Associations of depression with parameters of attitude to medical care in open urban population, gender aspect

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Abstract

Objective. To establish associations of a high level of depression with certain parameters of attitudes towards medical care in women in an open urban population.

Subjects and methods. A cross-sectional epidemiological study was conducted on a representative sample of women aged 25–64, formed from the electoral lists of citizens of the city of Tyumen in the amount of 1000 people, the response was 70.3%. The levels of depression and the attitude of the population to medical care were determined using the standard WHO MONICA-MOPSY questionnaire.

Results. About a third of women in the open urban population showed the presence of depression, over four age decades of life, a tendency was established for a decrease in the prevalence of D from its low level to an average and further to a high level, a tendency to an increase in the prevalence of D from the fourth to the sixth decade of life was noted. Half of the women in the open population, regardless of age, only with severe pain in the region of the heart would go to the doctor and trust specialized studies more, and only a third part would go to the doctor if there was any pain in the region of the heart and trust the examination of the doctor. One-fifth of the population was more guided by their well-being, and not by the doctor's opinion. In the presence of a high level of depression in women of the open population, associations with the parameters of attitude to medical care were established and the minimum activity in the prevention and treatment of CVD was determined.

Conclusion. Thus, the results of the study obtained on an open urban population, which identified the most vulnerable categories of women with a high level of depression, can serve as a scientific basis for the formation of comprehensive preventive programs to reduce the risks of developing CVD in female populations of medium urbanized cities of Western Siberia.

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About the authors

M. M. Kayumova

Tyumen Cardiology Research Center – branch of the Tomsk National Research Medical Center, Russian Academy of Science

Author for correspondence.
Email: kayumova@infarkta.net
ORCID iD: 0000-0001-5326-119X

Candidate of Medical Sciences

Russian Federation, Tyumen

M. I. Bessonova

Tyumen Cardiology Research Center – branch of the Tomsk National Research Medical Center, Russian Academy of Science

Email: kayumova@infarkta.net
ORCID iD: 0000-0002-2686-3715

Candidate of Medical Sciences

Russian Federation, Tyumen

V. V. Gafarov

Scientific Research Institute of Therapy and Preventive Medicine – branch of the Federal Research Center of the Institute of Cytology and Genetics of the Russian Academy of Sciences

Email: kayumova@infarkta.net
ORCID iD: 0000-0001-5701-7856

MD, Professor

Russian Federation, Novosibirsk

E. I. Gakova

Tyumen Cardiology Research Center – branch of the Tomsk National Research Medical Center, Russian Academy of Science

Email: kayumova@infarkta.net
ORCID iD: 0000-0001-8662-8760

Candidate of Medical Sciences

Russian Federation, Tyumen

A. M. Akimov

Tyumen Cardiology Research Center – branch of the Tomsk National Research Medical Center, Russian Academy of Science

Email: kayumova@infarkta.net

Candidate of Sociological Sciences

Russian Federation, Tyumen

E. V. Lebedev

Tyumen Cardiology Research Center – branch of the Tomsk National Research Medical Center, Russian Academy of Science

Email: kayumova@infarkta.net
ORCID iD: 0000-0001-6222-0445
Russian Federation, Tyumen

A. V. Novoselov

Tyumen Cardiology Research Center – branch of the Tomsk National Research Medical Center, Russian Academy of Science

Email: kayumova@infarkta.net
ORCID iD: 0000-0003-4101-6079
Russian Federation, Tyumen

T. I. Petelina

Tyumen Cardiology Research Center – branch of the Tomsk National Research Medical Center, Russian Academy of Science

Email: kayumova@infarkta.net
ORCID iD: 0000-0001-6251-4179

MD

Russian Federation, Tyumen

E. V. Akimova

Tyumen Cardiology Research Center – branch of the Tomsk National Research Medical Center, Russian Academy of Science

Email: kayumova@infarkta.net
ORCID iD: 0000-0002-9961-5616

MD

Russian Federation, Tyumen

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2. Fig. 1. The prevalence of different levels of depression in the open urban female population in the age range; %

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3. Fig. 2. Attitude to medical care among the 25–64-year-old women in the open urban population if they have cardialgia; %

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4. Fig. 3. Attitude to the diagnosis of cardiovascular diseases among the 25–64-year women in the open urban population; %

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