Russian doctors' health. Clinico-epidemiological analysis
Abstract
Aim. To assess some aspects of Russian doctors' health.
Material and methods. The analysis included data on 2347 doctors from various Russian cities: 326 men, 2021 women; mean age 43,6±0,23 years; mean time of working in present speciality 18,2±0,3 years. The participants included 480 cardiologists (20,4%), 1241 therapeutists (52,9%), and 626 doctors of other specialties (26,7%).
Results. Awareness on cardiovascular disease (CVD) risk factors was relatively low: total cholesterol (TCH) level was unknown to 56,4% of men and 44,7% of women, glucose level was unknown to 38,4% and 28,8%, respectively. At the same time, high TCH level prevalence was 29,5% in men and 40,0% in women. High heart rate was reported by 15% of doctors; 16,6% of men and 20,5% of women had body mass index >30 kg/m2. Smoking prevalence was 36,7% in men and 10,6% in women. Russian male and female doctors suffered from arterial hypertension (AH) in 32,1% and 30,3%, respectively. Among male doctors with AH, only 61,7% took antihypertensives, with effective treatment in every fifth person; among hypertensive female doctors, these figures were 79,6% and 39,4%, respectively. Self-evaluated health was "very good" in 4,6% of men and 2,4% of women; "good" - in >40% and one-third, respectively; "fair" - in 50,1% and 61,6%; and "poor" - in 4% of males and 3,9% of females. Stress at workplace was experienced "almost all the time" in 32% of male doctors and 45,6% of female doctors, "sometimes" - by 60,8% and 51,3%, respectively. High stress level was reported by 27,3% of men and 42,3% of women.
Conclusion. Dear Colleagues, please take care of your health and treat yourself properly, because doctors' health determines their patients' health in the long run.
About the Authors
S. A. ShalnovaRussian Federation
R. G. Oganov
Russian Federation
A. D. Deev
Russian Federation
S. K. Kukushkin
Russian Federation
References
1. Doll R, Hill AB. The mortality of doctors in relation to their smoking habits: A preliminary report. 1954. BMJ 2004, 328: 1529-33.
2. Djousse L, Gaziano JM. Alcohol consumption and risk of heart failure in the Physicians’ Health Study I. Circulation 2007; 115: 34-9.
3. Frank E. The Women Physicians Health Study: Background, Objectives and Methods. J Am Med Womens Assoc 1995; 50(2): 64-6.
4. Sebo P, Gallacchi BM, Goehring C, et al. Use of tobacco and alcohol by Swiss primary care physicians: a cross-sectional survey. BMC Public Health 2007; 7(5): 1-18.
5. Smith DR, Leggat PF. An international review of tobacco smoking in the medical profession: 1974 -2004. BMC Public Health 2007; 7: 115: 1-12.
6. Toyry S, Rasanen K, Kujala S, et al. Self-reported Health, Illness, and Self-care among Finnish Physicians. A National Survey. Arch Fam Med 2000; 9: 1079-85.
7. Максимов И.Л. Врач многопрофильной больницы: состояние здоровья, этико-правовые аспекты деятельности. Авто- реф канд мед наук. Казань 2003.
8. Кайбышев В.Т. Стратегия и принципы управления психосоциальными факторами профессионального риска врачей. Автореф докn мед наук. Москва 2007.
9. Александров А.А., Шальнова С.А., Деев А.Д. и др. Врачу, исцелись сам: распространенность курения среди врачей г. Москвы. Вопр наркол 2001; 3: 67-71.
10. 11 SAS/STAT User’s Guide, Version 6, Fourth Edition, Vol.1 & 2, SAS Institute Inc., Cary, NC, USA, 1990.
11. Шальнова С.А. Факторы риска сердечно-сосудистых заболеваний и показатели ожидаемой продолжительности жизни населения России (по результатам обследования наци- ональной представительной выборки). Диссерт докт мед наук. Москва 1999.
12. Doll R, Peto R, Boreham J, Rutherland I. Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ 2004; 328: 1519-28.
13. Garfinkel L. Cigarette smoking among physicians and other health professionals, 1959–1972. CA Cancer J Clin 1976; 26: 373-5.
14. Sterling TD, Weinkam JJ. Smoking characteristics by type of employment. J Occup Med 1976; 18: 743-54.
15. Garfinkel L, Stellman SD. Cigarette smoking among physicians, dentists, and nurses. CA Cancer J Clin 1986; 36: 2-8.
16. Lee DJ, LeBlanc W, Fleming LE, et al. Trends in US smoking rates in occupational groups: The National Health Interview Survey 1987–1994. J Occup Environ Med 2004; 46: 538-48.
17. Frank E, Rothenberg R, Lewis C, et al. Correlates of Physicians’ PreventionRelated Practices Findings From the Women Physicians’ Health Study. Arch Fam Med 2000; 9: 359-67.
18. Arciti C, Pistone M, Persici P, et al. Ten years of anti-smoking programs in Italy: a review. Am J Health Promot 1995; 9(3): 190-200.
19. Шальнова С.А., Баланова Ю.А., Константинов В.В. и др. Артериальная гипертония. Распространенность, осведомленность, прием антигипертензивных препаратов и эффективность лечения среди населения Российской Федерации. РКЖ 2006; 4: 45-50.
20. McMurray JE, Linzer M, Konrad TR, et al. The work lives of women physicians: results from the Physician Work Life Study. J Gen Intern Med 2000; 15: 372-80.
21. Haas JS, Cook EF, Puopolo RL, et al. Is the professional satis- faction of general internists associated with patient satisfaction? J Gen Intern Med 2000; 15: 122-8.
22. Katz A. Better outcome means more job satisfaction: pilot project in Winnipeg and Halifax to enhance physician-patient communication. Can Fam Physician 1999; 45: 218-20.
23. Leigh JP, Kravitz RL, Schembri M, et al. Physician Career Satisfaction Across Specialties. Arch Intern Med 2002; 162: 1577-84.
Review
For citations:
Shalnova S.A., Oganov R.G., Deev A.D., Kukushkin S.K. Russian doctors' health. Clinico-epidemiological analysis. Cardiovascular Therapy and Prevention. 2008;7(6):28-32. (In Russ.)