paper itself

Abstract

Participation in and enjoying arts and creative activities is a United Nations human right, offering significant benefits, particularly for young people. However, past research, predominantly from Western countries, has shown that many young people do not engage in the arts and that such engagement is socially patterned, yet research gaps remain. It is unclear whether this pattern is also observed in other parts of the world and whether it is persistent across both in-school and out-of-school contexts in different countries. We analyzed data from the OECD Programme for International Study Assessment (PISA), which surveyed 441,183 15-year-olds across 73 countries and found substantial variation in engagement rates. Three key engagement patterns were identified. (1) Countries with higher in-school engagement rates also had higher out-of-school engagement rates. (2) Most students engaged more in the arts in school than out of school. (3) Individual-, school-, and country-related factors may influence engagement, with a strong social gradient, especially for out-of-school engagement. Schools hold the potential to equalize engagement in and outside school and thus reduce cultural, health, and academic inequalities. This aligns with Sustainable Development Goal 3: promoting wellbeing for all, and is relevant across multiple sectors and countries worldwide.

Indexed as

ArtSchoolsStudentsAdolescentCreativityFemaleHumansMaleSocioeconomic Factorsarts engagementglobal inequalitiesmeta‐analysismultilevel modelingPISA

Identifiers

PMID41364193
PMCPMC12915476

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.