arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2009-15-6-660-664arthyper-1449Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLES20-летний риск возникновения артериальной гипертензии и социальная поддержка (эпидемиологическое исследование на основе программы ВОЗ MONICA-психосоциальная)20-year risk of hypertension occurrence and social support (epidemiological study based on the program WHO MONICA-psychosocial)ГафаровВ. В.GafarovV. V.gafarov@ngs.ruГромоваЕ. А.GromovaЕ. А.noemail@neicon.ruГагулинИ. В.GagulinI. V.noemail@neicon.ruГафароваА. В.GafarovA. V.noemail@neicon.ruКабановЮ. Н.KabanovYu. N.noemail@neicon.ruМежведомственная лаборатория эпидемиологии сердечно-сосудистых заболеваний Сибирского отделения Российской академии медицинских наук Научно-исследовательский институт терапии Сибирского отделения Российской академии медицинских наукРоссияCollaborative laboratory of Cardiovascular Diseases Epidemiology of Siberian branch of Russian Academy of Medical Science Institute of internal medicine SB RAMSRussian FederationМежведомственная лаборатория эпидемиологии сердечно-сосудистых заболеваний Сибирского отделения Российской академии медицинских наукРоссияCollaborative laboratory of Cardiovascular Diseases Epidemiology of Siberian branch of Russian Academy of Medical ScienceRussian Federation200928122009156660664Copyright © Гафаров В.В., Громова Е.А., Гагулин И.В., Гафарова А.В., Кабанов Ю.Н., 20092009Гафаров В.В., Громова Е.А., Гагулин И.В., Гафарова А.В., Кабанов Ю.Н.Gafarov V.V., Gromova Е.А., Gagulin I.V., Gafarov A.V., Kabanov Y.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/1449

Цель исследования - определить влияние социальной поддержки на относительный риск развития артериальной гипертензии (АГ) в открытой популяции мужчин 25-64 лет в течение 20 лет. Материалы и методы. В рамках программы ВОЗ «MONICA-psychosocial» в 1988 и 1994 гг. была обследована случайная репрезентативная выборка мужчин в возрасте 25-64 лет - жителей одного из района г. Новосибирска. В течение 20-летнего периода в когорте исследовали все впервые возникшие случаи АГ. Для оценки относительного риска развития АГ использовали регрессионную модель Кокса. Результаты. В течение 5-летнего периода наблюдалось увеличение риска АГ в 2 раза (95 % ДИ (1,002-6,14), p < 0,05) у мужчин с низким «индексом близких контактов» ICC по сравнению с теми, у кого ICC был средний и выше. Риск развития АГ был выше у мужчин с низким и средним-1 «индексом социальных связей» SNI в 3 раза (95 % ДИ (1,027-7,441), p < 0,05) по сравнению с мужчинами, у которых SNI был средний-2 или высокий. Выводы. Полученные результаты показывают, что в популяции мужчин 25-64 лет риск АГ связан с низким уровнем социальной поддержки.

Objective. To define the influence of social support on relative risk of hypertension development in general male population (men of 25-64 years old) during 20 years. Design and methods. Within the program WHO "MONICA-psychosocial" in 1988 and 1994, casual representative sample of males aged 25-64 years, inhabitants of one area of Novosibirsk was examined. During 20-years period the cohort was followed for the new cases of hypertension onset. Regression Cox model was applied for the estimation of relative risk of hypertension development. Results. Men with low ICC showed a two-fold increase of hypertension risk (p < 0,05) as compared to those with higher ICC during 5-year period. Males with low and average-1 SNI demonstrated 3-fold higher risk of hypertension development (p < 0,05) as compared to men with SNI higher than average-2. Conclusion. In men of 25-64 years old risk of hypertension is associated with low level of social support.

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The authors declare that there are no conflicts of interest present.