Prediction of low adherence to the secondary prevention of hypertension in coal miners
https://doi.org/10.18705/1607-419X-2015-21-3-252-258
Abstract
Objective. To develop a technique for prediction of low adherence to the secondary prevention (ASP) of hypertension (HTN), based on the assessment of medical and social factors in coal miners.
Design and methods. The medical and social cardiovascular risk factors, anxiety levels, as well as ASP, treatment and quality of life were studied in coal miners within the complex repeated medical xamination. The individual risk of low ASP was defined using the pattern of recognition of the maximum likelihood.
Results. Nine significant factors were found to be associated with the high risk of low ASP. Based on the obtained data, the prediction technique of low ASP was developed.
Conclusions. High prevalence of cardiovascular diseases and HTN among coal miners requires proper application of primary and secondary prevention measures with a major role given to the measures aimed at improving ASP. The factors affecting ASP level in coal miners included gender, age, bad habits, levels of reactive and personal anxiety, quality of life. The method of maximum likelihood with the prediction scale allows both conducting a comprehensive assessment of the individual risk of low ASP and efficiency of the treatment and prevention programs.
About the Authors
E. V. Indukaeva
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia 6 Sosnovy boulevard, 650002 Tel.: +7(384)264–34–71
Russian Federation
Russian Federation
MD, PhD, Researcher, Laboratory of the Epidemiology of Cardiovascular Diseases, Research Institute for Complex Issues of Cardiovascular Diseases
S. A. Makarov
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia 6 Sosnovy boulevard, 650002 Tel.: +7(384)264–34–71
Russian Federation
Russian Federation
MD, PhD, DSc, Head, Laboratory of the Modeling of Administrative Technologies, Research Institute for Complex Issues of Cardiovascular Diseases
V. Yu. Ogarkov
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia 6 Sosnovy boulevard, 650002 Tel.: +7(384)264–34–71
Russian Federation
Russian Federation
MD, PhD, DSc, Head, Laboratory of the Epidemiology of Cardiovascular Diseases, Research Institute for Complex Issues of Cardiovascular Diseases
References
1. Шальнова С. А., Деев А. Д., Вихирева О. В., Гаврилова Н. Е., Оганов Р. Г.. Распространенность артериальной гипертонии в России. Информированность, лечение, контроль. Профилактическая медицина. 2001;2: 3–7. [Shal’nova SA, Deev AD, Vihirewa OV, Gavrilova N E, Oganov RG. Prevalence of arterial hypertension in Russia. Awareness, treatment, control. Preventive medicine. 2001;2: 3–7. In Russian].
2. Шальнова С. А. Факторы риска сердечно-сосудистых заболеваний и показатели ожидаемой продолжительности жизни населения России (по результатам обследования национальной представительной выборки): автореф. дис. … д‑ра мед. наук: 14.00.06. М.; 1999. 46 с. [Shal’nova SA. Cardiovascular risk factors and indicators of life expectancy in Russian population (according to the results of a survey of a national representative sample): doctoral thesis: 14.00.06. Moscow; 1999. 46 p. In Russian].
3. Оганов Р. Г., Гиляревский С. Р., Агеев Ф. Т., Глезер М. Г. Как улучшить приверженность к лечению пациента с артериальной гипертензией. Здоровье Украины. 2008;9:47–49. [Oganov RG, Gilуarewski SR, Ageev FT., Glezer MG. How to improve adherence to treatment of the patient with hypertension. Zdorovye Ukrainy = Health Of Ukraine. 2008;9:47–49. In Russian].
4. Ощепкова Е. В., Цагареишвили Е. В., Зелвеян П. А., Рогоза А. Н. Самоконтроль артериального давления в домашних условиях — метод повышения приверженности к лечению больных артериальной гипертонией. Терапевтический архив. 2004;76 (4):90–94. [Oshchepkova EV, Tsagareishvili EV, Salween PA, Rogoza AN. Home blood pressure monitoring as a method of increasing the adherence to treatment in patients with ypertension. Terapevticheskii Arkhiv. 2004;76(4):90–94. In Russian].
5. Palumbo G. Education of the hypertensive patients: are educational booklets useful? Epidemiol. Prev. 2001;25(3): 118–123.
6. Levy D, Larson MG, Benjamin EJ, Newton-Cheh C, Wang TJ, Hwang SJ et al. Framingham Heart Study 100K Project: genome-wide associations for blood pressure and arterial tiffness. BMC Med. Genet. 2007;8:3.
7. Grimm RH Jr, Grandits GA, Cutler JA, Stewart AL, McDonald RH, Svendsen K. et al. Relationships of quality of life measures to long-term lifestyle and drug treatment in the treatment of mild hypertension study. Arch Intern Med. 1997;157 (6):638–648.
8. Brug J, Steenhuis I, Assema P, Vries H. The impact of a computer-tailored nutrition intervention. Prev Med. 1996;25:236–242.
9. Vander S. Measurement of patient compliance and the interpretation of randomized trials. Eur J Clinic Farmacol. 2001;41:27–35.
10. Давыдов С. В. Методика определения приверженности к лечению. Артериальная гипертония — медико-демографическая ситуация: приверженность к лечению и качество жизни: дис. … канд. мед. наук.: — Казань; 2004.324 с. [Davydov SV. Method of determining adherence to treatment. Hypertension — medical-demographic situation: adherence to treatment and quality of life: PhD thesis: Kazan; 2004. 324 p. In Russian].
11. Шиган Е. Н. Методы прогнозирования и моделирования в социально-гигиенических исследованиях. М.: Медицина; 1986. 208 с. [Shigan EN. Methods of forecasting and modeling in social health research. Moscow: Medicine; 1986. 208 p. In Russian].
Review
For citations:
Indukaeva E.V., Makarov S.A., Ogarkov V.Yu. Prediction of low adherence to the secondary prevention of hypertension in coal miners. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2015;21(3):252-258. (In Russ.) https://doi.org/10.18705/1607-419X-2015-21-3-252-258
Views:
1125
Email this article 