Abstract
Abstract Background The area of residence and its characteristics affect cardiovascular disease indicators at different spatial scales. Our study evaluated the impact of a wide range of characteristics of large administrative regions (socio-economic, etc.) on individual probability of the prevalence, awareness, treatment, and control of hypertension among the Russian adult population. Methods We used data from the cross-sectional phase of the epidemiological study “Epidemiology of Cardiovascular Diseases in the Regions of the Russian Federation” (ESSE-RF) conducted in 2013-2014. A total of 19,791 individuals aged 25-64 years were examined. To calculate regional indices, 64 indicators were obtained from the official website of the Federal State Statistics Service of Russia. Results There were no associations between the territorial characteristics and the prevalence of hypertension in the general population. However, the Socio-Geographical Index has a direct impact on men (OR = 1.18; 95% CI: 1.05-1.32), people with low education (OR = 1.14; 95% CI: 1.02-1.27) and older people (OR = 1.16; 95% CI: 1.02-1.32). Hypertension awareness is directly associated with the Demographic (OR = 1.13; 95% CI: 1.02-1.25) and Industrial Territory Index (OR = 1.15; 95% CI: 1.01-1.33). The deterioration of the social situation (Socio-Geographic Index) related to poor adherence to treatment (OR = 0.76; 95% CI: 0.64-0.90) and poor control of hypertension (OR = 0.79; 95% CI: 0.69-0.90). The influence of territorial characteristics on the awareness, treatment, and control of hypertension is less pronounced than the individual characteristics of the population and differs when stratified by gender, age and educational level. Conclusions The analysis made it possible to assess the influence of the characteristics of the population living in large areas on the prevalence, awareness, treatment, and control of hypertension. These patterns reflect an empirical approach to the territorial characteristics. Key messages The first attempt to understand why there are such significant differences in the prevalence, awareness, treatment and control of hypertension in the Russian regions. New knowledge about the impact of living conditions on the health status.
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