Music, Public Health, and Health Promotion: Can Music Be a Social Determinant of Health?

  • Donald E. Stewart
  • J. Yoon Irons


This chapter examines the contribution of group music making and associated social affiliation to societal and individual well-being. Using the World Health Organization’s definition of the social determinants of health, the chapter directs our attention to the social, psychological, and environmental factors that impinge upon our health status and also to the contribution of these factors over the life course. Consideration of these psycho-social-cultural determinants gives us the opportunity to establish the links between music, health, and well-being. We argue that cultural activities and artefacts are often neglected aspects of the non-health determinants and should be added as contributors to the determinants of health status.


  1. Australian Broadcasting Corporation 2017, Stress: Whitehall Study, viewed 10 April 2017,
  2. Australian Institute of Health and Welfare (AIHW) 2016, Australia’s Health 2016, Australia’s health series, no. 15. Cat. no. AUS 199, AIHW, Canberra, viewed 3 April 2017,
  3. Berkman, LF, Glass, T, Brissette, I & Seeman, TE 2000, ‘From social integration to health: Durkheim in the new millennium’, Social Science & Medicine, vol. 51, pp. 843–857.Google Scholar
  4. Chanda, ML & Levitin, DJ 2013, ‘The neurochemistry of music’, Trends Cognition Science, vol. 17, no. 4, pp. 179–193.Google Scholar
  5. Clift, SM, Hancox, G, Morrison, I, Hess, B, Stewart, D & Kreutz, G 2008, ‘Choral singing, well-being and health: Summary of findings from a cross-national survey’, Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University. Report 7, viewed 18 March 2009,
  6. Clift, SM, Hancox, G, Morrison, I, Hess, B, Kreutz, G, & Stewart, D 2010, ‘Choral singing and psychological wellbeing: Quantitative and qualitative findings from English choirs in a cross-national survey’, Journal of Applied Arts and Health, vol. 1, no. 1, pp. 19–34.Google Scholar
  7. Harris, N, Wilks, L & Stewart, D 2012, ‘HYPEd-up: Youth dance culture and health’, Arts & Health: An International Journal for Research, Policy and Practice, vol. 4, no. 3, pp. 239–248,
  8. Kreutz, G & Murcia, CQ 2012, ‘Dance and Health: Exploring Interactions and Implications’, in R Macdonald, G Kreutz & L Mitchell (eds.), Music, Health and Wellbeing. Oxford University Press, New York,
  9. Kreutz, G 2014, ‘Does Singing Facilitate Social Bonding?’, Music & Medicine, vol. 6, pp. 51–60.Google Scholar
  10. Lee, P, Stewart, D & Clift, SM 2017, ‘Does group singing affect quality of life? Evidence from Australian choirs’, in B Bartleet (ed.), The Oxford Handbook of Community Music, Oxford University Press, New York (forthcoming).Google Scholar
  11. Lowitja Institute 2015, Australia’s National Institute for Aboriginal and Torres Strait Islander Health Research, The Lowitja Institute - Cultural Determinants roundtable Melbourne, 26th November 2014: Background Paper, viewed 28 June 2016,
  12. Marmot, MG, Rose, G, Shipley, M & Hamilton, PJ 1978, ‘Employment grade and coronary heart disease in British civil servants’, Journal of Epidemiology and Community Health, vol. 32, no. 4, pp. 244–249,
  13. Marmot, MG, Stansfeld, S, Patel, C, North, F, Head, J, White, I, Brunner, E & Feeney, A 1991, ‘Health inequalities among British civil servants: the Whitehall II study’, The Lancet, vol. 337, no. 8754, pp. 1387–1393.Google Scholar
  14. Marmot, MG & Wilkinson, RG (eds.) 2006, Social determinants of health. 2nd edn, Oxford University Press, Oxford.Google Scholar
  15. Marmot, MG 2011, Fair Society, Healthy lives, paper presented at the Centre for Aging Research and Development in Ireland (CARDI) International Conference, 2–4 November, Dublin, viewed 4 April 2017,
  16. Queensland Health 2014, The Health of Queenslanders 2014. Fifth report of the Chief Health Officer Queensland, Queensland Government, Brisbane.Google Scholar
  17. Travis, JW & Ryan, RS 2004, The Wellness Workbook: How to achieve enduring health and vitality, 3rd edn, Ten Speed Press, Random House Inc., New York.Google Scholar
  18. Vescelius, EA 1918, ‘Music and Health’, The Musical Quarterly, vol. 4, no. 3, viewed 28 June 2016,
  19. World Health Organization 1946/2006, Constitution of the World Health Organization, viewed 9 May 2017,
  20. World Health Organization 2008, Commission on the Social Determinants of Health. Final Report: Executive Summary, Closing the gap in a generation: Health equity through action on the social determinants of health, viewed 4 April 2017,
  21. World Health Organization 2017, Social Determinants of Health. What are social determinants of health?, viewed 3 April 2017,

Copyright information

© The Author(s) 2018

Authors and Affiliations

  • Donald E. Stewart
    • 1
  • J. Yoon Irons
    • 1
  1. 1.Griffith UniversityNathanAustralia

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