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THE RISK OF DEVELOPING DISEASES ASSOCIATED WITH ATHEROSCLEROSIS (MYOCARDIAL INFARCTION, STROKE) AND THE DEPLETION OF THE POPULATION LIVING IN RUSSIA / SIBERIA (WHO PROGRAM «MONICA-PSYCHOSOCIAL»)

Abstract

Objective: To determine the risk of developing diseases associated with atherosclerosis (myocardial infarction and stroke) in men and women with vital exhaustion in general in population 25-64 years in Russia / Siberia. Material and methods: In the III screening WHO program «MONICA-psychosocial» surveyed a random representative sample of the population aged 25-64 in Novosibirsk in 1994 (men = 657, women = 870). The program screened survey included: registration of socio-demographic data, identification VE. For a 16 year period it revealed a myocardial infarction (MI) and stroke in women cases (15 and 35) and male (30 and 22). Results. VE level were: men 66.8 % (-14.6 % high), 75.7 % in women (44.4 % higher). The risk of MI among men with VE was HR=2. We did not get the effect of VE on the risk MI among women. RR of MI in persons with VE were higher among divorced women HR = 5.4, than men HR = 4.7. Risk MI was higher in men with VE: primary education HR = 2.2; have never married HR = 3.7, widowed male HR = 7, in 45-54 years HR = 3.8 and HR = 55-64 5.9. In women, these associations have been identified. Risk of stroke in patients with VE were higher in women HR = 3.34, than men HR=3.1. Risk stroke was higher only in men with VE: with incomplete secondary - primary education HR = 4.8; men, divorced HR = 3.8, widowed men at HR = 3.6. Risk of stroke among people older than 55 years was higher in women HR = 2.9, than men HR = 2.4. Conclusion: Prevalence of VE was higher in women than in men. Vital exhaustion is a predictor of MI in men and stroke in both genders. VE has a large prevalence among the population aged 25-64 years, and higher in women than in men. VE is a predictor of atherosclerosis-associated diseases: myocardial infarction greater in men than in women and stroke in both sexes.

About the Authors

V. V. Gafarov
Institute of Internal and Preventive Medicine
Russian Federation


E. A. Gromova
Institute of Internal and Preventive Medicine
Russian Federation


I. V. Gagulin
Institute of Internal and Preventive Medicine
Russian Federation


D. O. Panov
Institute of Internal and Preventive Medicine
Russian Federation


A. V. Gafarova
Institute of Internal and Preventive Medicine
Russian Federation


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For citations:


Gafarov V.V., Gromova E.A., Gagulin I.V., Panov D.O., Gafarova A.V. THE RISK OF DEVELOPING DISEASES ASSOCIATED WITH ATHEROSCLEROSIS (MYOCARDIAL INFARCTION, STROKE) AND THE DEPLETION OF THE POPULATION LIVING IN RUSSIA / SIBERIA (WHO PROGRAM «MONICA-PSYCHOSOCIAL»). Ateroscleroz. 2017;13(1):19-28. (In Russ.)

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