SOCIO-ECONOMIC RISK FACTORS FOR CARDIOVASCULAR DEATH: DATA FROM 12-YEAR PROSPECTIVE EPIDEMIOLOGIC STUDY

Aim. Studying of the influence of socio-economic risk factors on relative risk (RR) of death from cardiovascular diseases (CVD) in non-organized population of Tyumen city. Material and methods. The epidemiological study was performed with standard approaches on relevant selection of Tyumen citizens...

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Main Authors: E. V. Akimova, G. S. Pushkarev, V. Yu. Smaznov, V. V. Gafarov, V. A. Kuznetsov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2014-06-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/84
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author E. V. Akimova
G. S. Pushkarev
V. Yu. Smaznov
V. V. Gafarov
V. A. Kuznetsov
author_facet E. V. Akimova
G. S. Pushkarev
V. Yu. Smaznov
V. V. Gafarov
V. A. Kuznetsov
author_sort E. V. Akimova
collection DOAJ
description Aim. Studying of the influence of socio-economic risk factors on relative risk (RR) of death from cardiovascular diseases (CVD) in non-organized population of Tyumen city. Material and methods. The epidemiological study was performed with standard approaches on relevant selection of Tyumen citizens aged 25-64 y. During next 12 years the whole cohort (795 men, 814 women) was analyzed for the deaths from cardiovascular diseases (CVD). Multivariate regression model of proportional Kox risk used to estimate RR for cardiovascular death. RR with 95% CI calculated with added concomitant RF like: age, SBP and DBP, BMI, total cholesterol, triglycerides, HDL, smoking state, coronary heart disease anamnesis and arterial hypertension.Results. By 12 years of observation there were 85 (10,7%) cases of cardiovascular death in men and 33 (4,1%) in women. Higher risk of cardiovascular death was in men with low educational level than in those with higher education (RR: 1,94, 95% CI 1,12-3,34). In women the same (RR: 3,42, 95% CI 1,53-7,64) in comparison to more educated women. After standartization of all concomitant factors the risk of cardiovascular death was significantly higher in men and women involved in hard physical labour (RR: 2,51, 95% CI 1,03-6,08 and 5,47, 95% CI 1,69-17,74, resp.), comparing to those of higher labour qualification (RR: 4,08 (95% CI 2,12-7,8), RR 3,19 (95% CI 1,22-8,34) and RR 3,18 (95% CI 1,90-5,34), resp. In women the relation was opposite: RR for cardiovascular death was higher for married women (3,21, 95% CI 1,28-8,06; p<0,001), than for single.Conclusion. The highest risk for cardiovascular death in non-organized Tyumen citizen cohort was found for those with lower educational level, involved into hard physical labour and single, divorced or widowed men. In women, opposite, being married was associated with higher risk of death from CVD.
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spelling doaj.art-40b6d5b1d33a4c6eb8647613841359692023-03-29T21:23:22Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202014-06-010671110.15829/1560-4071-2014-6-7-1184SOCIO-ECONOMIC RISK FACTORS FOR CARDIOVASCULAR DEATH: DATA FROM 12-YEAR PROSPECTIVE EPIDEMIOLOGIC STUDYE. V. Akimova0G. S. Pushkarev1V. Yu. Smaznov2V. V. Gafarov3V. A. Kuznetsov4Filial of FSBI SRI of Cardiology of Siberian Dept RAMS — Tyumen Cardiological Centre, Tyumen Interdepartmental Laboratory for Epidemiology of Cardiovascular Diseases of Siberian Dept of RAMS, Novosibirsk, Russia.Filial of FSBI SRI of Cardiology of Siberian Dept RAMS — Tyumen Cardiological Centre, TyumenFilial of FSBI SRI of Cardiology of Siberian Dept RAMS — Tyumen Cardiological Centre, TyumenInterdepartmental Laboratory for Epidemiology of Cardiovascular Diseases of Siberian Dept of RAMS, Novosibirsk, Russia.Filial of FSBI SRI of Cardiology of Siberian Dept RAMS — Tyumen Cardiological Centre, TyumenAim. Studying of the influence of socio-economic risk factors on relative risk (RR) of death from cardiovascular diseases (CVD) in non-organized population of Tyumen city. Material and methods. The epidemiological study was performed with standard approaches on relevant selection of Tyumen citizens aged 25-64 y. During next 12 years the whole cohort (795 men, 814 women) was analyzed for the deaths from cardiovascular diseases (CVD). Multivariate regression model of proportional Kox risk used to estimate RR for cardiovascular death. RR with 95% CI calculated with added concomitant RF like: age, SBP and DBP, BMI, total cholesterol, triglycerides, HDL, smoking state, coronary heart disease anamnesis and arterial hypertension.Results. By 12 years of observation there were 85 (10,7%) cases of cardiovascular death in men and 33 (4,1%) in women. Higher risk of cardiovascular death was in men with low educational level than in those with higher education (RR: 1,94, 95% CI 1,12-3,34). In women the same (RR: 3,42, 95% CI 1,53-7,64) in comparison to more educated women. After standartization of all concomitant factors the risk of cardiovascular death was significantly higher in men and women involved in hard physical labour (RR: 2,51, 95% CI 1,03-6,08 and 5,47, 95% CI 1,69-17,74, resp.), comparing to those of higher labour qualification (RR: 4,08 (95% CI 2,12-7,8), RR 3,19 (95% CI 1,22-8,34) and RR 3,18 (95% CI 1,90-5,34), resp. In women the relation was opposite: RR for cardiovascular death was higher for married women (3,21, 95% CI 1,28-8,06; p<0,001), than for single.Conclusion. The highest risk for cardiovascular death in non-organized Tyumen citizen cohort was found for those with lower educational level, involved into hard physical labour and single, divorced or widowed men. In women, opposite, being married was associated with higher risk of death from CVD.https://russjcardiol.elpub.ru/jour/article/view/84social risk factorscardiovascular deathprospective study
spellingShingle E. V. Akimova
G. S. Pushkarev
V. Yu. Smaznov
V. V. Gafarov
V. A. Kuznetsov
SOCIO-ECONOMIC RISK FACTORS FOR CARDIOVASCULAR DEATH: DATA FROM 12-YEAR PROSPECTIVE EPIDEMIOLOGIC STUDY
Российский кардиологический журнал
social risk factors
cardiovascular death
prospective study
title SOCIO-ECONOMIC RISK FACTORS FOR CARDIOVASCULAR DEATH: DATA FROM 12-YEAR PROSPECTIVE EPIDEMIOLOGIC STUDY
title_full SOCIO-ECONOMIC RISK FACTORS FOR CARDIOVASCULAR DEATH: DATA FROM 12-YEAR PROSPECTIVE EPIDEMIOLOGIC STUDY
title_fullStr SOCIO-ECONOMIC RISK FACTORS FOR CARDIOVASCULAR DEATH: DATA FROM 12-YEAR PROSPECTIVE EPIDEMIOLOGIC STUDY
title_full_unstemmed SOCIO-ECONOMIC RISK FACTORS FOR CARDIOVASCULAR DEATH: DATA FROM 12-YEAR PROSPECTIVE EPIDEMIOLOGIC STUDY
title_short SOCIO-ECONOMIC RISK FACTORS FOR CARDIOVASCULAR DEATH: DATA FROM 12-YEAR PROSPECTIVE EPIDEMIOLOGIC STUDY
title_sort socio economic risk factors for cardiovascular death data from 12 year prospective epidemiologic study
topic social risk factors
cardiovascular death
prospective study
url https://russjcardiol.elpub.ru/jour/article/view/84
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AT vyusmaznov socioeconomicriskfactorsforcardiovasculardeathdatafrom12yearprospectiveepidemiologicstudy
AT vvgafarov socioeconomicriskfactorsforcardiovasculardeathdatafrom12yearprospectiveepidemiologicstudy
AT vakuznetsov socioeconomicriskfactorsforcardiovasculardeathdatafrom12yearprospectiveepidemiologicstudy