Prevalence of psychological stress among the Russian population and its association with socio-demographic characteristics. Data from the ESSE-RF3 study
O. M. Drapkina,
L. I. Gomanova,
Yu. A. Balanova,
V. A. Kutsenko,
A. E. Imaeva,
A. V. Kontsevaya,
S. A. Maksimov,
G. A. Muromtseva,
M. B. Kotova,
N. S. Karamnova,
O. B. Shvabskaya,
S. E. Evstifeeva,
A. V. Kapustina,
O. A. Litinskaya,
M. S. Pokrovskaya,
S. O. Kuzyakina,
A. G. Soplenkova,
Yu. V. Doludin,
I. A. Efimova,
A. L. Borisova,
E. B. Yarovaya,
T. V. Repkina,
T. O. Gonoshilova,
A. V. Kudryavtsev,
N. I. Belova,
L. L. Shagrov,
V. A. Samotrueva,
A. L. Yasenyavskaya,
E. N. Chernysheva,
S. V. Glukhovskaya,
I. A. Levina,
E. A. Shirshova,
E. B. Dorzhieva,
E. Z. Urbanova,
N. Yu. Borovkova,
V. K. Kurashin,
A. S. Tokareva,
Yu. I. Ragino,
G. I. Simonova,
A. D. Khudyakova,
V. N. Nikulin,
A. R. Aslyamov,
G. V. Khokhlova,
A. V. Solovyova,
A. A. Rodionov,
O. V. Kryachkova,
Yu. Yu. Shamurova,
I. V. Tantsyreva,
I. N. Baryshnikova,
M. G. Ataev,
M. O. Radjabov,
M. M. Isakhanova,
M. A. Umetov,
L. V, Elgarova,
I. A. Khakuasheva,
E. I. Yamashkina,
M. V. Esina,
T. A. Kunyaeva,
A. M. Nikitina,
N. V. Savvina,
Yu. E. Spiridonova,
E. A. Naumova,
A. A. Keskinov,
D. A. Kashtanova,
V. S. Yudin,
S. M. Yudin,
S. A. Shalnova https://doi.org/10.15829/1728-8800-2023-3795
EDN: OAQXPT
Abstract
Aim. To assess the prevalence of psychological stress (PS) using the Perceived Stress Scale-10 (PSS-10) in various Russian regions and to analyze PS associations with socio-demographic characteristics and behavioral risk factors and some non-communicable diseases (NCDs).
Material and methods. We studied representative samples of the population aged 35-74 years in the Russian regions, examined as part of the Epidemiology of Cardiovascular Diseases in Regions of Russian Federation-3 (ESSE-RF3) study. The subjects were interviewed using a questionnaire containing a section on the psychological stress — PSS-10. For men, PS levels are ranked as follows: "Low" — 0-11, "Medium" — 12-17, "High" — 18-40. For women, PS levels are ranked as follows: "Low" — 0-13, "Medium" — 14-19, "High" — 20-40. Statistical analysis was carried out using the open-source R 3.6.1 environment.
Results. The average PS level was 12,0±7,3 (men: 10,7±7,0; women: 13,1±7,4). Every fifth person (20,3%) in the Russian population has a high PS level, with higher PS rates among women compared to men (high PS level — 21,6 vs 18,9%, respectively). A high PS level was associated with the income level (average or low), no marriage, unemployment, low level of physical activity, depression, anxiety, NCDs (type 2 diabetes, myocardial infarction, stroke), additionally for women — hypertension.
Conclusion. The Russian population is characterized by a high PS prevalence, while PS rates are higher among women, which must be taken into account when predicting the NCD risks.
About the Authors
O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
L. I. Gomanova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
Yu. A. Balanova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
V. A. Kutsenko
National Medical Research Center for Therapy and Preventive Medicine;
Lomonosov Moscow State University
Russian Federation
Russian Federation
Moscow
A. E. Imaeva
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
A. V. Kontsevaya
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
S. A. Maksimov
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
G. A. Muromtseva
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
M. B. Kotova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
N. S. Karamnova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
O. B. Shvabskaya
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
S. E. Evstifeeva
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
A. V. Kapustina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
O. A. Litinskaya
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
M. S. Pokrovskaya
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
S. O. Kuzyakina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
A. G. Soplenkova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
Yu. V. Doludin
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
I. A. Efimova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
A. L. Borisova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
E. B. Yarovaya
National Medical Research Center for Therapy and Preventive Medicine;
Lomonosov Moscow State University
Russian Federation
Russian Federation
Moscow
T. V. Repkina
Regional Center for Public Health and Medical Prevention
Russian Federation
Russian Federation
Barnaul
T. O. Gonoshilova
Regional Center for Public Health and Medical Prevention
Russian Federation
Russian Federation
Barnaul
A. V. Kudryavtsev
Northern State Medical University. Arkhangelsk; 5Astrakhan State Medical University
Russian Federation
Russian Federation
Arkhangelsk
N. I. Belova
Northern State Medical University. Arkhangelsk; 5Astrakhan State Medical University
Russian Federation
Russian Federation
Arkhangelsk
L. L. Shagrov
Northern State Medical University. Arkhangelsk; 5Astrakhan State Medical University
Russian Federation
Russian Federation
Arkhangelsk
V. A. Samotrueva
Astrakhan State Medical University
Russian Federation
Russian Federation
Astrakhan
A. L. Yasenyavskaya
Astrakhan State Medical University
Russian Federation
Russian Federation
Astrakhan
E. N. Chernysheva
Astrakhan State Medical University
Russian Federation
Russian Federation
Astrakhan
S. V. Glukhovskaya
Sverdlovsk Regional Medical College
Russian Federation
Russian Federation
Ekaterinburg
I. A. Levina
Sverdlovsk Regional Medical College
Russian Federation
Russian Federation
Ekaterinburg
E. A. Shirshova
Sverdlovsk Regional Medical College
Russian Federation
Russian Federation
Ekaterinburg
E. B. Dorzhieva
Boyanov Center for Public Health and Medical Prevention
Russian Federation
Russian Federation
Ulan-Ude
E. Z. Urbanova
Boyanov Center for Public Health and Medical Prevention
Russian Federation
Russian Federation
Ulan-Ude
N. Yu. Borovkova
Privolzhsky Research Medical University
Russian Federation
Russian Federation
Nizhny Novgorod
V. K. Kurashin
Privolzhsky Research Medical University
Russian Federation
Russian Federation
Nizhny Novgorod
A. S. Tokareva
Privolzhsky Research Medical University
Russian Federation
Russian Federation
Nizhny Novgorod
Yu. I. Ragino
Research Institute of Internal and Preventive Medicine — branch of the Institute
of Cytology and Genetics
Russian Federation
Russian Federation
Novosibirsk
G. I. Simonova
Research Institute of Internal and Preventive Medicine — branch of the Institute
of Cytology and Genetics
Russian Federation
Russian Federation
Novosibirsk
A. D. Khudyakova
Research Institute of Internal and Preventive Medicine — branch of the Institute
of Cytology and Genetics
Russian Federation
Russian Federation
Novosibirsk
V. N. Nikulin
Orenburg Regional Center for Public Health and Medical Prevention
Russian Federation
Russian Federation
Orenburg
A. R. Aslyamov
Orenburg Regional Center for Public Health and Medical Prevention
Russian Federation
Russian Federation
Orenburg
G. V. Khokhlova
Orenburg Regional Center for Public Health and Medical Prevention
Russian Federation
Russian Federation
Orenburg
A. V. Solovyova
Tver State Medical University
Russian Federation
Russian Federation
Tver
A. A. Rodionov
Tver State Medical University
Russian Federation
Russian Federation
Tver
O. V. Kryachkova
Tver State Medical University
Russian Federation
Russian Federation
Tver
Yu. Yu. Shamurova
South Ural State Medical University
Russian Federation
Russian Federation
Chelyabinsk
I. V. Tantsyreva
South Ural State Medical University
Russian Federation
Russian Federation
Chelyabinsk
I. N. Baryshnikova
South Ural State Medical University
Russian Federation
Russian Federation
Chelyabinsk
M. G. Ataev
Abusuev Research Institute of Environmental Medicine, Dagestan State Medical University
Russian Federation
Russian Federation
Makhachkala
M. O. Radjabov
Abusuev Research Institute of Environmental Medicine, Dagestan State Medical University
Russian Federation
Russian Federation
Makhachkala
M. M. Isakhanova
Abusuev Research Institute of Environmental Medicine, Dagestan State Medical University
Russian Federation
Russian Federation
Makhachkala
M. A. Umetov
Berbekov Kabardino-Balkarian State University
Russian Federation
Russian Federation
Nalchik
L. V, Elgarova
Berbekov Kabardino-Balkarian State University
Russian Federation
Russian Federation
Nalchik
I. A. Khakuasheva
Berbekov Kabardino-Balkarian State University
Russian Federation
Russian Federation
Nalchik
E. I. Yamashkina
Ogarev Mordovian State University
Russian Federation
Russian Federation
Saransk
M. V. Esina
Ogarev Mordovian State University
Russian Federation
Russian Federation
Saransk
T. A. Kunyaeva
Ogarev Mordovian State University;
Mordovian Republican Central Clinical Hospital
Russian Federation
Russian Federation
Saransk
A. M. Nikitina
Republican Center for Public Health and Medical Prevention
Russian Federation
Russian Federation
Yakutsk
N. V. Savvina
Ammosov North-Eastern Federal University
Russian Federation
Russian Federation
Yakutsk
Yu. E. Spiridonova
Ammosov North-Eastern Federal University
Russian Federation
Russian Federation
Yakutsk
E. A. Naumova
Republican Center for Public Health and Medical Prevention, Exercise therapy and Sports Medicine
Russian Federation
Russian Federation
Cheboksary
A. A. Keskinov
Center for Strategic Planning and Management of Biomedical Health Risks
Russian Federation
Russian Federation
Moscow
D. A. Kashtanova
Center for Strategic Planning and Management of Biomedical Health Risks
Russian Federation
Russian Federation
Moscow
V. S. Yudin
Center for Strategic Planning and Management of Biomedical Health Risks
Russian Federation
Russian Federation
Moscow
S. M. Yudin
Center for Strategic Planning and Management of Biomedical Health Risks
Russian Federation
Russian Federation
Moscow
S. A. Shalnova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
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Supplementary files
What is already known about the subject?
- Psychological stress (PS) is a significant risk factor for non-communicable diseases.
- There are not enough papers demonstrating the epidemiological features of PS on the scale of the Russian Federation.
What might this study add?
- Every fifth (20,3%) in the Russian population has high PS level, while among women PS rates are higher compared to men (PS level — 13,1±7,4 vs 10,7±7,0; high PS level — 21,6 vs 18,9%).
- Significant associations were identified between high PS levels and socio-demographic characteristics, behavioral risk factors, anxiety, depression, and non-communicable diseases (myocardial infarction, stroke, type 2 diabetes). Additionally, a history of hypertension is significant for women.
Review
For citations:
Drapkina O.M., Gomanova L.I., Balanova Yu.A., Kutsenko V.A., Imaeva A.E., Kontsevaya A.V., Maksimov S.A., Muromtseva G.A., Kotova M.B., Karamnova N.S., Shvabskaya O.B., Evstifeeva S.E., Kapustina A.V., Litinskaya O.A., Pokrovskaya M.S., Kuzyakina S.O., Soplenkova A.G., Doludin Yu.V., Efimova I.A., Borisova A.L., Yarovaya E.B., Repkina T.V., Gonoshilova T.O., Kudryavtsev A.V., Belova N.I., Shagrov L.L., Samotrueva V.A., Yasenyavskaya A.L., Chernysheva E.N., Glukhovskaya S.V., Levina I.A., Shirshova E.A., Dorzhieva E.B., Urbanova E.Z., Borovkova N.Yu., Kurashin V.K., Tokareva A.S., Ragino Yu.I., Simonova G.I., Khudyakova A.D., Nikulin V.N., Aslyamov A.R., Khokhlova G.V., Solovyova A.V., Rodionov A.A., Kryachkova O.V., Shamurova Yu.Yu., Tantsyreva I.V., Baryshnikova I.N., Ataev M.G., Radjabov M.O., Isakhanova M.M., Umetov M.A., Elgarova L.V., Khakuasheva I.A., Yamashkina E.I., Esina M.V., Kunyaeva T.A., Nikitina A.M., Savvina N.V., Spiridonova Yu.E., Naumova E.A., Keskinov A.A., Kashtanova D.A., Yudin V.S., Yudin S.M., Shalnova S.A. Prevalence of psychological stress among the Russian population and its association with socio-demographic characteristics. Data from the ESSE-RF3 study. Cardiovascular Therapy and Prevention. 2023;22(8S):3795. (In Russ.) https://doi.org/10.15829/1728-8800-2023-3795. EDN: OAQXPT
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