Population patterns of prevalent psychoemotional risk factors among young and middle-aged women

Abstract

Objective, To establish the prevalence of psychoemotional stress factors among young and middle-aged women in an open population of the mid-urbanized Siberian city. Design and methods . A cross-sectional epidemiological study was conducted among working-age women in the Central Administrative District of Tyumen in 2015-2016. A representative sample was formed from the election lists among women of 25-64 years using the “random numbers” method — 1000 people (250 people each in the decades of life 25-34, 3544, 45-54, 55-64 years), the response was 70,3 %. We used the algorithms of the WHO program “MONICA-psychosocial” to determine psychosocial risk factors — personal anxiety, depression, hostility, life exhaustion. Results. Among women in an open population of a moderately urban Siberian city, medium and high levels of personal anxiety were evenly distributed, the average level of depression and life exhaustion prevailed over a high level, while high level of hostility prevailed over average level. The prevalence of high levels of personal anxiety, depression, hostility was comparable among young and middle-aged women, an increase in the high level of life exhaustion in middle age was found. In young women of an open urban population, the age trend in the prevalence of psychosocial risk factors was due to the increased high level of hostility in the fourth decade of life. In middle-aged women, the age trend in the prevalence of psychosocial risk factors was due to the increased high levels of vital exhaustion in the fifth and sixth decades of life. Conclusions. Thus, the data obtained within evidence-based prevention programs with the use of novel technologies of differentiated impact on age-dependent psycho-emotional stress factors are highly relevant and correspond to the European and international experience in conducting preventive measures using population strategies and high risk strategies in female populations.