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
Issue: 
12
Year: 
2022

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.

Keywords: 
health self-rating
trait anxiety
epidemiological study
gender aspect
women.



References: 
  1. Gafarov V.V., Gagulin I.V., Gafarova A.V. et al. Psychosocial risk factors for cardiovascular disease: gender differences and 22-year dynamics among the population of Siberia (WHO MONICA-Psychosocial Program, HAPIEE). Ter arkh. 2020; 92 (1): 15–24 (in Russ.). DOI: 10.26442/00403660.2020.01.000249
  2. Kaneva M.A. Socio-economic, behavioral and psychological determinants of the russian population''s self-reported health assessment. National Interests: Priorities and Security. 2016; 6: 158–71 (in Russ.).
  3. Kayumova M.M., Akimov A.M., Gorbunova T.Yu. et al. Self-assessment of health in men and women of the open population of the medium-urbanized city of Western Siberia: gender peculiarities. Siberian Scientific Medical Journal. 2019; 39 (5): 149–55 (in Russ.). DOI: 10.15372/SSMJ20190518
  4. Shabunova A.A., Korchagina P.S. The impact of self-preserving components of behavior on the presence of chronic diseases and health self-reports in the population. Zdravookhranenie Rossiiskoi Federatsii. 2014; 3 (58): 40–3 (in Russ.).
  5. Bunova S.S., Zhernakova N.I., Skirdenko Yu.P. et al. Adherence to therapy, lifestyle modification and medical support of cardiovascular patients. Cardiovascular Therapy and Prevention. 2020; 19 (6): 2665 (in Russ.). DOI: 10.15829/1728-8800-2020-2665 (in Russ.).
  6. Ekenga V. Impact of Pharmacist Obesity Diagnosis Education on Patient Self-Rated Health and Health Behavior: A Pilot Study. J Obes Chronic Dis. 2017; 2(1): 39–42. DOI: 10.17756/jocd.2017-007
  7. Pogosova N.V., Yufereva Y.M., Ausheva A.K. et al. The Possibility of Correcting Anxiety Symptoms in Cardiac Patients in Primary Care Settings: Results of the Therapeutic Part of a Russian Multicenter Study COMETA. Kardiologiia. 2019; 59 (9): 29–39 (in Russ.). DOI: 10.18087/cardio.2019.9.n468
  8. Chinnaiyan K. Role of stress management for cardiovascular disease prevention. Curr Opin Cardiol. 2019; 34 (5): 531–5. DOI: 10.1097/HCO.0000000000000649
  9. de Vroege L., de Heer E.W., van der Thiel E. et al. Type D Personality, Concomitant Depressive and Anxiety Disorders, and Treatment Outcomes in Somatic Symptom and Related Disorders: An Observational Longitudinal Cohort Study. Front Psychiatry. 2019; 10: 1–11. DOI: 10.3389/fpsyt.2019.00417
  10. Chamik T., Viswanathan B, Gedeon J. et al. Associations between psychological stress and smoking, drinking, obesity, and high blood pressure in an upper middle-income country in the African region. Stress Health. 2018; 34 (1): 93–101. DOI: 10.1002/smi.2766
  11. Correl Ch.U., Solmi M., Veronese N. Prevalence, incidence and mortality from cardiovascular disease in patients with pooled and specific severe mental illness: a large-scale meta-analysis of 3,211,768 patients and 113,383,368 controls. World Psychiatry. 2017; 16 (2): 163–80. DOI: 10.1002/wps.20420
  12. Rowlands G.P., Mehay A., Hampshire S. et al. Characteristics of people with low health literacy on coronary heart disease GP registers in South London: a cross-sectional study. BMJ. 2013; 3: 503–18. DOI: 10.1136/bmjopen-2012-001503
  13. Cho Y., Lim T.H., Kang H. et al. Socioeconomic status and depression as combined risk factors for acute myocardial infarction and stroke: A population-based study of 2.7 million Korean adults. J Psychosom Res. 2019; 121: 14–23. DOI: 10.1016/j.jpsychores.2019.01.016
  14. Khodakova O.V., Koshevaya N.V. Self-assessment of health as an element of self-preserving behavior and addition to dispersonization of adults. Current problems of health care and medical statistics. 2019; 12: 328–37. (in Russ.). DOI: 10.24411/2312-2935-2019-10099
  15. Visseren F.L.J., Mach F., Smulders Y.M. et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice: Developed by the Task Force for Cardiovascular Disease Prevention in Clinical Practice with representatives of the European Society of Cardiology and 12 medical societies with the special contribution of the European Association of Preventive Cardiology (EAPC). Eur Heart J. 2021; 42: 3227–337. DOI: 10.1093/eurheartj/ehab484
  16. Akimova E., Gakova E., Akimov A. et al. Gender aspects of attitude to health and medical care in open population of middle urbanized siberian city. J Am Coll Cardiol. 2018; 72 (16): 221. DOI: 10.1016/j.jacc.2018.08.947
  17. Akimov A.M. Parameters of stressful events at a young age (data of cross-sectional epidemiological studies). Russian Journal of Cardiology. 2020; 25 (6): 3660 (in Russ.). DOI: 10.15829/1560-4071-2020-3660
  18. Akimov A., Gakova E., Kayumova M. et al. Stress in the family of young people in the gender aspect. Vrach. 2019; 30 (12): 60–2 (in Russ.). DOI: 10.29296/25877305-2019-12-16
  19. Pogosova N.V., Boytsov S.A., Kursakov A.A. et al. Stress, anxious and depressive states in patients of primary health care facilities in 30 cities of Russia. Psikhicheskie rasstroistva v obshchei meditsine. 2018; 3–4: 14–20 (in Russ.).
  20. Sahoo S., Padhy S., Padhee B. et al. Role of personality in cardiovascular diseases: An issue that needs to be focused too! Indian Heart J. 2018; 3: 471–7. DOI: 10.1016/j.ihj.2018.11.003