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Цель исследования-изучение физической активности у мужчин и женщин 25-64 лет открытой городской популяции в зависимости от социального градиента. Отношение к физической активности изучали в рамках кардиологического скрининга на репрезентативной выборке открытой популяции Тюмени среди мужчин и женщин 25-64 лет с использованием стандартной анкеты ВОЗ «Знание и отношение к своему здоровью». Профессиональное образование оценивали по трем параметрам (высшее, среднее, начальное); характер труда-по четырем параметрам (руководители, инженерно-технические работники и специалисты, работники физического труда, неработающие); семейный статус-по двум параметрам (имеет/не имеет спутника жизни). Результаты исследования показали, что наибольшее стремление к повышению физической активности установлено у женщин, преимущественно со средним и высшим уровнем образования, однако такая возможность у женщин в целом и в группе среднего уровня образования выявлялась существенно реже. В зависимости от характера труда наиболее высокая физическая активность определена преимущественно у мужчин в группах руководителей, инженерно-технических работников и специалистов, а также среди неработающих женщин. Независимо от семейного статуса наибольшую приверженность к физической зарядке и тем самым к здоровому образу жизни имели женщины, однако реализация регулярных физических тренировок была недостаточной независимо от пола и наиболее выраженной среди лиц, не имеющих спутника жизни. Тенденция к отсутствию досуга выявлена у семейных женщин. Ключевые слова: эпидемиологическое исследование, открытая популяция, социальный градиент, физическая активность, гендерные различия.

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The aim of the study was to determine the levels of depression and life exhaustion in men and women of the open urban population in the age range. Materials and methods. A single-stage epidemiological study was conducted among people of both sexes aged 25-64 in Tyumen. A representative sample was formed from the electoral lists of citizens by the method of "random numbers" - 2000 men and women with a response among men 85.0%, among women - 70.3%. The study of depression was conducted according to the algorithms of the program of the world health organization "MONICA-psychosocial". Results. The prevalence of depression in the Tyumen population and in the age and sex groups showed a predominance of the average level over the high, in the age categories 25-34 and 35-44 years - significantly higher prevalence of high levels of depression in women. The higher prevalence of the average level of men and women IN the open population was determined to be relatively high. The average level of LIFE significantly prevails in women in the older age categories and in the population as a whole, the high level of LIFE - at the age of 25-34 years in women and at the age of 55-64 years in men. Conclusion. Therefore, in the open population of the middle-urbanized Siberian city there is a need to form an integrated approach to the prevention of non-infectious diseases, especially cardiovascular diseases, as it is established that prevention programs lead to a reduction in the burden of depression and, and effective approaches to the prevention of psycho-emotional States at the level of individual communities include school-oriented programs to teach positive thinking among the population, starting from a young age.

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Aim. To establish associations of the prevalence of ischemic heart disease (IHD) and factors of psychoemotional stress in men of the open urban population in the age group 4564 years after two decades of life. Materials and methods. A cross-sectional epidemiological study using a model of the city of Tyumen was conducted on a representative sample of the population among males of mature age (4564 years). Based on standard epidemiological methods, IHD was established according to strict epidemiological criteria definite IHD. The study of the factors of psycho-emotional stress (depression, hostility, life exhaustion) was carried out according to the algorithms of the World Health Organization program MONICA-psychosocial. When calculating the odds ratio for the development of IHD, a low level of psycho-emotional stress factors was regarded as the absence of a sign, a combination of medium and high levels as a presence. Results. The prevalence of ischemic heart disease in the open population (on the model of Tyumen) according to strict epidemiological criteria in men aged 4554 years was 8.2%, at the age of 5564 years 19.2%, a predominance of painless form of ischemic heart disease was revealed. According to the levels of factors of psychoemotional stress in mature men, mainly the average level of depression and life exhaustion, a high level of hostility were established. In men of an open population (on the model of Tyumen), depending on the psychoemotional stress, a high risk of developing a certain coronary heart disease was established in the age categories 4554 and 5564 years old in the presence of depression, at the age of 5564 years in the presence of hostility or life exhaustion. Conclusion. Consequently, the data obtained indicate the importance of further studying the factors of psychoemotional stress in men of mature age in Siberian populations, their relationships with conventional risk factors for coronary artery disease, as well as the advisability of preventive measures aimed at weakening the influence of not only conventional risk factors, but also factors of psycho-emotional stress. among the Russian population.

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