International Union for Circumpolar Health Ministry of Public Health and Social Development of RF Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Sciences Medical Polar Fund “Science” The Northern Forum

Abstracts

Behavioral Health

Purpose of the study: To evaluate an influence of personal anxiety on risk of development arterial hypertension (AH), myocardial infarction (MI) and stroke in men aged 25-64.

Materials and methods: Within the framework of program WHO MONICA-MOPSY was examined representative sample of men 25-64 years old (1984, 1988, 1994 years). Total sample was 2149 persons. The period of supervision has made 10-20 years. We counted as outcome all cases of AH, MI and stroke which have arisen for the first time. We used Spilberger’s test for estimation of personal anxiety (PA). Cox - proportional regression model was used for an estimation of relative risk (RR).

Results: 58,7% men with developed MI had high level of personal anxiety (HLA) and 41,3% - an average level of anxiety (ALA); 72,2% men with developed stroke had HLA and 27,8% - ALA, 42% men with developed AH had HLA. The relative risk of development of cardiovascular diseases within 5 years in group of men with HLA, in comparison with group of men with ALA was 2,5 times higher for MI and 6,4 times for stroke, 6,0 for AH. Within 10 years RR of development MI has increased 3,1 times, stroke – 3,8 times, AH – 5,0 times. Within 15 years RR of development MI has increased 3 times (p < 0,01), stroke - 2,9 times, AH- 2,6 times, Within 20 years the tendency to decrease RR for development MI (RR=2,7) and stroke (RR=1,6), AH (RR=1,4) was oberved.

Conclusion: The data indicate that high level of personal anxiety may predict higher cardiovascular risk in middle-age men.

Note. Abstracts are published in author's edition

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Last update: 06-Jul-2012 (11:52:05)