THE CHARACTERISTIC OF PREVALENCE OF RISK FACTORS OF CARDIOVASCULAR DISEASES AMONG THE POPULATION OF THE NOVGOROD AREA

Open Access Open Access
Restricted Access Subscription Access

Abstract


To study clinical and epidemiological aspects of prevalence risk factors of cardiovascular diseases among the population of the Novgorod Region. It is 1% one-time sample survey which allows to obtain reliable estimates of health numerical parameters (eg, true incidence, the specific characteristics of identified diseases) among the population of a region, which acts as the total population, while studyiing only a part (sample). The results of the sample study were extrapolated to the general population to obtain the minimum and maximum values. Odds Ratio method was used as evidence-based healthcare method. During mathematical analysis the following methods were used: descriptive statistics; univariate and multivariate dispersion analysis; correlation and regression analysis based on the matrix method and multivariate analysis with a selection of regression equation model (in this case) and evaluation of the results based on a Gaussian distribution; multivariate statistical methods, including cluster and factor analysis. Statistical data processing was conducted using STATISTICA 10, Stat Soft Programme, License number AGAR207F394525FA-6. Among all risk factors, statistically significant differences were found by a dieting factor when t=7.27 (р<0.0001) and t=-2.82 (р<0.0156) in cases of non-dieting assessment. According to nonparametric statistics, interquartile amplitude value (ICD) when following the diet was Me=28.8 (at 26.3-30.8) and Me=70.7 (at 60.7-71.3) in cases of not following the diet. It was found that dieting is more prevalent in women at around 30% range. Within 60-70% of the respondents regardless of gender do not follow the diet. This fact is further reflected in the frequency of dyslipidemia cases in the population. Parametric analysis revealed significant differences in the frequency of smoking, taking into account gender differences. So, 62.4% of respondents never smoked at t=4.91 (р<0.0004). Non-parametric analysis showed that 59% of respondents have never smoked with ICD value as=52.6-69.8. At the same time the maximum values for this indicator were more than 80%. Attention is drawn to the high Gaussian density, equal to 17.1. When evaluating vodka consumption at 50 -100 ml amount, the differences significance was at t=-3.56 (р<0.004). Non-parametric analysis showed that 50 -100 ml of vodka is consumed by 12% of the population with the largest ICD=7,4-12,9, and the Gaussian density value was only 5.5. The highest significance of gender differences is observed in the evaluation of work motivation. In this case, 13.3% of females state the lack of work motivation or moderate work motivation 34.5% (M=13.3, with SD=4.3±3.7 and M=34.5 with SD=15.0±12.1 respectively). Among men, this figure is at M=12.4 SD=2,9±1,9 and M=31.5 with SD=15.2±13.2, respectively. Non-parametric data on lack of motivation on a median value were 11, 1 with ICD=9.3-16.9 among females; Me=12.7 with ICD=11.5-15.0 among males and largest Gaussian density of 3.5, respectively. In the second parameter, according to nonparametric data estimation, there is a fair motivation on the median: 31.7 with ICD=18,6-51,4 among females (Gaussian density was 32.8) , and Me=33.7 with ICD=14.6-47.4 (Gaussian density 32,7) among males, respectively. Thus, it was found that the lack of work motivation in males was more pronounced than in females. When assessing moderate dissatisfaction with family relations, a gender difference in t=2.64 (р<0.0217) was revealed. Among females, M=24.6% with SD=4.5±3.3; among males M=18.4% with SD=4.1±3.1. Non-parametric analysis showed that dissatisfaction with family relations among females was Me=25.0% at ICD=20.9-26.6 (Gaussian density=5.7) and Me=19.5% at ICD=14.4-20.3 (Gaussian density=6.3) among males. Thus, higher levels of moderate dissatisfaction with family relationship are identified among women. For other indicators, there are no statistically significant gender differences are absent. The analysis, based on non-fitting criterion, proves possible impact of such risk factors as obesity, smoking, alcohol abuse (these risk factors are seen more often among younger population), marital status (especially widowers and widows), job dissatisfaction and stress, on the development of cardiovascular diseases in the population. However, high level of educational qualifications in the population allows having special courses for hypertensive individuals where technological intervention acts as a basic method of primary prevention of hypertension and its complications.

B B Fishman

Yaroslav-The-W ise Novgorod State University

N O Zbanova

Yaroslav-The-W ise Novgorod State University

A V Savoluk

Yaroslav-The-W ise Novgorod State University

A I Horoshevskaya

Regional Clinical Hospital

Veliky Novgorod

S Sh Butrimova

Regional Clinical Hospital

Veliky Novgorod

B B Zurabov

Yaroslav-The-W ise Novgorod State University

D A Shamiladze

Yaroslav-The-W ise Novgorod State University

  1. Оганов Р.Г., Масленникова Г.Я. Профилактика сердечно-сосудистых и других неинфекционных заболеваний - основа улучшения демографической ситуации в России // Кардиоваскулярная терапия и профилактика. 2005. № 3 (1). С. 4-9. [Oganov R.G., Maslennikova G.Jа. Preventive maintenance of cardiovascular and other infectious diseases - a basis of improvement of a demographic situation in Russia, Cardiovascular therapy and profilactic Cardiovascular therapy and profilactic. 2005. No 3 (1). рр. 4-9.]
  2. Бритов А.Н. Оценка сердечно-сосудистого риска у больных артериальной гипертензией // Кардиоваскулярная терапия и профилактика. 2003. № 2 (3). С. 9-15 [Britov A.N. Rating of cardiovascular risk at patients with an arterial hypertensia, Cardiovascular therapy and preventive maintenance. 2003. No 2 (3). рр. 9-15.]
  3. Шапиро И.А., Калинина А.М. Профилактическая медицинская помощь больным артериальной гипертонией в амбулаторно-поликлинических учреждениях Хабаровского края: состояние и перспективы. Кардиоваскулярная терапия и профилактика. 2002. № 1. С. 16 [Shapiro I.A., Kalinin A.M. Preventive medical aid by the patient by an arterial hypertension in out-patient - polyclinic establishments of Khabarovsk territory: a status and prospects, Cardiovascular therapy and preventive maintenance. 2002. No 1. рр. 16.]
  4. Вебер В.Р., Фишман Б.Б. Факторы риска артериальной гипертензии. СПб.:, Наука, 2005. 208 с [Veber V.R, Fishman B.B. Risk factor of an arterial hypertensia. From - in Science. St. Petersburg, 2005. 208 p.]
  5. Иванова Н.В., Фишман Б.Б., Токмачев М.С., Фоменко Л.А., Казымов М.С., Беспалов Е.И., Кадошникова Л.Г. Экстраполирование результатов выборочного исследования распространенности артериальной гипертензии на генеральную совокупность // Проблемы социальной гигиены, здравоохранения и истории медицины. 2009. № 2. С. 75-81 [Ivanova N.V., Fishman B.B. et al. Results of selective research of prevalence of an arterial hypertensia on general set, Problems of social hygiene, public health services and a history of medicine. 2009. No 2. рр. 75-81.]
  6. Оганов Р.Г., Лепахин В.К., Фитилев С.Б. и др. Особенности диагностики и терапии стабильной стенокардии в Российской Федерации (международное исследование ATP - Angina Treatment Pattern) // Кардиология. 2003. № 5. С. 6-10 [Oganov R.G., Lepachin V.K., Fitilev S.B. et al. Features of diagnostics and therapy of a stable stenocardia in the Russian Federation (international research ATP - Angina Treatment Pattern), Cardiology. 2003. No 5. рр. 6-10.]
  7. Оганов Р.Г., Масленникова Г.Я., Шальнова С.А. и др. Значение сердечно-сосудистых и других неинфекционных заболеваний для здоровья населения России. Профил. забол. и укрепл. здор. 2002. № 2. С. 3-7 [Oganov R.G., Maslennikova G.Jа., Shalnova S.A. et al. Value of cardiovascular and other infectious diseases for health of the population of Russia, Preventive medicine. 2002. No 2. рр. 3-7.]
  8. Фишман Б.Б., Токмачев М.С., Хорошевская А.И., Кочанов И.Н., Денисов В.Г., Бобырь М.А., Бутримова С.Ш., Шамиладзе Д.А., Никифоров А.Г. Обоснование выборочного исследования распространенности АГ/ИБС среди населения (сообщение 1) // Профилактическая медицина. 2013. № 2. С. 33-39 [Fishman B.B., Tokmachev M.S., Khoroshevskaya A.I., Kochanov I.N., Denisov V.G., Bobyr M.A., Butrimova S.Sh., Shamiladze D.A., Nikiforov A.G. The Substantiation of selective research of prevalence AG/IBH among the population (the message 1), Preventive medicine. 2013. No 2. pр. 33-39.]
  9. Фишман Б.Б., Фоменко Л.А., Куприн П.Е., Григорян А.Г., Кондратьев В.В., Куликова Т.В., Полякова Е.В., Баров П.А. Характеристика отношения шансов возможности развития артериальной гипертензии у респондентов с избыточной массы тела и ожирением // Материалы Всероссийского научно-образовательного форума «Профилактическая кардиология-2010». М., 2010. C. 102. [Fishman B.B. et al. Characteristic of the relation of chances of an opportunity of development of an arterial hypertensia at respondents from superfluous weight of a body and adiposity / Materials of the All-Russia scientific - educational forum, Preventive cardiology. Мoscow, 2010. р. 102.]

Views

Abstract - 12

PDF (Russian) - 0

PlumX

Refbacks

  • There are currently no refbacks.

Copyright (c) 2017 Fishman B.B., Zbanova N.O., Savoluk A.V., Horoshevskaya A.I., Butrimova S.S., Zurabov B.B., Shamiladze D.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.