Relationships between psychosocial risk factors and coronary heart disease in 25-64-year-old males of Novosibirsk: study on WHO program MONICA


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Abstract

Aim. To study correlations between coronary heart disease (CHD) and psychosocial risk factors. Material and methods. CHD affected more frequently workers engaged in hard physical labour, in poorly educated persons; the least CHD morbidity was recorded in managers and highly educated persons. CHD males think of their health much worse than males free of CHD. The former smoked much more before CHD diagnosis, but when CHD comes they quit and reduce smoking much more frequently. This fact explains why smokers are encountered among CHD patients two times less frequently than in CHD-free males. In spite of stronger motivation for adequate diet, CHD males changed their nutrition pattern only in 3.7%. CHD males sleep worse: good sleep was registered in CHD-free males two times more frequently. Psychological risk factors such as personal anxiety, sleep disorders were reported much more frequently in CHD patients proving the fact of social stress involvement in development of CHD. So-called coronary behavior was observed in both groups of males with the same rate. Thus, the coronary behavior is not associated with CHD.
Conclusion. Development of CHD is associated not with the behavior but its components (depression, anxiety, etc.).

References

  1. Гундаров И. А. Почему умирают в России. Как нам выжить. М.: Медицина; 1995.
  2. Дчльман В. М. Четыре модели медицины. Л.; 1987.
  3. Казначеев В. П. Введение в проблемы хронической патологии. Новосибирск; 1990.
  4. Комаров Ф. И., Крыжановский Г. Н. Общие проблемы хронизации внутренних болезней. Тер. арх. 1987; 5: 3-8.
  5. Cardiovascular disease in Canada: Heart and stroke foundation of Canada. Ottawa; 1993.
  6. Кат-Sang Woo, Donnan S. P. B. Epidemiology of coronary artheria disease in the Chinese. Int. J. Cardiol. 1989; 24 (1): 83-89.
  7. Lehmuskallo E., Lindholm H., Koskenvuo K. et al. Frostbite of the face and ears: Epidemiological study of risk factors in Finnish conscripts. Br. Med. J. 1995; 34: 234-245.
  8. Marmot G. O., McKeigue P. M., Miller G. J. Coronary heart disease in South Asians overseas: a review. J. Clin. Epidemiol. 1989; 42 (7): 597-609.
  9. Walker A. R. P., Sareli P. Fschaemic heart disease in Belfast and Toulouse. Monthly J. Assoc. Physicians 1995: 88 (12): 937-938.
  10. WHO. World Health Statistics Annual. Geneva; 1998.
  11. Демографические данные по России в 1994 г. Статистическое обозрение. 1994. 11 - 12.
  12. Оганов Р. Г., Халитов Р. А., Жуковский Г. С. (ред.) К здоровой России: политика укрепления здоровья и профилактики заболеваний: приоритет - основные неинфекционные заболевания. М.: Медицина; 1994.
  13. Leon D. A., Chenet L., Shkolnikov V. et al. Huge variation in Russian mortality rates 1984-1994: artefact, alcohol or what? Lancet 1997; 352: 383-388.
  14. WHO MONICA Project, prepared by Kuulasmaa K., Dobson A., Pedoe H. T. et al. Estimating the contribution of changes in classical risk factors to trends in coronary event rates across to trends MONICA Project populations. MONICA Memo 382 A. Helsinki; 1999.
  15. Sesso H., Kawachi I., Vokonas P. Depression and the risk of coronary heart disease in the normative aging study. Am. J. Cardiol. 1998; 82 (7): 851-856.
  16. Knox S. S., Siegmuncl K. D., Weiciner G. et al. Hostility, social support, and coronary heart disease in the National Heart, Lung, and Blood Institute Family Heart Study. Cardiologia 1998; 82(10): 1192-1196.
  17. MONICA Psychosocial Optional Study. Suggested measurement instruments. WHO Facsimile Urgent 3037 MRC 1988.
  18. WHO. Proposal for the Multinational Monitoring of trends in cardiovascular disease. Geneva; 1985.
  19. Роуз Дж. и др. (ред.) Эпидемиологические методы изучения сердечно-сосудистых заболеваний: Пер. с англ. М.: Медицина; 1984.
  20. Jenkins С. D. Psychosocial and behavioral factors. Philadelphia: Saunders; 1983.
  21. Гафаров В. В., Пак В. А., Гагулин И. В., Гафарова А. В. Эпидемиология и профилактика хронических неинфекционных заболеваний в течение 2-х десятилетий и в период социально-экономического кризиса в России. Новосибирск; 2000.

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