ASSOCIATIONS OF WORK STRESS AND CORONARY ARTERY DISEASE IN AN OPEN POPULATION MODEL

Abstract

Aim. To determine the relationships between the prevalence of certain work stress components and coronary artery disease in men of working age in the open population model of the medium-urbanized Siberian city (Tyumen).Methods. A single-step epidemiological study was performed using the open population model with a representative sample of male adults (25–64 years) living in the Central Tyumen Administrative District. The subjects were stratifed by age (1000 men, 85.0% response rate). The data on coronary artery disease (CAD) were collected with the standard methods commonly used in the epidemiological studies. Work stress was determined with the questionnaire used in the WHO MONICA psychosocial program.Results. Over 85% of men showed signifcant changes in work during the last year in the male unorganized population of the mid-urbanized Siberian city. Lower responsibility and workload, as well as an increase in the negative attitude towards work have been found in male adults with CAD aged 25–64.Conclusion. The single-step epidemiological study with the open male population model of the mid-urbanized Siberian city showed the presence of the associations between the prevalence of CAD and some work stress components (physical activity and work responsibility within the last 12 months). The obtained results can be furtherly used for the development and implementation of socially oriented comprehensive prevention programs aimed at improving work environment for the personnel, including both, healthy subjects and working age men with CAD.