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Cardiovascular Therapy and Prevention

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SOCIAL AND ECONOMIC GRADIENTS OF BEHAVIORAL RISK FACTORS IN RUSSIAN POPULATION (BY THE ESSE-RF STUDY)

A. V. Kontsevaya, S. A. Shalnova, Yu. A. Balanova, A. D. Deev, G. V. Artamonova, T. M. Gatagonova, Yu. I. Grinshtein, D. V. Duplyakov, A. Yu. Efanov, Yu. V. Zhernakova, V. A. Ilyin, A. O. Konradi, R. A. Libis, A. V. Minakov, V. A. Nevzorova, S. V. Nedogoda, R. G. Oganov, S. A. Romanchuk, O. P. Rotar, I. A. Trubacheva, E. V. Shlyakhto, S. A. Boytsov, E. I. Chazov, G. A. Muromtseva, T. V. Balakhonova, N. V. Gomyranova, A. B. Dobrovolsky, A. N. Dotsenko, S. E. Evstifeeva, R. A. Eganyan, A. V. Kapustina, V. V. Konstantinov, O. A. Litinskaya, M. N. Mamedov, V. P. Masenko, V. A. Metelskaya, A. N. Meshkov, E. P. Panchenko, A. Yu. Postnov, R. A. Potemkina, A. V. Pustelenin, A. N. Rogoza, G. V. Ryabykina, I. A. Skripnikova, E. I. Suvorova, V. N. Titov, O. N. Tkacheva, M. B. Khudyakov, E. I. Baranova, A. A. Kostareva, S. K. Gutnova, Z. A. Toguzova, G. V. Tolparov, Z. T. Astakhova, N. V. Kulakova, N. V. Shestakova, M. V. Mokshina, L. V. Rodionova, E. V. Chumachek, A. A. Ledyaeva, R. A. Kasimov, A. A. Shabunova, G. V. Leonidova, K. N. Kalashnikov, O. N. Kalachikova, A. I. Rossoshansky, N. A. Kondakova, A. V. Popov, K. A. Ustinova, G. I. Furmenko, N. I. Babenko, O. G. Azarin, L. V. Bondartsov, A. E. Khvostikova, O. A. Nazarova, O. A. Belova, E. A. Shutemova, L. V. Korulina, L. K. Danilova, A. A. Evsyukov, N. V. Topolskaya, V. V. Shabalin, A. I. Aristov, R. R. Ruf, A. A. Kosinova, E. N. Shmatova, D. S. Kaskaeva, E. N. Isaeva, I. R. Basyrova, V. Yu. Kondratenko, E. A. Lopina, D. V. Safonova, S. A. Gudkova, N. A. Cherepanova, R. S. Karpov, V. S. Kaveshnikov, V. N. Serebryakova, I. V. Medvedeva, V. P. Shava, M. A. Storozhok, S. V. Shalaev, O. L. Barbarash, A. E. Skripchenko, E. V. Indukaeva, T. A. Mulerova, S. A. Maksimov, N. V. Cherkass, M. V. Tabakaev, Ya. V. Danilchenko

https://doi.org/10.15829/1728-8800-2015-4-59-67

Abstract

Aim. To study social and economic gradients — educational and occupational statuses, wealth level, behavioral risk factors (FR) in Russian population by the ESSE-RF data.

Material and methods. The data for the analysis consisted of representative selections of 13 regions of RF (n=22906) participants of the study, incl. men (n=8353) and women (n=13553) of 25-64 y.o., with response 80%. We calculated the odds ratios for the presence of behavioral FR: smoking, excessive alcohol consumption, insufficient physical activity (IPA), nonrational food consumption, anxiety and depressive disorders, — in persons from different social and economic groups by education level, type of inhabitation, professional status, wealth level.

Results. Higher education was associated with better FR profile, except IPA (negative association) and alcohol consumption (absence of association). "White in general had less FR probability than Blue, excl. IPA and psychoemotional deviations (in men). As for the wealth association with the FR there is backward gradient, i.e. lesser the income, higher the risk of FR presence, excl. IPA and excessive alcohol intake in women. For example, in very wealthy men the odds ratio for depressive states was 3,09 [95% CI 2,08-4,57] comparing to the persons with low income. The type of territory of inhabitance was associated with less behavioral FR in Russian population, as significant associations are found only for depression and excessive salt consumption in both genders and IPA in men. Conclusion. The significant social and economic gradients of behavioral FR prevalence are found, the direction of those is not necessary the same as in European countries. The analysis of association with social and economic parameters would help to develop the directed preventive interventions.

 

About the Authors

A. V. Kontsevaya
FSBI "State Scientific-Prevention Center of the Prevention Medicine" of the Healthcare Ministry. Moscow, Russia
Россия


S. A. Shalnova
FSBI "State Scientific-Prevention Center of the Prevention Medicine" of the Healthcare Ministry. Moscow, Russia
Россия


Yu. A. Balanova
FSBI "State Scientific-Prevention Center of the Prevention Medicine" of the Healthcare Ministry. Moscow, Russia
Россия


A. D. Deev
FSBI "State Scientific-Prevention Center of the Prevention Medicine" of the Healthcare Ministry. Moscow, Russia
Россия


G. V. Artamonova
FSBI Scientific-Research Institute of Complex Problems of Cardiovascular Diseases SD RAMS. Kemerovo, Russia
Россия


T. M. Gatagonova
SEI HPE "North-Osetin State Medical Academy". Vladicaucaz, Northern Osetia-Alania, Russia
Россия


Yu. I. Grinshtein
SBEI HPE "Krasnoyarsk State Medical University n.a. Voyno-Yasenetsky" of the Healthcare Ministry. Krasnoyarsk, Russia
Россия


D. V. Duplyakov
SBHI "Samara Region Clinical Cardiological Dispensary". Samara, Russia
Россия


A. Yu. Efanov
SBEI HPE "Tyumen State Medical Academy" of the Healthcare Ministry. Tyumen, Russia
Россия


Yu. V. Zhernakova
FSBI "Russian Cardiovascular Scientific-Production Complex" of the Healthcare Ministry. Moscow, Russia
Россия


V. A. Ilyin
FSSI "Institute of Social and Economic Territories Development" RAS. Vologda, Russia
Россия


A. O. Konradi
FSBI "Almazov North-Western Federal Medical Research Center" of the Healthcare Ministry. Saint-Petersburg, Russia
Россия


R. A. Libis
SBEI HPE "Orenburg State Medical Academy" of the Healthcare Ministry. Orenburg, Russia
Россия


A. V. Minakov
SBEI HPE "Voronezh State Medical Academy" of the Healthcare Ministry. Voronezh, Russia
Россия


V. A. Nevzorova
SBEI HPE "Pacific-Ocean State Medical University" of the Healthcare Ministry. Vladivostok, Russia
Россия


S. V. Nedogoda
SBEI HPE "Volgograd State Medical University" of the Healthcare Ministry. Volgograd, Russia
Россия


R. G. Oganov
FSBI "State Scientific-Prevention Center of the Prevention Medicine" of the Healthcare Ministry. Moscow, Russia
Россия


S. A. Romanchuk
DBHI "Cardiovascular Dispensary". Ivanovo, Russia
Россия


O. P. Rotar
FSBI "Almazov North-Western Federal Medical Research Center" of the Healthcare Ministry. Saint-Petersburg, Russia
Россия


I. A. Trubacheva
FSBSI "Scientific-Research Institute of Cardiology". Tomsk, Russia
Россия


E. V. Shlyakhto
FSBI "Almazov North-Western Federal Medical Research Center" of the Healthcare Ministry. Saint-Petersburg, Russia
Россия


S. A. Boytsov
FSBI "State Scientific-Prevention Center of the Prevention Medicine" of the Healthcare Ministry. Moscow, Russia
Россия


E. I. Chazov
FSSI “Institute of Social and Economic Territories Development” RAS
Россия


G. A. Muromtseva
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


T. V. Balakhonova
FSSI “Institute of Social and Economic Territories Development” RAS
Россия


N. V. Gomyranova
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


A. B. Dobrovolsky
FSSI “Institute of Social and Economic Territories Development” RAS
Россия


A. N. Dotsenko
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


S. E. Evstifeeva
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


R. A. Eganyan
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


A. V. Kapustina
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


V. V. Konstantinov
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


O. A. Litinskaya
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


M. N. Mamedov
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


V. P. Masenko
SBEI HPE “Voronezh State Medical Academy” of the Healthcare Ministry
Россия


V. A. Metelskaya
SBEI HPE “Voronezh State Medical Academy” of the Healthcare Ministry
Россия


A. N. Meshkov
SBEI HPE “Voronezh State Medical Academy” of the Healthcare Ministry
Россия


E. P. Panchenko
SBEI HPE “Voronezh State Medical Academy” of the Healthcare Ministry
Россия


A. Yu. Postnov
FSSI “Institute of Social and Economic Territories Development” RAS
Россия


R. A. Potemkina
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


A. V. Pustelenin
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


A. N. Rogoza
FSSI “Institute of Social and Economic Territories Development” RAS
Россия


G. V. Ryabykina
FSSI “Institute of Social and Economic Territories Development” RAS
Россия


I. A. Skripnikova
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


E. I. Suvorova
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


V. N. Titov
FSSI “Institute of Social and Economic Territories Development” RAS
Россия


O. N. Tkacheva
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


M. B. Khudyakov
FSBI “State Scientific-Prevention Center of the Prevention Medicine” of the Healthcare Ministry
Россия


E. I. Baranova
Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Россия

кафедра факультетской терапии,

Санкт-Петербург


A. A. Kostareva
SBEI HPE “Voronezh State Medical Academy” of the Healthcare Ministry
Россия


S. K. Gutnova
SEI HPE “North-Osetin State Medical Academy”
Россия


Z. A. Toguzova
SEI HPE “North-Osetin State Medical Academy”
Россия


G. V. Tolparov
SEI HPE “North-Osetin State Medical Academy”
Россия


Z. T. Astakhova
SEI HPE “North-Osetin State Medical Academy”
Россия


N. V. Kulakova
Pacific State Medical University
Россия
2, Ostryakova Prospekt, Vladivostok, 690002


N. V. Shestakova
Pacific State Medical University
Россия
2, Ostryakova Prospekt, Vladivostok, 690002


M. V. Mokshina
Pacific State Medical University
Россия
2, Ostryakova Prospekt, Vladivostok, 690002


L. V. Rodionova
Pacific State Medical University
Россия
2, Ostryakova Prospekt, Vladivostok, 690002


E. V. Chumachek
FSBSI “Scientific-Research Institute of Cardiology”
Россия


A. A. Ledyaeva
FSBSI “Scientific-Research Institute of Cardiology”
Россия


R. A. Kasimov
Ярославский государственный педагогический университет им. К.Д. Ушинского
Россия


A. A. Shabunova
Institute of Socio-Economic Development of Territories of Russian Academy of Sciences
Россия
56A, Gorky street, Vologda, 160014, Vologda


G. V. Leonidova
Institute of Socio-Economic Development of Territories of Russian Academy of Sciences
Россия
56A, Gorky street, Vologda, 160014, Vologda


K. N. Kalashnikov
Institute of Socio-Economic Development of Territories of Russian Academy of Sciences
Россия
56A, Gorky street, Vologda, 160014, Vologda


O. N. Kalachikova
Institute of Socio-Economic Development of Territories of Russian Academy of Sciences
Россия
56A, Gorky street, Vologda, 160014, Vologda


A. I. Rossoshansky
Institute of Socio-Economic Development of Territories of Russian Academy of Sciences
Россия
56A, Gorky street, Vologda, 160014, Vologda


N. A. Kondakova
Institute of Socio-Economic Development of Territories of Russian Academy of Sciences
Россия
56A, Gorky street, Vologda, 160014, Vologda


A. V. Popov
Institute of Socio-Economic Development of Territories of Russian Academy of Sciences
Россия
56A, Gorky street, Vologda, 160014, Vologda


K. A. Ustinova
Institute of Socio-Economic Development of Territories of Russian Academy of Sciences
Россия
56A, Gorky street, Vologda, 160014, Vologda


G. I. Furmenko
Voronezh State Medical University
Россия
Studencheskaya St., 10, Voronezh, 394036, Voronezh


N. I. Babenko
Voronezh State Medical University
Россия
Studencheskaya St., 10, Voronezh, 394036, Voronezh


O. G. Azarin
Воронежский государственный медицинский университет им. Н.Н. Бурденко
Россия


L. V. Bondartsov
Voronezh State Medical University
Россия
Studencheskaya St., 10, Voronezh, 394036, Voronezh


A. E. Khvostikova

Россия


O. A. Nazarova
Ивановская государственная медицинская академия
Россия


O. A. Belova
Ивановская государственная медицинская академия
Россия


E. A. Shutemova
Ивановская государственная медицинская академия
Россия


L. V. Korulina
Ивановская государственная медицинская академия
Россия


L. K. Danilova
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Россия
1, P. Zeleznyaka street, Krasnoyarsk, 660022, Krasnoyarsk


A. A. Evsyukov
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Россия
1, P. Zeleznyaka street, Krasnoyarsk, 660022, Krasnoyarsk


N. V. Topolskaya
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Россия
1, P. Zeleznyaka street, Krasnoyarsk, 660022, Krasnoyarsk


V. V. Shabalin
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Россия
1, P. Zeleznyaka street, Krasnoyarsk, 660022, Krasnoyarsk


A. I. Aristov
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Россия
1, P. Zeleznyaka street, Krasnoyarsk, 660022, Krasnoyarsk


R. R. Ruf
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Россия
1, P. Zeleznyaka street, Krasnoyarsk, 660022, Krasnoyarsk


A. A. Kosinova
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Россия
1, P. Zeleznyaka street, Krasnoyarsk, 660022, Krasnoyarsk


E. N. Shmatova
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Россия
1, P. Zeleznyaka street, Krasnoyarsk, 660022, Krasnoyarsk


D. S. Kaskaeva
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Россия
1, P. Zeleznyaka street, Krasnoyarsk, 660022, Krasnoyarsk


E. N. Isaeva
SBEI HPE “Pacific-Ocean State Medical University” of the Healthcare Ministry
Россия


I. R. Basyrova
SBEI HPE “Pacific-Ocean State Medical University” of the Healthcare Ministry
Россия


V. Yu. Kondratenko
ГБОУ ВПО “Оренбургская государственная медицинская академия” Минздрава России
Россия


E. A. Lopina
SBEI HPE “Pacific-Ocean State Medical University” of the Healthcare Ministry
Россия


D. V. Safonova
Оренбургский государственный медицинский университет
Россия


S. A. Gudkova
Российский научный центр хирургии им. акад. Б.В. Петровского
Россия


N. A. Cherepanova
Томский национальный исследовательский медицинский центр Российской академии наук, Научно-исследовательский институт кардиологии
Россия


R. S. Karpov
Томский национальный исследовательский медицинский центр Российской академии наук, Научно-исследовательский институт кардиологии
Россия


V. S. Kaveshnikov
Томский национальный исследовательский медицинский центр Российской академии наук
Россия


V. N. Serebryakova
Томский национальный исследовательский медицинский центр Российской академии наук
Россия


I. V. Medvedeva
FSBI “Russian Cardiovascular Scientific-Production Complex” of the Healthcare Ministry
Россия


V. P. Shava
Тюменский отдел Южно-Уральского НЦ РАМН
Россия


M. A. Storozhok
FSBI “Russian Cardiovascular Scientific-Production Complex” of the Healthcare Ministry
Россия


S. V. Shalaev
FSBI “Russian Cardiovascular Scientific-Production Complex” of the Healthcare Ministry
Россия


O. L. Barbarash
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases
Россия
6, Sosnoviy boul. Kemerovo, 650002, Kemerovo


A. E. Skripchenko
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases
Россия
6, Sosnoviy boul. Kemerovo, 650002, Kemerovo


E. V. Indukaeva
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases
Россия
6, Sosnoviy boul. Kemerovo, 650002, Kemerovo


T. A. Mulerova
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases
Россия
6, Sosnoviy boul. Kemerovo, 650002, Kemerovo


S. A. Maksimov
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases
Россия
6, Sosnoviy boul. Kemerovo, 650002, Kemerovo


N. V. Cherkass
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases
Россия
6, Sosnoviy boul. Kemerovo, 650002, Kemerovo


M. V. Tabakaev
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases
Россия
6, Sosnoviy boul. Kemerovo, 650002, Kemerovo


Ya. V. Danilchenko
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases
Россия
6, Sosnoviy boul. Kemerovo, 650002, Kemerovo


Review

For citations:

Kontsevaya A.V., Shalnova S.A., Balanova Yu.A., Deev A.D., Artamonova G.V., Gatagonova T.M., Grinshtein Yu.I., Duplyakov D.V., Efanov A.Yu., Zhernakova Yu.V., Ilyin V.A., Konradi A.O., Libis R.A., Minakov A.V., Nevzorova V.A., Nedogoda S.V., Oganov R.G., Romanchuk S.A., Rotar O.P., Trubacheva I.A., Shlyakhto E.V., Boytsov S.A., Chazov E.I., Muromtseva G.A., Balakhonova T.V., Gomyranova N.V., Dobrovolsky A.B., Dotsenko A.N., Evstifeeva S.E., Eganyan R.A., Kapustina A.V., Konstantinov V.V., Litinskaya O.A., Mamedov M.N., Masenko V.P., Metelskaya V.A., Meshkov A.N., Panchenko E.P., Postnov A.Yu., Potemkina R.A., Pustelenin A.V., Rogoza A.N., Ryabykina G.V., Skripnikova I.A., Suvorova E.I., Titov V.N., Tkacheva O.N., Khudyakov M.B., Baranova E.I., Kostareva A.A., Gutnova S.K., Toguzova Z.A., Tolparov G.V., Astakhova Z.T., Kulakova N.V., Shestakova N.V., Mokshina M.V., Rodionova L.V., Chumachek E.V., Ledyaeva A.A., Kasimov R.A., Shabunova A.A., Leonidova G.V., Kalashnikov K.N., Kalachikova O.N., Rossoshansky A.I., Kondakova N.A., Popov A.V., Ustinova K.A., Furmenko G.I., Babenko N.I., Azarin O.G., Bondartsov L.V., Khvostikova A.E., Nazarova O.A., Belova O.A., Shutemova E.A., Korulina L.V., Danilova L.K., Evsyukov A.A., Topolskaya N.V., Shabalin V.V., Aristov A.I., Ruf R.R., Kosinova A.A., Shmatova E.N., Kaskaeva D.S., Isaeva E.N., Basyrova I.R., Kondratenko V.Yu., Lopina E.A., Safonova D.V., Gudkova S.A., Cherepanova N.A., Karpov R.S., Kaveshnikov V.S., Serebryakova V.N., Medvedeva I.V., Shava V.P., Storozhok M.A., Shalaev S.V., Barbarash O.L., Skripchenko A.E., Indukaeva E.V., Mulerova T.A., Maksimov S.A., Cherkass N.V., Tabakaev M.V., Danilchenko Ya.V. SOCIAL AND ECONOMIC GRADIENTS OF BEHAVIORAL RISK FACTORS IN RUSSIAN POPULATION (BY THE ESSE-RF STUDY). Cardiovascular Therapy and Prevention. 2015;14(4):59-67. (In Russ.) https://doi.org/10.15829/1728-8800-2015-4-59-67

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