SMOKING AND CARDIOVASCULAR MORTALITY IN TOMSK INHABITANTS AS A TYPICAL CITY OF WESTERN SIBERIA

Abstract

Aim. To investigate on the influence of cardiovascular diseases (CVD) on mortality in 25 thousand inhabitants of the typical city ofWestern Siberia. Material and methods. Under the framework of international World Health Organization project “Epidemiological Studies into Long-term Trends of Population Health in Russia” with participation of 45 clinicians in medical institutions of the city, the cases of 26186 deaths were assessed, men and women 15-74 year old. Results. The mortality from CVD was 34,9% and 44% in men and women; from coronary heart disease — 59,8% and 41,3%; from cerebrovascular disease — 29,2% and 39,9%, resp. Smoking was found in 68,7% men and 12% women; with the mean time of 41,3 and 38,9 years, respectively; smoking increased the risk 1,49-1,56 times. In the moderate and high tobacco consumption rates, risk of death increased (p<0,0001, p=0,002), as in any kind of smoking in economically active persons, more than 2 times. The decrease of life duration in smoking women and in lethal cases from coronary heart disease was 6,5 years (p<0,001), in men — 3,7 years; from CVD — 5,3 and 2,7 years, respectively. Conclusion. The role of smoking was assessed in mortality from CVD, as the necessity confirmed for prevention of smoking at regional level.