Mortality of Russian able-bodied population from cardiovascular diseases

Usacheva, E. V.; Нелидова, А. В.; Куликова, О. М.; Flyanku, Irina P.

doi:10.47470/0016-9900-2021-100-2-159-165

Cited by 12 publications

(2 citation statements)

References 8 publications

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“…Профилактика развития и прогрессирования болезней системы кровообращения (БСК), которые находятся на первом месте по причине инвалидизации и смертности трудоспособного населения [1], является приоритетной задачей здравоохранения в Российской Федерации. Среди основных детерминант развития БСК выделяют неуправляемые (генетические, биологические) и управляемые (высокое артериальное давление, избыточная масса тела, абдоминальное ожирение, дислипидемия, поведенческие и стрессогенные факторы окружающей, в том числе вредные факторы производственной, среды) [2][3][4][5].…”

Section: Introductionunclassified

Occupational risk factors for the development of circulatory system diseases in bearing production workers

Migacheva,

Novikova

2024

Sibirskij nauchnyj medicinskij zhurnal

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Prevention of circulatory system diseases (CSDs), preservation of the health of the working population is a priority task of the Russian Federation healthcare, in the solution of which it is of interest to study the causal relationships of the influence of production factors on the development of CSDs in workers of various professional groups. The purpose of this study was to assess the prevalence and occupational causality of diseases of the circulatory system in the main professional groups of bearing production workers. Material and methods. The occupational risk of developing CSDs in workers of the main professional groups in the bearing production was assessed based on the hygienic classification of production factors and chronic non-infectious morbidity according to medical examinations using the methodology for assessing occupational health risk. Results and discussion. It has been established that bearing production workers in the course of labor activity are exposed to the complex effects of harmful (class 3.1–3.4) factors of the working environment of various nature, which determine the a priori occupational health risk in categories from low to very high. The level of CSD prevalence was 446.4‰, while arterial hypertension was the most frequently established nosologic form (80.66 %). A high degree of causal relationships of arterial hypertension with the work was established for adjusters and machine operators (RR = 2.44; etiologic fraction (EF) 58.98 %; CI = 1.335–4.450), turners (RR = 2.32; EF = 56.93 %; CI = 1.184–4.451), grinders (RR = 2.31; EF = 56.63 %; CI = 1.189–4.469), hot-spot workers (RR = 2.16; EF = 53.64 %; CI = 1.193–3.901), which indicates professional conditioning. Conclusions. The complex impact of production factors contributes to the development of CSDs among workers in the production of bearings, which is confirmed by a high degree of causal relationship between arterial hypertension and work.

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Section: Introductionunclassified

Occupational risk factors for the development of circulatory system diseases in bearing production workers

Migacheva,

Novikova

2024

Sibirskij nauchnyj medicinskij zhurnal

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“…В Российской Федерации, как и во всем мире, значительную долю в структуре смертности от болезней системы кровообращения занимает ишемическая болезнь сердца [1]. В рамках реализации стратегии снижения смертности от инфаркта миокарда (ИМ) приоритетным становится неукоснительное следование пациентами рекомендациям по немедикаментозному и медикаментозному лечению [2][3][4].…”

Section: Introductionunclassified

Factors affecting treatment adherence in working-age patients with myocardial infarction

Sedykh

Barbarash

2023

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Aim of the study was to analyze the factors affecting treatment adherence in working-age patients with myocardial infarction (MI). Material and methods. During hospitalization, data of 150 patients with MI were collected using medical records and questionnaires. Social treatment readiness was assessed using the S.V. Davydov method with the calculation of treatment adherence (TA) score. After 6 months, the vital status, frequency and causes of hospitalizations, intake of the main groups of drugs, achievement of cardiovascular health target, frequency of regular medical check-up and the type of specialist conducting it were analyzed. In conclusion, the factors affecting the TA score were identified, as well as factors related to the achievement of cardiovascular health targets. Results. 6 months after MI, 4 (2.7 %) patients died due to cardiovascular diseases, 24 (16 %) were hospitalized. The inpatient TA score was 5 (4; 8) (median (lower quartile; upper quartile)), in 79 (52.6 %) patients it was low. The adherence of the surviving patients to treatment after six months was high: 142 (97.3 %) were taking disaggregants, 138 (94.5 %) were taking beta-blockers and reninangiotensin-aldosterone system inhibitors, 139 (95.2 %) were taking statins. However, only 56 (69.1 %) patients achieved target levels of low-density lipoproteins (LDL); 118 (80.8 %) patients achieved target levels of blood pressure, 95 (65.1 %) patients achieved target levels of heart rate (HR) at rest. Only about half (56.8 %) of patients with MI had regular medical check-ups, and only 38.5 % visited cardiologist. Patients who did not achieve target levels of LDL and HR had lower baseline TA score (p = 0.038 and p = 0.029, respectively), they showed up to fewer regular medical checkups after MI (p < 0.001). In patients who did not achieve target HR, the indicator of willingness to pay for treatment was low (p = 0.041), and regular medical check-ups were 4.2 more likely to be performed by a paramedic (p = 0.021). High-score TA was associated with the patient`s lack of propensity for social isolation, high social awareness, trust in the therapeutic treatment, willingness to pay for treatment, high sociability, dyslipidemia in history, the absence of passive smoking during the year, undergoing stage 2 of stroke recovery, working at the time of MI or the late age at onset of alcohol consumption. Low TA score was associated with the patient being the resident in the city, Q-wave MI, and a long-term smoking. Conclusions. Among the factors affecting treatment adherence in working-age patients with MI, certain indicators such as medical and social treatment readiness throughout hospitalization, and social, economic and clinical anamnestic characteristics are highlighted. The identification these factors should be implemented in real clinical practice to improve secondary prevention and outpatient follow-up.

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Translation, Cross-Cultural Adaptation, and Psychometric Validation of the Russian Coronary Artery Disease Education Questionnaire II (CADE-Q II) in chronic coronary syndrome patients

2022

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Aim. This study sought to translate, cross-culturally adapt, and psychometrically validate the Coronary Artery Disease Education Questionnaire II (CADE-Q II) in Russian.Material and methods. Independent translations and back-translations of the CADE-Q II were conducted by bilingual health professionals and certified translators, respectively. Experts met to consider cultural relevance of the items to Russian patients. The finalized version was then pilot tested in a group of patients to assess understanding and time to complete the tool. Following these steps, 303 patients with a diagnosis of stable coronary artery disease treated in the Outpatient Cardiology Department between April and November 2021 completed the CADE-Q II. The following psychometric properties were evaluated: confirmatory factor analysis, internal consistency (assessed by Cronbach's alpha), test-retest reliability (ICC), and criterion validity (assessed through the association with CADE-Q II and The Self Care of Coronary Heart Disease Inventory and SF-36 scores, among other characteristics from the participants including educational level).Results. After items were translated, revised, culturally adapted and finalized, 30 patients took 30 minutes to complete the CADE-Q II during pilot test and questionnaire was considered understandable by all. Factor analysis (Kaiser-Meyer-Olkin =0.692 and Bartlett's criterion of Sphericity <0.05) revealed four factors, all internally consistent and aligned with the original version of the questionnaire. Cronbach's alpha of subscales ranged from 0.61 to 0.88 and ICC was 0.81. Criterion validity was confirmed by significant differences in total CADE-Q II scores by participants' educational level and correlations between CADE-Q II and The Self Care of Coronary Heart Disease Inventory scores (r=0.251, p<0.05).Conclusion. The Russian CADE-Q II presented sufficient validity and reliability for use to assess disease-related knowledge of chronic coronary syndrome patients in Russia.

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Mortality of Russian able-bodied population from cardiovascular diseases

Cited by 12 publications

References 8 publications

Occupational risk factors for the development of circulatory system diseases in bearing production workers

Occupational risk factors for the development of circulatory system diseases in bearing production workers

Factors affecting treatment adherence in working-age patients with myocardial infarction

Translation, Cross-Cultural Adaptation, and Psychometric Validation of the Russian Coronary Artery Disease Education Questionnaire II (CADE-Q II) in chronic coronary syndrome patients

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