ETHNIC DIFFERENCES OF THE QUALITY OF LIFE OF PERSONS WITH ARTERIAL HYPERTENSION IN RURAL AREAS OF RUSSIA AND KYRGYZ REPUBLIC (BY DATA FROM STUDY INTEREPID)

Abstract

Objective: In recent years,an important place is given to the analysis quality of life(QoL)of patients with arterial hypertension(AH).In turn, it is proved that the prevalence of AH is characterized by significant racial/ethnic differences.Aim is to study the ethnic differences of the QoL of persons with hypertension depending on the status of treatment among residents of rural areas of the two countries:Russia and the Kyrgyz Republic Design and method: This study is a cross-sectional epidemiological study of chronic non-communicable diseases and its risks of 2012–2014.Data on the representative of the rural population of the Russian Federation(n = 1050),Kyrgyz Republic(n = 1341).The share of the Russian population in Kyrgyz sample was 36,8%.All results were age-standardized.All the examinees were divided into 4 groups:1.Persons without AH 2.Persons with AH 3.Persons with AH,who not taking therapy 4.Persons with AH,who taking therapy.QoL was assessed with questionnaire EUROQOL-EQ-5D.QoL index was done with Shaw LW methods Results: Age-standardized hypertension prevalence in Russia was 40,1%,in Kyrgyz Republic 37,1%.QoL index for EUROQOL was higher among persons without AH,comparing persons with AH,in two countries among men and women(p < 0,01).In the Kyrgyz Republic we found ethnic differences,among the patients with AH QoL index was significantly lower among the Russian population(p < 0,01).In the analysis of QoL index in each age groups, the expected decrease in QoL with age in both men and women with AH was obtained.QoL was significantly higher among people with AH not taking therapy,compared to those with AH taking therapy(p < 0,01) in two countries.In general, in women with AH QoL is worse than in men in two countries.Moderate disruption in movement was observed in 34,4%of Russian men and 25,6%in Kyrgyz men and 55,1%in Russian women and 44,1%in Kyrgyz women(p < 0,01).Moderate depression and anxiety were experienced more often by Russian women and men Conclusions: QoL in persons with AH is lower in comparison with persons without this disease in two countries.In the Kyrgyz Republic QoL was lower among Russian population with AH.In persons with AH taking therapy QoL was lower in comparison with those with AH not taking therapy.Thus,AH in combination with drug therapy was associated with a decrease of QoL in the samples studied