Риск развития артериальной гипертензии в течение 16 лет у женщин с жизненным истощением в России/Сибири (популяционное исследование - программа ВОЗ ««MONICA-psychosocial»)

Abstract

Objective. To determine the effect of vital exhaustion (VE) on the relative risk of hypertension in female population of 25–64 years old during 16 years in a metropolis of Western Siberia (Novosibirsk). Design and methods. Within the framework of the third screening of the WHO «MONICA-psychosocial» program random representative sample of women aged 25–64 (n = 870), who were residents of one district in Novosibirsk, were surveyed. VE was measured by means of MOPSY scale. From 1995 to 2010 the women were followed for 16 years for the hypertension incidence. Cox proportional regression model was used for the relative risk estimation. Results. During the fi rst 5 years of follow-up the relative risk of developing hypertension was 2,38 times higher in women with VE (95 % confi dence interval = 1,03–3,87; p < 0,05); during 10 years of follow up there was a 2,32-fold and 2,34-fold risk of hypertension (for age group 35–44 and 45–54 years, respectively; p ≤0,05 for all estimations). The rate of hypertension incidence was higher in married women with VE, having high school education in «manual work» category and in those with higher education in class «executive offi cer». Conclusion. VE signifi cantly increases relative risk of hypertension incidence in population of women aged 25–64 years. Incidence of hypertension is infl uenced by occupation class, marital status, educational level.