THE RISK OF DEVELOPING DISEASES ASSOCIATED WITH ATHEROSCLEROSIS (MYOCARDIAL INFARCTION, STROKE) AND THE DEPLETION OF THE POPULATION LIVING IN RUSSIA / SIBERIA (WHO PROGRAM В«MONICA-PSYCHOSOCIAL»)
V.V. Gafarov, E.A. Gromova, I.V. Gagulin, D.O. Panov, A.V. Gafarova
Institute of Internal and Preventive Medicine, 630089, Novosibirsk, Boris Bogatkov str., 175/1
Keywords: атеросклероз, инфаркт миокарда, инсульт, жизненное истощение, риск развития, население, gender differences, vital exhaustion, the risk of myocardial infarction, stroke, population
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.
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