Attitude to the health in the open population of a medium-urbanized city of Western Siberia, association with the prevalence of CHD: gender features

Abstract

The validity of the use of a subjective-objective indicator of health as a significant indicator of its association with the prevalence of coronary artery disease is shown in both domestic and foreign scientific literature. At the same time, the subjective-objective indicator of health, and first of all, the attitude to one's health, is recognized as an indicator of a lifestyle that establishes the interpretation of conventional risk factors for coronary artery disease and interest in preventive measures at the population level. Purpose: to determine the attitude towards one's health in the age range and in groups with and without coronary artery disease in an open population of a medium-urbanized city of Western Siberia in terms of gender. Material and methods. Cross–sectional studies were carried out in the framework of two cardiac screenings on unorganized subpopulations of men and women 25–64 years old in Tyumen (with responses 85.0 and 70.3 %, respectively). The isolation of various forms of coronary heart disease was carried out on the basis of standard epidemiological methods, the comparison group was defined as the absence of coronary heart disease. The attitude of the population to their health was established using a rigidly standardized WHO questionnaire MONICApsychosocial «Knowledge and attitude to the health». Results. In the open population of a moderately urbanized city of Western Siberia, with a predominance among women, a low level of attitude towards their health was established, the prevalence of low responsibility for their health in the gender aspect took place in the third, fourth and sixth decades of life. Negative attitudes towards their health among persons of both sexes were determined mainly in groups with CHD; in women, the tendency towards a decrease in responsibility for their health was more pronounced than in men. Conclusion. When planning a preventive program for the population of a medium-urbanized city of Western Siberia, taking into account the priority impact on the subjective-objective indicator of population health, the implementation of the population strategy will probably not be enough. Taking into consideration the obtained regularities of the growth of negative attitudes towards their health among women, especially in groups with the presence of coronary heart disease, along with the population strategy, it would be optimal to use a high-risk strategy.

Gender Features of Attitude to Cardiovascular Prevention in the Open Population of a Medium Urbanized Siberian City

“…According to the data of numerous epidemiological studies, the medical activity of the population, that is, the attitude to the treatment, prevention and diagnosis of non-communicable diseases, to preventive measures and medical care, is the most important parameter characterizing the characteristics of the population's motivation to maintain public health [1][2][3][4][5][6][7][8]. The need to study the attitude of the population to health is due, among other things, to the fact that the planning and development of most ineffective preventive programs was carried out only within the framework of the biomedical model of public health and healthcare [4,5].…”

“…Many studies have shown the relationship between attitudes towards one's health and Coronary Heart Disease (CHD), conventional and non-conventional CVD risk factors, and life expectancy of the population [10,16]. Differences in attitudes towards one's health and medical care have been established depending on indicators of social and economic status, gender differences, demoecological factors, marital status [1,9,12,17,18]. Such studies were carried out, among other things, within the framework of the WHO international epidemiological project MONICA-psychosocial [8,11,15].…”