Sauna Culture Around the World: One Country Made It Heritage, Two Are Losing It

Finland has roughly 3.2 million saunas for a population of about 5.5 million, and in December 2020 UNESCO added Finnish sauna culture to its representative list of intangible cultural heritage. Over roughly the same period, public bathhouses in Korea fell from 9,919 to 6,012 and Japan's sento dropped from a 1968 peak of 17,999 to 1,562. The heat is the same everywhere. What differs is the rules around it.

Key takeaways
  • Finnish sauna culture became UNESCO heritage in 2020, the country's first listing. About 90 percent of Finns use a sauna at least weekly.
  • Japan's bathhouse count has fallen by ninety percent since 1968, yet market revenue has climbed back past pre-pandemic levels on the sauna boom.
  • Korea's bathhouses have declined every year since 2004. In Seoul, 510 remain, down 71 percent from the 1995 peak.
  • German saunas are mixed-gender and nude by norm. Korean bathhouses are also nude but strictly separated by sex.
Contents
See how people elsewhere are getting through the same thing

What the research actually shows

Almost all of it comes from Finland, because a country where sauna is ordinary is the only place you can follow thousands of people for two decades and still have a comparison group.

The main cohort followed 2,315 middle-aged men in eastern Finland for a median of 20.7 years. Compared with men using a sauna once a week, those using one four to seven times a week had a hazard ratio of 0.37 for sudden cardiac death, with similar directional findings for fatal coronary events, fatal cardiovascular disease and all-cause mortality. A 2018 cohort including women found cardiovascular mortality risk declining linearly with weekly frequency, without a threshold.

Now the caution, which matters more than the numbers. This is observational, the men were surveyed about their habits once at baseline, and an accompanying editorial in the journal stated plainly that we cannot know why the frequent sauna users lived longer. The heat itself, the time spent relaxing, or simply the kind of life that leaves room for either.

So the honest sentence is not that sauna prevents heart disease. It is that people who used saunas often lived longer in this cohort, and causation has not been established.

Another everyday hygiene habit went through the same kind of audit and came out blunter: a Cochrane review of 44 studies on bad breath found no intervention with reliable evidence behind it, tongue scraping and mouthwash included.

The safety advice given at facilities is simple enough. Not before or after drinking. Ten to twenty minutes at a time. Leave immediately if you feel faint. Drink water. Ask a clinician first if you are pregnant or have a health condition.

The five cultures compared

CountryTypical formGender arrangementClothingSignature practice
FinlandHome and public saunasFamily groups, varies by venueDepends on settingLöyly, water on hot stones
GermanyThermen and saunasMixed as standardNude, textilfreiAufguss
TürkiyeHammamSeparated by hours or areasPeştemal wrapKese exfoliation, foam massage
JapanSento and onsen, sauna venuesSeparated by sexNudeCold plunge and outdoor air
South KoreaBathhouse, jjimjilbang, scrub shopsSeparated by sexNudeSesin, the body scrub

Table: bathing and sauna culture compared. Clothing and gender arrangement are where countries diverge most sharply.

Finland: what got listed was a habit

FI

Finnish sauna culture entered the UNESCO representative list on 17 December 2020. It was Finland's first inscription.

The scale is the striking part. Roughly 3.2 million saunas for about 5.5 million people, according to Finnish government and heritage agency figures. The UNESCO entry gives 3.3 million for 5.5 million, so the two sources differ slightly. Around 90 percent of Finns use one at least once a week.

The core of the experience is löyly, the steam that rises when water is thrown onto heated stones. Historically the sauna was treated as a sacred space, described as a church of nature. Electric, wood-heated, smoke and infrared forms all count, and the listing explicitly places no hierarchy among them. Transmission happens mostly at home.

Intangible heritage listing usually protects something that is fading. Finnish sauna is a thing nine in ten people do every week. What went on the list was not a building or an institution. It was a habit.

Germany: nude, and mixed

DE

Most German saunas are textilfrei, meaning nudity is the norm, and mixed-gender use is standard. Many venues run women-only sessions or days alongside. The background usually cited is the country's Freikörperkultur tradition, and the ban on swimwear gets explained on both hygiene and tradition grounds.

Then there is Aufguss. A sauna master pours infused water or ice onto the stones and works a large towel to drive the heat through the room. You do not enter or leave once it has started, and applause at the end is normal.

Hold this next to Korea. Korean bathhouses are also nude, and rigidly separated by sex. Germany shares nudity across genders instead. The same practice of undressing rests on opposite norms.

One note on sourcing. This section draws on guidance and explainer material rather than primary records, so it describes norms without offering figures.

Türkiye: the scrub has a job title

TR

The hammam grew out of Roman and Byzantine bathing and took its own form under the Ottomans, combining the Roman public bath system with an Islamic emphasis on running water. Istanbul still has hammams dating from the fifteenth to seventeenth centuries.

Three rooms. A cool room for undressing and resting, a warm room to acclimatise, and a hot room with steam and hot water. In the centre of the hot room sits the göbek taşı, a heated marble platform.

The sequence runs like this. You wrap in a peştemal, a rough kese mitt takes off the dead skin, olive oil soap becomes a foam massage, you rinse, and you drink tea in the resting room. The person doing the scrubbing has a title: tellak for men, natır for women.

That last detail is the one worth carrying to the Korean section. Body scrubbing is not a Korean invention, and Türkiye kept an occupational name for it.

Japan: fewer venues, more revenue

JP

Public bathhouses, the sento, numbered 1,562 in 2025. From a 1968 peak of 17,999, that is a ninety percent decline, and the count is falling by about five percent a year. On that trend the figure drops below 1,000 within a decade.

Sento are governed under the public bathhouse law, and each prefecture caps the price. Water bill reductions and similar support keep them cheap. The reasons given for closures are familiar: bathrooms in every home, no successors, ageing buildings, and competition from large super-sento.

Revenue moved the other way. Market sales for fiscal 2025 are projected around 120 billion yen, more than thirty percent above the 88.3 billion of fiscal 2020 and the highest since the pandemic. An ageing regular clientele widened to younger people and families, and venues that invested in features like automatic steam bursts and barrel saunas pulled in visitors from further away.

Profitability got worse anyway. With fuel and labour costs rising, one in four operators ran a loss in fiscal 2024 and projected fiscal 2025 profit fell to half the previous year.

User numbers went in a third direction. A 2024 survey counted 16.48 million sauna users, down about 1.31 million from 17.79 million, with most of the drop among the lightest users.

Venues down, revenue up, users down. All three are true, which is why calling the sauna boom a revival of bathing culture does not quite hold.

South Korea: disappearing

KR

The peak was 2003, with 9,919 licensed bathhouses. On a population of 48 million that was roughly one per 4,800 people. In 2004 openings fell below closures for the first time, 639 against 725, and the count has shrunk every year since. The 9,000 line broke in 2008, the 8,000 line in 2013 and the 7,000 line in 2018. As of 2022 there were 6,012.

Seoul shows it faster. Some 510 remain in 2025, a 71 percent fall from the 1995 peak. The declines clustered in three periods: the late-1990s financial crisis, the mid-2000s shakeout after the jjimjilbang boom, and the pandemic. In 2006 alone 118 closed in Seoul, and 242 closed there across the three pandemic years, including several of the city's best-known large jjimjilbang.

By district, Seongbuk-gu fell hardest, from 117 in 1995 to 23. What fills the gap is a different kind of business, small scrub and skin-care shops registered under a separate bathhouse subcategory.

Operators point to boiler fuel and utility costs. One sauna in central Seoul that had run for 28 years closed with accumulated losses of 400 million won. The longer background is that bathing itself shifted from the tub to the shower.

Reading this as a story about facilities misses half of it. A neighbourhood bathhouse was also a place where the same residents met at the same hour. The clearest sign of what is changing is that sesin is migrating from the bathhouse to the one-person scrub shop. The practice survives. The room full of people does not.

Etiquette, and where it changes

The shared part is short. Wash with soap before entering. Bring a separate towel to sit on so your skin does not touch the wood. Keep conversation low, do not stare, do not photograph.

What varies is clothing and gender. Swimwear in a German sauna puts you outside the norm. A hammam expects the peştemal. Korea and Japan are nude but separated by sex, so the thing that feels most exposed to a first-time visitor is different in each case.

Frequently asked questions

Frequently asked

Is sauna good for your heart?

A Finnish cohort found that men who used a sauna four to seven times a week had lower rates of sudden cardiac death than those using one weekly. It is observational research, and the journal's own editorial note said we cannot tell whether the heat, the relaxation or the lifestyle explains it.

How long should a session be?

The commonly given range is ten to twenty minutes. Leave earlier if you feel lightheaded, and avoid sessions around drinking.

Do I have to be naked in a German sauna?

Nudity is the norm at most venues and swimwear is generally not worn. Nobody can force you, but you will be outside the etiquette. Many places run women-only hours if that matters to you.

Is the Korean body scrub unique?

No. The Turkish hammam has the same step, performed with a coarse kese mitt, and Türkiye even kept job titles for the people who do it, tellak for men and natır for women.

Sources
  1. Laukkanen T, Khan H, Zaccardi F, Laukkanen JA. Association Between Sauna Bathing and Fatal Cardiovascular and All-Cause Mortality Events. JAMA Internal Medicine, 2015
  2. Redberg RF, accompanying editorial note, JAMA Internal Medicine, 2015
  3. Kunutsor SK, Laukkanen T, Laukkanen JA and colleagues. BMC Medicine, 2018
  4. UNESCO Intangible Cultural Heritage, Sauna culture in Finland, 2020
  5. Finnish government, Ministry of Education and Culture, and Finnish Heritage Agency announcements, 17 December 2020
  6. Hankook Ilbo analysis of Korean local government licensing data on bathhouse numbers
  7. Sisa Journal reporting on the decline of neighbourhood bathhouses in Seoul
  8. All Japan Public Bathhouse Association figures, as compiled by Tokyo Shoko Research
  9. Teikoku Databank, sento industry outlook survey
  10. Japan Sauna Research Institute, Japan Sauna Report 2025
  11. Turkish tourism board (goturkiye.com), traditional hammam guide
  12. German sauna etiquette guidance material
The b-side editorial team

We start from health agencies, medical societies and specialist bodies. Country practices are described as practices, not as claims. Commercial sales pages are never used as sources.

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