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Health self-rating and its association with the level of trait anxiety in an open population: a gender aspect

DOI: https://doi.org/10.29296/25877305-2022-12-08

M. Kayumova, Candidate of Medical Sciences; A. Gakova; E. Akimova, MD
Tyumen Cardiology Research Center, Branch, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk

The results of studying the key determinants of population health have shown that health self-rating (HSR) is a multidisciplinary well-being marker formed as a result of the complex impact of various characteristics. At the same time, based on the proven associations of HSR with psychosocial risk factors (PSRFs), predominantly in women, there is a relationship between personal attitudes and the development and prognosis of cardiovascular disease. Objective. To identify associations of the parameters of HSR with different levels of trait anxiety (TA) among women in an open urban population. Subjects and methods. A cross-sectional epidemiological study was conducted among a representative sample of women aged 25–64 years; their response rate was 70.3%. The levels of TA and HSR were determined using the standard WHO MONICA-psychological Program (MOPSY) questionnaire. Results. In the open urban population, 70% of women showed low HSR; there was a substantial reduction in HSR in the third to the fifth decade of life. There was a significant prevalence of a high level of TA (54.7%) and its absolute maximum in the fifth decade of life (67.3%). With a high level of TA, the minimum number of positive responses (“healthy”) was obtained for HSR, the presence of health complaints considerably prevailed over their absence. Conclusion. Thus, the results obtained in this study conducted in the open urban population showed the most vulnerable groups of women with a high level of PSRFs, which can serve as a scientific basis for the development of comprehensive prevention programs to reduce the risk of cardiovascular diseases in female populations from the medium-urbanized cities of Western Siberia.

health self-rating
trait anxiety
epidemiological study
gender aspect

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