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Epidemiology and policy
SP3-10 Psychosocial factors and arterial hypertension in males aged 25–64 years in Russia (epidemiological research)
  1. V Gafarov1,2,
  2. I Gagulin1,2,
  3. A Gafarova1,2
  1. 1The Collaborative laboratory of Epidemiology of Cardiovascular Diseases Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk, Russia
  2. 2Institute of Internal medicine the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk, Russia

Abstract

Background To study connection of arterial hypertension (AH) with psychosocial factors (PF) at men in the age of 25–64 years in Russia.

Materials and Methods A random representative sample of males (a total of 2149 individuals) aged 25–64 years from the city Novosibirsk was examined (screening of the WHO “MONICA-psychosocial” program (“MOPSY”), 1984, 1988, 1994 yr.). Depression (D), vital exhaustion (VE), hostility (H), sleep disturbance; test Berkman-Syme (social support—index of close contacts (ICC), index of social connections (SNI)); Spilberger's test for estimation personal anxiety (PA) were used. For AH accepted the arterial pressure >140/90 mm Hg.

Results Determined, that persons with AH have tendencies: (1) in higher parameters of “average”, “bad” sleep; (2) in lower values of indexes of social support—(a low ICC with AH—65.1%, p<0.01) and SNI (low SNI with AH—45.1%, p<0.05) (3) in increase of a parameter of PA (with AH—52.3%, p<0.05). Authentic connection AH is precisely determined with: (1) education, achieving a maximum of distinctions at an initial education (initial: with AH—25.1%, p<0.05) (2) an professional level (working trades—10.7% p<0.001) (3) with VE (a high level of VE: with AH—16.6%, p<0.05) (4) with D (with AH—55.3%, p<0.05). In too time at hostility of distinctions between groups it is not determined.

Conclusion Received results testify to interrelation AH in a population with psychosocial factors and once again emphasise importance of their correction.

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