EFFECT OF SOCIAL SUPPORT ON THE RISK OF HYPERTENSION IN THE OPEN POPULATION OF 25–64 YEARS OLD WOMEN IN RUSSIA/SIBERIA (POPULATION-BASED STUDY — WHO PROGRAM «MONICA-PSYCHOSOCIAL»)
https://doi.org/10.18705/1607-419X-2014-20-4-288-295
Abstract
Objective. To determine the prevalence and impact of social support on the relative risk (RR) of systemic hypertension in the open population of 25–64 years old women for 16 years.
Design and methods. In 1994, within the framework of the third screening of the WHO «MONICA-psychosocial» program random representative sample of women aged 25–64 (n = 870), who were residents of one district in Novosibirsk, were surveyed. Social support was studied by the method of Berkman-Sim test. During the 16-year period (1994–2010) all cases of new-onset hypertension were investigated.
Results. The prevalence of low levels of the index of close contacts (ICC) and the social network index (SNI) was 57,1 and 77,7 %, respectively. The risk of developing hypertension in those with low ICC was 2,01; 1,93 and 1,42 times higher for 5, 10 and 16 years from the date of screening, respectively (p < 0,05). In women with low SNI risk of hypertension for 5 years was not signifi cant. After 10 years, the risk of hypertension was 1,88 (p < 0,05), after 16 years it was 1,58 times higher compared to the subgroup with higher social support (p < 0,01).
Conclusion. The results show a high prevalence of low ICC and SNI, which signifi cantly increase the risk of developing hypertension in the population of women aged 25–64.
About the Authors
V. V. Gafarov
Collaborative Laboratory of Cardiovascular Diseases Epidemiology of the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk;
Laboratory of Psychological and Sociological Issues of Internal Medicine, Institute of Internal Medicine the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk
Russian Federation
Russian Federation
Corresponding author: Collaborative Laboratory of Cardiovascular Diseases Epidemiology of the Siberian Branch of Russian Academy of Medical Sciences, 175/1 B. Bogatkov st., Novosibirsk, Russia, 630089. Tel./fax: +7(383)264–25–16. E-mail: valery.gafarov@gmail.com (Valeriy V. Gafarov, MD, PhD, Professor, the Head of Collaborative Laboratory of Cardiovascular Diseases Epidemiology of the Siberian Branch of Russian Academy of Medical Sciences, the Head of the Laboratory of Psychological and Sociological Issues of Internal Medicine at the Institute of Internal Medicine the Siberian Branch of Russian Academy of Medical Sciences)
D. O. Panov
Collaborative Laboratory of Cardiovascular Diseases Epidemiology of the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk;
Laboratory of Psychological and Sociological Issues of Internal Medicine, Institute of Internal Medicine the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk
Russian Federation
Russian Federation
E. A. Gromova
Collaborative Laboratory of Cardiovascular Diseases Epidemiology of the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk;
Laboratory of Psychological and Sociological Issues of Internal Medicine, Institute of Internal Medicine the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk
Russian Federation
Russian Federation
I. V. Gagulin
Collaborative Laboratory of Cardiovascular Diseases Epidemiology of the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk;
Laboratory of Psychological and Sociological Issues of Internal Medicine, Institute of Internal Medicine the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk
Russian Federation
Russian Federation
A. V. Gafarova
Collaborative Laboratory of Cardiovascular Diseases Epidemiology of the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk;
Laboratory of Psychological and Sociological Issues of Internal Medicine, Institute of Internal Medicine the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk
Russian Federation
Russian Federation
References
1. Kandler U., Meisinger C., Baumert J., Lowel H.; KORA Study Group. Living alone is a risk factor for mortality in men but not women from the general population: a prospective cohort study // BMC Public Health. — 2007. — № 7. — P. 335.
2. Piwonski J., Piwonska A., Zdrojewski T. Do psychosocial risk factors infl uence the prevalence of hypertension and other classical cardiovascular risk factors in Polish general population? // Eur. Journ. Cardiovasc. Prev. Rehabil. — 2011. — Vol. 18 (Abstr. Suppl. 1). — S. 44.
3. Rutledge T., Reis S.E., Olson M. et al. Social networks are associated with lower mortality rates among women with suspected coronary disease: the National Heart, Lung, and Blood Institute-sponsored Women’s Ischemia Syndrome Evaluation Study // Psychosom. Med. — 2004. — Vol. 66, № 6. — P. 882–888.
4. MONICA Psychosocial Optional Study. Suggested measurement instruments. — WHO Facsimile Urgent 3037 MRC, 1988. — 33 р.
5. Гафаров В.В., Громова Е.А., Панов Д.О., Гагулин И.В. Распространенность психосоциальных факторов в женской популяции 25–64 лет и их связь с артериальной гипертензией // Сиб. мед. журн. Томск. — 2011. — Т. 26, № 3. — С. 143–148. / Gafarov V.V., Panov D.O., Gromov E.A. et al. Prevalence of psychosocial factors in 25–64-year-old women and its relationship with hypertension // Siberian Medical Journal of Tomsk [Sibirskii Meditsinskii Zhurnal: Tomsk]. — 2011. — Vol. 26, № 4. — P. 156–161 [Russian].
6. WHO MONICA Project prepared by Kuulasmaa K. et al. Baseline population survey data book. MONICA Memo 178 A. — Helsinki, 1990.
7. WHO Proposal for the Multinational Monitoring of Trends in cardiovascular disease. — Geneva, 1985.
8. World Health Organization. MONICA Psychosocial Optional Study. Suggested Measurement Instruments. — Copenhagen: WHO Regional Offi ce for Europe, 1988.
9. Tunstall-Pedoe H. The World Health organization MONICA project (monitoring trends and determinants in cardiovascular disease): A major international collaboration // J. Clin. Epidemiol. — 1988. — Vol. 41. — P. 105–114.
10. Knesebeck O., Geyer S. Emotional support, education and self-rated health in 22 European countries // BMC Public Health. 2007. — Vol. 7. — P. 272.
11. Finch B.K., Vega W.A. Acculturation stress, social support, and self-rated health among Latinos in California // J. Immigr. Health. — 2003. — Vol. 5, № 3. — P. 109–117.
12. Rowlands G., Mehay A., Hampshire S. et al. Characteristics of people with low health literacy on coronary heart disease GP registers in South London: a cross-sectional study // Br. Med. J. Open. — 2013. — Vol. 3, № 1. — e001503.
13. Redondo-Sendino A., Guallar-Castillon P. Relationship between social network and hypertension in older people in Spain // Rev. Esp. Cardiol. — 2005. — Vol. 58, № 11. — Р. 1294–1301.
14. Blom M., Janszky I., Balog P. Social relations in women with coronary heart disease: the effects of work and marital stress // J. Cardiovasc. Risk. — 2003. — Vol. 10, № 3. — Р. 201–206.
15. Piwonski J., Piwonska A., Drygas W. Do negative psychosocial risk factors influence the person's behaviour to more unhealthy? The results of National multicenter health survey (WOBASZ) // Eur. Heart J. — 2009. — Vol. 30 (Abstr. Suppl.) — P. 521.
16. Allen J., Markovitz J., Jacobs Jr. Social support and health behavior in hostile black and white men and women in CARDIA: Coronary Artery Risk Development in Young Adults // Psychosom. Med. — 2001. — Vol. 63, № 4. — P. 609–618.
17. Rodriguez C., Burg M., Meng J. et al. Effect of social support on nocturnal blood pressure dipping // Psychosom. Med. — 2008. — Vol. 70, № 1. — P. 7–12.
18. Israel B., Farquhar S., Schulz A. et al. The Relation-ship between Social Support, Stress, and Health among Women on Detroit’s East Side // Health Educ. Behav. — 2002. — Vol. 29, № 3. — P. 342–360.
19. Petersen H., Boysen G., Prescott E. Major life events and the risk of cardiovascular disease: fi ndings from Copenhagen city heart study. — EuroPRevent, 2008 (Abstract Details). — P. 145.
20. Peterson H., Prescott E. Social network and the risk of stroke: fi ndings from the Copenhagen City Heart Study. — Euro-PRevent, 2009 (Abstract book). — P. 34.
21. Гафаров В.В., Панов Д.О., Громова Е.А. и др. Связь личностной тревожности с другими психосоциальными факторами в женской популяции 25–64 лет (эпидемиологическое исследование на основе программы ВОЗ «MONICA-psychosocial») // Сиб. мед. журн. Томск. — 2011. — Т. 26, № 4. — С. 156–161. / Gafarov V.V., Panov D.O., Gromov E.A. et al. Communication of personal anxiety with other psychosocial factors in the female population aged 25–64 years (epidemiological study on the basis of the WHO program «MONICA-psychosocial») // Siberian Medi-cal Journal of Tomsk [Sibirskii Meditsinskii Zhurnal: Tomsk]. — 2011. — Vol. 26, № 4. — P. 156–161 [Russian].
22. Gafarov V., Panov D., Gromova E., Gagulin I.V., Gafarova A.V. The infl uence of social support on risk of acute cardiovascular diseases in female population aged 25–64 in Russia // Int. J. Circumpolar Health 2013. — Vol. 72. — P. 1–4.
23. Maksimov S, Artamonova G. Modeling of arterial hypertension risk in occupational groups // Russ. Open Med. J. — 2013. — Vol. 2, № 1. — P. 1–5.
24. Radi S., Lang T., Lauwers-Cances V. et al. Job constraints and arterial hypertension: different effects in men and women: the IHPAF II case control study // Occup. Environ. Med. — 2005. — Vol. 62, № 10. — Р. 711–717.
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For citations:
Gafarov V.V., Panov D.O., Gromova E.A., Gagulin I.V., Gafarova A.V. EFFECT OF SOCIAL SUPPORT ON THE RISK OF HYPERTENSION IN THE OPEN POPULATION OF 25–64 YEARS OLD WOMEN IN RUSSIA/SIBERIA (POPULATION-BASED STUDY — WHO PROGRAM «MONICA-PSYCHOSOCIAL»). "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2014;20(4):288-295. (In Russ.) https://doi.org/10.18705/1607-419X-2014-20-4-288-295
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