Analysis of age and gender characteristics of the prevalence of psychosocial risk factors for cardiovascular diseases in a metropolis and a large city in Western Siberia
https://doi.org/10.52727/2078-256X-2025-21-1-23-33
Abstract
This study aimed to compare the prevalence of psychosocial risk factors for cardiovascular disease (CVD) among adults aged 25–64 in the largest metropolis (Novosibirsk) and a large city (Tyumen) in Western Siberia. Material and methods Representative samples of adults aged 25–64 from Novosibirsk (metropolis) and Tyumen (large city) were examined between 2010–2013 and 2015–2017. Psychosocial factors, including personal anxiety (PA), vital exhaustion (VE), and depression (D), were assessed using standardized methods from the WHO MONICA-psychosocial program protocol. Results. In the Siberian metropolis, higher prevalence rates of elevated PA and D were observed compared to the large city: in men in younger age groups (25–34 years for D; 35–44 years for PA and D); in women in extreme age groups (25–34 and 55–64 years for D). Conversely, the large city showed higher prevalence rates for certain psychosocial factors: in men in older age group (55–64 years for D). and in women in younger (25–34 years for VE) and middle-aged (45–54 years for PA) groups. Conclusions. Significant differences in the prevalence of psychosocial CVD risk factors were identified across age categories in urban populations of Western Siberia. These findings underscore the importance of tailoring preventive programs to address age- and location-specific risk profiles in Siberian cities.
Keywords
About the Authors
E. V. AkimovaRussian Federation
Ekaterina V. Akimova, doctor of medical sciences, head laboratory of epidemiology and prevention of cardiovasculardiseases
111, Melnikayte st., Tyumen, 625026
V. V. Gafarov
Russian Federation
Valery V. Gafarov, doctor of medical sciences, professor, head laboratory of psychological and sociological problems of therapeutic diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
M. M. Kayumova
Russian Federation
Marina M. Kayumova, candidate of medical sciences, senior researcher laboratory of epidemiology and prevention of cardiovascular diseases
111, Melnikayte st., Tyumen, 625026
E. A. Gromova
Russian Federation
Elena A. Gromova, doctor of medical sciences, leading researcher laboratory of psychological and sociological problems of therapeutic diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
E. I. Gakova
Russian Federation
Ekaterina I. Gakova, candidate of medical sciences, senior researcher laboratory of epidemiology and prevention of cardiovascular diseases
111, Melnikayte st., Tyumen, 625026
A. V. Gafarova
Russian Federation
Almira V. Gafarova, senior researcher at the laboratory of psychological and sociological problems of therapeutic diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
M. I. Bessonova
Russian Federation
Marina I. Bessonova, candidate of medical sciences, researcher laboratory of epidemiology and prevention of cardiovascular diseases
111, Melnikayte st., Tyumen, 625026
I. V. Gagulin
Russian Federation
Igor V. Gagulin, senior researcher at the laboratory of psychological and sociological problems of therapeutic diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
E. V. Lebedev
Russian Federation
Egor V. Lebedev, junior researcher laboratory of epidemiology and prevention of cardiovascular diseases
111, Melnikayte st., Tyumen, 625026
A. V. Novoselov
Russian Federation
Anton V. Novoselov, junior researcher Laboratory of Epidemiology and Prevention of Cardiovascular Diseases
111, Melnikayte st., Tyumen, 625026
A. M. Akimov
Russian Federation
Alexandr M. Akimov, candidate of sociological sciences, senior researcher laboratory of epidemiology and prevention of cardiovascular diseases
111, Melnikayte st., Tyumen, 625026
References
1. Okereke O., Manson J.E. Psychosocial factors and cardiovascular disease risk: An opportunity in women’s health, Circ. Res., 2017; 120 (12): 1855–1856. doi: 10.1161/CIRCRESAHA.117.311113
2. Gafarov V.V., Gromova E.A., Maksimov V.N., Gagulin I.V., Gafarova A.V. Epidemiology of cardiovascular diseases: the role of psychosocial stress. Novosibirsk: Nauka, 2020. 168 р. (In Russ.)
3. Akimova E.V., Kuznetsov V.A., Gafarov V.V. The risk of cardiovascular death in different social groups open population of Tyumen. The Russian Journal of Preventive Medicine, 2006; 4: 33–37. (In Russ.)
4. Cho Y., Lim T.H., Kang H., Lee Y., Lee H., Kim H. Socioeconomic status and depression as combined risk factors for acute myocardial infarction and stroke: A population-based study of 2.7 million Korean adults. J. Psychosom. Res., 2019; 121: 14–23. doi: 10.1016/j.jpsychores.2019.01.016
5. Vaccarino V., Badimon L., Bremner J.D., Cenko E., Cubedo J., Dorobantu M., Duncker D.J., Koller A., Manfrini O., Milicic D., Padro T., Pries A.R., Quyyumi A.A., Tousoulis D., Trifunovic D., Vasiljevic Z., Wit C., Bugiardini R. Depression and coronary heart disease: 2018 position paper of the ESC working group on coronary pathophysiology and microcirculation. Eur. Heart. J., 2020; 41 (17): 1687–1696. doi: 10.1093/eurheartj/ehy913
6. European guidelines on cardiovascular disease prevention in clinical practice. Russian Journal of Cardiology, 2017; 146 (6): 7–85. (In Russ.) doi: 10.15829/1560-4071-2017-6-7-85
7. Curry S.J., Krist A.H., Owens D.K., Barry M.J., Caughey A.B., Davidson K.W., Doubeni C.A., Epling Jr. J.W., Kemper A.R., Kubik M., Landefeld C.S., Mangione C.M., Silverstein M., Simon M.A., Tseng C.W., Wong J.B. Risk assessment for cardiovascular disease with nontraditional risk factors: us preventive services task force recommendation statement. JAMA, 2018; 320 (3): 272–280. doi: 10.1001/jama.2018.8359
8. de Vroege L., de Heer E.W., van der Thiel E., van den Broek K.C., van Eck van der Sluijs J.F., van der Feltz-Cornelis C.M. Type D personality, concomitant depressive and anxiety disorders, and treatment outcomes in somatic symptom and related disorders: Аn observational longitudinal cohort study. Front. Psychiatry, 2019; 10: 417. doi: 10.3389/fpsyt.2019.00417
9. Astapov V.M. Functional approach to the study of the state of anxiety. Psychol. J., 1992; 13 (5): 111–117. (In Russ.)
10. Akimova E.V., Kayumova M.M., Bessonova M.I. Psychosocial risk factors for the development of cardiovascular diseases in female populations from the perspective of anxiety research. The Russian Journal of Preventive Medicine, 2022; 25(7): 97–102. (In Russ.) doi: 10.17116/profmed20222507197
11. Akimov A.M., Bessonova M.I., Akimova E.V. Personal anxiety and its associations with stress at work in an open urban population. Doctor, 2022; 33 (12): 38–42. (In Russ.) doi: 10.29296/25877305-2022-12-07
12. Brugnera A., Zarbo C., Tarvainen M.P. Higher levels of depressive symptoms are associated with increased resting-state heart rate variability and blunted reactivity to a laboratory stress task among healthy adults. Appl. Psychophysiol. Biofeedback, 2019; 44 (3): 221–234. doi: 10.1007/s10484-019-09437-z
13. Pogosova N.V., Boytsov S.A., Oganov R.G., Yufereva Yu.M., Kostyuk G.P., Kursakov A.A., Ausheva A.K., Vygodin V.A. Clinicalepidemiological program of studying psychosocial risk factors in cardiological practice in patients with arterial hypertension and ischemic heart disease: first results of a multicenter study in Russia. Cardiology, 2018; 58 (9): 47–58. (In Russ.)]. doi: 10.18087/cardio.2018.9.10171
14. Akimova E.V., Gafarov V.V., Gakova E.I., Akimov A.M., Kayumova M.M. Relationship between depression and coronary artery disease in an open female and male population of a middle-urbanized city of Western Siberia. Cardiovascular Therapy and Prevention, 2021; 20 (2): 19–25. (In Russ.) doi: 10.15829/1728-8800-2021-2557
15. Akimova E.V., Gakova E.I., Kayumov R.Ch., Smaznov V.Yu., Kayumova М.М., Zagorodnykh Е.Yu., Bessonova M.I., Gafarov V.V., Kuznetsov V.A. Some components of metabolic syndrome in young men of Tyumen open population. Sib. Med. J., 2011; 26 (2): 140–143. (In Russ.)
16. Gomanova L.I., Balanova Yu.A., Evstifeeva S.E., Imaeva A.E., Kapustina A.V., Kotova M.B., Maksimov S.A., Muromtseva G.A., Shalnova S.A. Psychoemotional stress as a risk factor for the development of noncommunicable diseases. The Russ. J. Prevent. Med. and Public Health, 2023; 26 (8): 114–120. (In Russ.) doi: 10.17116/profmed20236081114
17. Williams J.E., Mosley T.H.Jr., Kop W.J., Couper D.J., Welch V.L., Rosamond W.D. Vital exhaustion as a risk factor for adverse cardiac events from the Atherosclerosis Risk In Communities (ARIC study). Am. J. Cardiol., 2010; 105 (12): 1661–1665. doi: 10.1016/j.amjcard.2010.01.340
18. Hoekstra T., Barbosa-Leiker C., Twisk J.W. Vital exhaustion and markers of low-grade inflammation in healthy adults: the Amsterdam Growth and Health Longitudinal Study. Stress Health, 2013; 29 (5): 392–400. doi: 10.1002/smi.2485
19. Gafarov V.V., Gromova E.A., Kashtanova E.V., Denisova D.V., Gagulin I.V., Polonskaya Ya.V., Gafarova A.V., Ragino Yu.I. Psychosocial risk factors for cardiovascular disease: vital exhaustion and its associations with biochemical markers of inflammation among persons 25-44 years old. Russ. J. Cardiol., 2024; 29 (2): 73–78. (In Russ.) doi: 10.15829/1560-4071-2024-5674
20. Tunstall-Pedoe H., Kuulasmaa K., Tolonen H. with 64 other contributors for the WHO MONICA Project. MONICA Monograph and Multimedia Sourcebook. World’s largest study of heart disease, stroke, risk factors, and population trends 1979–2002. Edited by H. Tunstall-Pedoe. WHO: Geneve; on-line publication. Available at: http://apps.who.int/iris/bitstream/10665/42597/1/9241562234.pdf.
21. McLean C.P., Asnaani A., Litz B.T., Hofmann S.G. Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. J. Psychiatr. Res., 2011; 45 (8): 1027–1035. doi: 10.1016/j.jpsychires.2011.03.006
22. Gafarov V.V., Gagulin I.V., Gafarova A.V., Panov D.A., Krymov E.A., Gromova E.A. Psychosocial risk factors for cardiovascular diseases: gender differences and 22-year dynamics among the Siberian population (WHO programs «MONICA-psychosocial», HAPIEE). Therapeutic Аrchive, 2020; 92 (1): 15–24. (In Russ.) doi: 10.26442/00403660.2020.01.000249
23. Akimov A.M., Kayumova M.M., Akimov M.Yu., Kuznetsov V.A. Stress in the family in the open urban population, gender differences. Sib. Sci. Med. J., 2018; 38 (4): 127–129. (In Russ.)]. doi: 10.15372/SSMJ20180417
24. Glossary: European health interview survey. Available at: https://ec.europa.eu/eurostat/statisticsexplained/index.php?title=Glossary:European_health_interview_survey_(EHIS). (In Russ.)
25. Deter H.C., Weber C., Herrmann-Lingen C., Albus C., Juenger J., Ladwig K.H., Soellner W., de Zwaan M., Hellmich M., Grün A.S., Ronel J., Orth-Gomér K. Gender differences in psychosocial outcomes of psychotherapy trial in patients with depression and coronary artery disease. J. Psychosom. Res., 2018; 113: 89–99. doi: 10.1016/j.jpsychores.2018.08.005
26. Akimov A.M. Stress in the family and social support in the open male population. Historical and Socio-Educational Thought, 2013; 6: 103–105. (In Russ.)
27. Kayumova M.M., Akimova E.V., Gafarov V.V., Kayumov R.Kh., Akimov A.M, Kuznetsov V.A. A life-exhaustion: interrelation with the prevalence of ischemic heart disease. Russ. J. Cardiol., 2014; 8 (112): 68–72. (In Russ.) doi: 10.15829/1560-4071-2014-8-68-72
28. Kayumova M.M., Bessonova M.I., Gafarov V.V., Gakova E.I., Akimov A.M., Lebedev E.V., Novoselov A.V., Petelina T.I., Akimova E.V. Associations of depressionwith parameters of attitude to medical care in open urban population, gender aspect. Doctor, 2023; 34 (8): 48–53. (In Russ.)]. doi: 10.29296/25877305-2023-08-09
29. Boytsov S.A., Shalnova S.A., Deev A.D. The epidemiological situation as a factor determining the strategy for reducing mortality in the Russian Federation. Therapeutic Archives, 2020; 92 (1): 4–9. (In Russ.) doi: 10.20996/1819-6446-2021-02-01
Review
For citations:
Akimova E.V., Gafarov V.V., Kayumova M.M., Gromova E.A., Gakova E.I., Gafarova A.V., Bessonova M.I., Gagulin I.V., Lebedev E.V., Novoselov A.V., Akimov A.M. Analysis of age and gender characteristics of the prevalence of psychosocial risk factors for cardiovascular diseases in a metropolis and a large city in Western Siberia. Ateroscleroz. 2025;21(1):23-33. (In Russ.) https://doi.org/10.52727/2078-256X-2025-21-1-23-33