The risk of myocardial infarction, and social support among the population of 25-64 years in Russia/Siberia
Aim. To determine the impact of social support on the risk of myocardial infarction (MI) in an open population of 25-64 years in Russia/Siberia.Material and methods. As part of the III screening of the WHO MONICA-psychosocial program, a random representative sample of Novosibirsk population of both...
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«FIRMA «SILICEA» LLC
2019-07-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/3090 |
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| author | V. V. Gafarov E. A. Gromova I. V. Gagulin D. O. Panov E. A. Krymov R. R. Suleymanov A. V. Gafarova |
| author_facet | V. V. Gafarov E. A. Gromova I. V. Gagulin D. O. Panov E. A. Krymov R. R. Suleymanov A. V. Gafarova |
| author_sort | V. V. Gafarov |
| collection | DOAJ |
| description | Aim. To determine the impact of social support on the risk of myocardial infarction (MI) in an open population of 25-64 years in Russia/Siberia.Material and methods. As part of the III screening of the WHO MONICA-psychosocial program, a random representative sample of Novosibirsk population of both sexes aged 25-64 was examined (men: n=657, 44,3±0,4 years, response — 82,1%; women: n=689, 45,4±0,4 years, response — 72,5%). The screening survey program included: registration of socio-demographic data, definition of social support (ICC — indices of close contacts, SNI — social network index). The duration of the prospective observation of the participants was 16 years. First occurrences of MI were an endpoints of study.Results. We revealed that 62% of men and 56,8% of women had a low ICC (х2=22,603 df=2 P=0,0001). When distributed by age groups, the lowest ICC was observed in men in the 55-64 age group — 64,6% (х2=14,85 df=2 P=0,0001) and in 35-44 women — 60,6% (х2=3,917 df=2 P=0,141). Low SNI was among 43,5% of males and 33,9% of females (х2=21,546 df=2 P=0,0001). The lowest SNI among men was among the young age group of 25-34 years old — 50% (х2=15,894 df=3 P=0,001), for women — in the group of 35-44 years (39,4%) (х2=0,071 df=3 P=1). Over the 16-year observation period, Cox’s regression analysis showed an increase in the MI risk among persons with a low ICC index in men 5,2 (95% confidence interval (CI) 1,947-19,383; p<0,05) and women 4,9 times (95% CI 0,108-20,762; p<0,05). The risk of MI over a 16-year observation period in the single-factor Cox regression model was higher in individuals with a low SNI index, as among men OR=3,1 (95% CI 1,138-9,247; p<0,05) and among women, RR=2,9 (95% CI 1,040¬8,208; p<0,05). With the use of multivariate modeling, an increased risk of MI is found in people with low social support: among men with unfavorable family situation engaged in physical labor, and among women with a low level of education. Conclusion. Social support is a protective risk factor for MI in both men and women. |
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| language | Russian |
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| spelling | doaj.art-1c2ed60100d441b0b8269864bf5cf03d2025-03-02T11:42:46Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202019-07-0106344110.15829/1560-4071-2019-6-34-412602The risk of myocardial infarction, and social support among the population of 25-64 years in Russia/SiberiaV. V. Gafarov0E. A. Gromova1I. V. Gagulin2D. O. Panov3E. A. Krymov4R. R. Suleymanov5A. V. Gafarova6Research Institute of Therapy and Preventive Medicine — Federal Research Center Institute of Cytology and Genetics, Siberian Branch of Russian Academy of SciencesResearch Institute of Therapy and Preventive Medicine — Federal Research Center Institute of Cytology and Genetics, Siberian Branch of Russian Academy of SciencesResearch Institute of Therapy and Preventive Medicine — Federal Research Center Institute of Cytology and Genetics, Siberian Branch of Russian Academy of SciencesResearch Institute of Therapy and Preventive Medicine — Federal Research Center Institute of Cytology and Genetics, Siberian Branch of Russian Academy of SciencesResearch Institute of Therapy and Preventive Medicine — Federal Research Center Institute of Cytology and Genetics, Siberian Branch of Russian Academy of SciencesResearch Institute of Therapy and Preventive Medicine — Federal Research Center Institute of Cytology and Genetics, Siberian Branch of Russian Academy of SciencesResearch Institute of Therapy and Preventive Medicine — Federal Research Center Institute of Cytology and Genetics, Siberian Branch of Russian Academy of SciencesAim. To determine the impact of social support on the risk of myocardial infarction (MI) in an open population of 25-64 years in Russia/Siberia.Material and methods. As part of the III screening of the WHO MONICA-psychosocial program, a random representative sample of Novosibirsk population of both sexes aged 25-64 was examined (men: n=657, 44,3±0,4 years, response — 82,1%; women: n=689, 45,4±0,4 years, response — 72,5%). The screening survey program included: registration of socio-demographic data, definition of social support (ICC — indices of close contacts, SNI — social network index). The duration of the prospective observation of the participants was 16 years. First occurrences of MI were an endpoints of study.Results. We revealed that 62% of men and 56,8% of women had a low ICC (х2=22,603 df=2 P=0,0001). When distributed by age groups, the lowest ICC was observed in men in the 55-64 age group — 64,6% (х2=14,85 df=2 P=0,0001) and in 35-44 women — 60,6% (х2=3,917 df=2 P=0,141). Low SNI was among 43,5% of males and 33,9% of females (х2=21,546 df=2 P=0,0001). The lowest SNI among men was among the young age group of 25-34 years old — 50% (х2=15,894 df=3 P=0,001), for women — in the group of 35-44 years (39,4%) (х2=0,071 df=3 P=1). Over the 16-year observation period, Cox’s regression analysis showed an increase in the MI risk among persons with a low ICC index in men 5,2 (95% confidence interval (CI) 1,947-19,383; p<0,05) and women 4,9 times (95% CI 0,108-20,762; p<0,05). The risk of MI over a 16-year observation period in the single-factor Cox regression model was higher in individuals with a low SNI index, as among men OR=3,1 (95% CI 1,138-9,247; p<0,05) and among women, RR=2,9 (95% CI 1,040¬8,208; p<0,05). With the use of multivariate modeling, an increased risk of MI is found in people with low social support: among men with unfavorable family situation engaged in physical labor, and among women with a low level of education. Conclusion. Social support is a protective risk factor for MI in both men and women.https://russjcardiol.elpub.ru/jour/article/view/3090social supportmyocardial infarctionpopulationriskmenwomen |
| spellingShingle | V. V. Gafarov E. A. Gromova I. V. Gagulin D. O. Panov E. A. Krymov R. R. Suleymanov A. V. Gafarova The risk of myocardial infarction, and social support among the population of 25-64 years in Russia/Siberia Российский кардиологический журнал social support myocardial infarction population risk men women |
| title | The risk of myocardial infarction, and social support among the population of 25-64 years in Russia/Siberia |
| title_full | The risk of myocardial infarction, and social support among the population of 25-64 years in Russia/Siberia |
| title_fullStr | The risk of myocardial infarction, and social support among the population of 25-64 years in Russia/Siberia |
| title_full_unstemmed | The risk of myocardial infarction, and social support among the population of 25-64 years in Russia/Siberia |
| title_short | The risk of myocardial infarction, and social support among the population of 25-64 years in Russia/Siberia |
| title_sort | risk of myocardial infarction and social support among the population of 25 64 years in russia siberia |
| topic | social support myocardial infarction population risk men women |
| url | https://russjcardiol.elpub.ru/jour/article/view/3090 |
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