Open AccessSocial Support and the Risk of Hypertension in an Open Population in Russia/ Siberia (Who Monica-Psychosocial Program)
Author(s) -
В. В. Гафаров,
Е. А. Громова,
Д. О. Панов
Publication year - 2021
Publication title -
journal of cardiology research reviews and reports
Language(s) - English
Resource type - Journals
ISSN - 2634-6796
DOI - 10.47363/jcrrr/2021(2)138
Subject(s) - medicine , demography , psychosocial , population , environmental health , psychiatry , sociology
Purpose: To study the impact of social support (indices of close contacts and social netwotks) on the risk of arterial hypertension (AH) in an open population of 25-64 years in Novosibirsk. Methods: A random representative sample of the population of both sexes of 25-64 years old in Novosibirsk in 1994 (men: n = 657 44.3 ± 0.4 years response - 82.1% women: n = 689 45.4 ± 0.4 years response - 72.5%). The screening survey program included: registration of socio-demographic data determination of the level of social support (ICC - index of close contacts SNI - index of social networks). The period of prospective follow-up of participants was 16 years. Results: In the open population of 25-64 years low rates of ICC and SNI were in 62% and 43.5% of men and 56.8% and 33.9% of women. During the first 5 years the risk of hypertension in men and women with a low ICC was the same in men HR = 2.063 (95% CI 1.019-5.213 p <0.05) and women with HR = 2.009 (95% CI 1.025- 3.938 p <0.05). The increase in the risk of AH in persons with low SNI over 5 years was higher in men in 5.9 (95% CI 1.278-8.361 p <0.05) times 10 years later the risk of developing AH in women 25-64 was 1.884 (95% CI 1.09-3.255 p <0.05). The risk of hypertension was highest among men: never married divorced and widowed with low ICC and SNI. Among women at risk were widowed women with low ICC as well as women with primary education with low ICC and SNI. Conclusion: Low level of social support increased the risk of AH in men and women.