[The WHO program "MONICA-psychosocial": risk of stroke and psychosocial factors (epidemiological study)].
An aim of the study was to investigate the influence of psychosocial factors on risk of stroke development during 16 years in men aged 25-64 years. Three scanning population surveys (1984, 1988, 1994) have been conducted in the frame of the WHO program "MONICA-psychosocial". Men at the age of 25-64 years, dwelling in a district of Novosibirsk city, were studied during a control period of 1984-2000. Statistical analysis was performed using SPPS-10 statistical package. Cox-proportional regression model was used for relative risk evaluation. The highest percentage of patients with stroke was found in the older group of 55-64 years. A distribution of personality anxiety level in men who survived stroke was as follows: 72.2% with high anxiety level and 27.8%-with a moderate one. The highest relative risk of stroke was observed in men with high anxiety, who related to the following groups: widowed and divorced; with primary and not-completed secondary school education; pensioners and those engaged in hard and moderate manual labor. The highest relative risk was during the first 5 years, being 6.8 times higher in subjects with higher anxiety level than in those with moderate level. For the following 10 years, relative risk was 5 times higher in men with high level of anxiety and after 16 years it was 3 times higher than in those with moderate anxiety level. The results obtained suggest that stroke most often develops at age of 55-64 years; its risk is associated with social gradient and is highest in the first 5 years. To prevent stroke, conditions reducing an impact of psychosocial factors on population are needed.
Gafarov
V V
VV
Gromova
E A
EA
Gagulin
I V
IV
Pilipenko
P I
PI
D000328:Adult; D017677:Age Distribution; D001008:Anxiety Disorders / Q000453:epidemiology* / Q000523:psychology*; D002391:Catchment Area, Health; D002544:Cerebral Infarction / Q000453:epidemiology* / Q000209:etiology*; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D017533:Marital Status; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D011584:Psychology; D012307:Risk Factors; D012426:Russia / Q000453:epidemiology; D017678:Sex Distribution; D012959:Socioeconomic Factors; D014944:World Health Organization