SELECTED PARAMETERS OF CHRONIC SOCIAL STRESS IN OPEN POPULATION — ASSOCIATION WITH THE PREVALENCE OF ISCHEMIC HEART DISEASE

Aim. To study the parameters of stress at work in men 25-64 years old in open population and their association with the prevalence of ischemic heart disease (CHD).

Material and methods. The study conducted on representative selection, created using election lists of males 25-64 y.o. from one of the districts of Tyumen city. In the frames of cardiological screening the prevalence of CHD in population and also the stress at workplace were studied using standard WHO questionnaire MONICA-psychosocial.

Results. In open population of 25-64 y.o. in Tyumen in 85,9% of men there were significant changes at workplace during previous 12 months, in 4,0% — 41,2% of population there were other types of stress at workplace.

Conclusion. While having certain CHD types and CHD by enhanced epidemiologic criteria it was shown that there is a decrease of responsibility and load at workplace, growth of negativity in relations to the occupation.

open population, prevalence of ischemic heart disease, chronic social stress, workplace stress, one-moment epidemiologic study

1. Gafarov V.V., Gromova I.V., Gagulin I.V. Depression and risk of cardiovascular diseases among male aged 25-64 (WHO MONICA-psychosocial). J. Alaska Med. 2007; 2(49) suppl.: 242-5.

2. Vaccarino V., Johnson В., Sheps D. et al. Depression, inflammation, and incident cardiovascular disease in women with suspected coronary ischemia: the National Heart, Lung, and Blood Institute-sponsored WISE study. J Am Coll Cardiol 2007; 20: 2044-50.

3. Gafarov VV, Gromova EA, Kabanov YuN, Gagulin IV. The interactions between personality and society: a pathless way. Novosibirsk: SB RAMS, 2008; 280 p. Russian (Гафаров В.В., Громова Е.А., Кабанов Ю.Н., Гагулин И.В. Личность и ее взаимодействие с соци- альной средой: непроторенная дорога. Новосибирск: СО РАН 2008; 280 с).

4. Theorell T, Tsutsumi A, Hallgist J, et al. and the SHEEP Study Group. Decision latitude, job strain, and myocardial infarction: a study of working men in Stockholm. Am J Public Health 1998; 88: 382-8.

5. Peter R, Alfredson L, Knutsson A, Siegrist J. Does a stressful psychological work environment mediate the effects of shift work of cardiovascular risk factors. Scand J Work Environ Health 1999; 25: 376-81.

6. Akesson A. Low-risk behaviors could prevent four of five Mls in men. J Am Coll Cardiol 2014; 64: 1299-306.

7. Akimova ЕV, Kayumova ММ, Gakova ЕI, et al. Association between coronary heart disease prevalence and attitudes towards health and prevention in the male population of Tumen City. Cardiovascular Therapy and Prevention 2013; 12(3): 50-4. Russian (Взаимосвязь распространенности ишемической болезни сердца и отношения к своему здоровью и профилактике в мужской популяции г. Тюмени. Кардиоваскулярная терапия и профилактика 2013; 12(3): 50-4).

8. Akimova EV, Kuznetsov VA, Gafarov VV. Dynamics in the prevalence of ischemic heart disease and risk of cardiovascular mortality in open population of Tyumen. Kardiologiia 2006; 1: 14-8. Russian (Акимова Е.В., Кузнецов В. А., Гафаров В.В. Динамика распространенности ишемической болезни серд- ца и риск сердечно-сосудистой смерти в открытой популяции Тюмени. Кардиология 2006; 1: 14-8).

9. Siegrist J, Peter R, Cremer P. Chronic work stress is associated with atherogenic lipids and elevated in middle-aged men. J Intern Med 1997; 242: 149-256.