Parameters of stressful events at a young age (data of cross-sectional epidemiological studies)

Abstract

Aim. To determine the parameters of family and work stress in the open population of the medium urban city of Western Siberia among young men and women.Material and methods. The study of nonconventional (psychosocial) risk factors for coronary artery disease was carried out according to the WHO program “MONICA-psychosocial” using the standard “Knowledge and attitude to your health” questionnaire. Family and work stress was determined by a face-to-face interview.Results. Stress in the family among young people in the medium urban city of Western Siberia was manifested mainly by the loss or severe illness of relatives, family conflicts; in men as well — a change in marital status, in women — lack of home rest. Stress at work was manifested mainly in high or low workplace responsibility; in men as well — in changing occupation, increasing workload and responsibility over the past year, changing job, in women — in the change of manager, lack of home rest among working women.Conclusion. Consequently, the sex characteristics of psychosocial risk factors for cardiovascular diseases, regarding chronic social stress factors, are even more significant, which specifies the need for a further study of psychosocial factors, and thereby the possibilities for changing the epidemiological situation of cardiovascular diseases in region. This also confirms the need for future research on the relationships of psychological disorders with cardiovascular diseases.

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

“…Scientific literature data support the hypothesis that the low level of cardiological health of the population is due to the high level and prevalence of non-conventional risk factors, including psychosocial risk factors and the population's attitude to health, prevention and medical care [2,8,13].…”

“…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].…”

“…According to most researchers, in modern socially oriented prevention programs there is an urgent need to move from the biomedical model of disease control to the biopsychosocial model of health [9][10][11][12][13]. Analysis of the results of studies on the attitude of the population to health and medical care obtained on a specific population will allow predicting the response of the population to various preventive programs, assessing the preliminary volumes of necessary preventive care, taking into account certain material costs that will be required by the implementation of preventive measures, and also realistically assessing the effectiveness of a possible intervention [2,[14][15][16]. 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].…”

Stress in childhood: clinical implications and therapeutic strategies

“…Такие явления, называемые психосоматическими болезнями, также могут иметь начало в детстве, далее активно проявляясь во взрослом возрасте. Согласно новейшим научным исследованиям, переживание стресса в раннем возрасте может неблагоприятно сказываться на сердечнососудистой системе в более поздние годы, повышая риск кардиоваскулярных заболеваний на 30% и более [13].…”

Role of spirituality and religiosity in clinical practice: problem conceptualization

“…Позитивное воздействие фактора ДР связано с удовлетворенностью пациента личной жизнью и своим внешним окружением. Современные параметры "стресса" распространяются на болезнь или смерть близких, семейные конфликты, семейное положение, трудности на работе, отсутствие отдыха [10], т. е. отношения индивидуума с его окружением, но не затрагивают внутреннее отношение человека к самому себе или его личные представления о мире.…”