Association of Self-Perceived Health with Social and Psychological Environment, the Mode of Life and Cardiovascular Risk Markers in Middle-Aged Men – Residents of Moscow

Aim. Estimation of the correlation of self-perceived health (SPH) with social and psychological environment, lifestyle and cardiovascular risk markers in middle-aged men.

Material and methods. A total of 301 men aged 41-44 years were examined. The study included clinical examination and interrogation using a standard form. Physical activity was estimated with the help of the International Physical Activity Questionnaires, the level of psychosocial stress – with the Reeder scale, signs of vital exhaustion with the Maastricht Questionnaire Vital Exhaustion Scale. To evaluate the mode and quality of life the questionnaire developed by I.A. Gundarev was used. All the examined people were divided in three groups according to the distribution of SPH rates by tertiles: the group 1 (from 7 to 60 scores) – bad health, the group 2 (61-79 scores) – satisfactory and the group 3 (80-100 scores) – good health.

Results. Parameters of the social and psychological environment of middle-aged men were the basic determinates of their health self-perception, at that majority of the indices of the quality and mode of life were independent of family material well-being. Bad SPH in middle-aged men was determined by such parameters as: increased blood pressure (BP), abdominal obesity, excessive alcohol consumption, psychosocial stress, vital exhaustion, low physical activity. Material wealth influenced systolic BP level, the waist/hips circumference ratio, a number of cigarettes per day and thus the SPH status. The most significant determinants of SPH were the level of personal happiness, nervous stress at work, support by family, sports activities, working conditions, total cholesterol level, satisfaction with own work.

Conclusion. When working on programs focused on public health improvement the social, psychological and behavioral determinants of health selfperception must be considered.

1. Pasovets Y.M. The potential health of the population of the region. Uchenye Zapiski. Electronic Scientific Journal of Kursk State University. 2009;1. [cited by Sep 10, 2019]. Available from: https://apimag.kursksu.ru/media/pdf/005-22.pdf (In Russ.)

2. Kontsevaya A.V., Shalnova S.A., Balanova Y.A., et al. Social and economic gradients of behavioral risk factors in Russian population (by the ESSE-RF STUDY). Cardiovascular Therapy and Prevention. 2015;14(4):59-67 (In Russ.) DOI:10.15829/1728-8800-2015-4-59-67.

3. Marmot M.G. Fair Society, Healthy Lives: The Marmot Review. London: The Marmot Review. 2010.

4. De Bruin A., Picavet H.S.J., Nossikov A., eds. Health interview surveys. Towards international harmonization of methods and instruments. Copenhagen: World Health Organization Publication; 1996.

5. Zajacova A., Dowd J.B. Reliability of self-rated health in US adults. American Journal of Epidemiology. 2011;174(8):977-83. DOI:10.1093/aje/kwr204.

6. Kaneva M.A. Socio-economic, behavioral and psychological determinants of self-esteem of the health of Russians. National Interests: Priorities and Security. 2016;6:158-71 (In Russ.)

7. Wu S., Wang R., Zhao Y., et al. The relationship between self-rated health and objective health status: a population-based study. BMC Public Health. 2013;13:320. DOI:10.1186/1471-2458-13-320.

8. Isaac V., McLachlan C.S., Baune B.T., et al. Poor Self-Rated Health Influences Hospital Service Use in Hospitalized Inpatients With Chronic Conditions in Taiwan. Medicine (Baltimore). 2015;94(36):e1477. DOI:10.1097/MD.0000000000001477.

9. Gafarov V.V., Panov D.O., Gromova E.A., et al. 23-year dynamics (1994-2016) of the attitude to one’s health, behavioral characteristics and prevention of cardiovascular diseases among women 25−44 years old in Russia/Siberia. Terapevticheskiy Arkhiv. 2018;1:36-44 (In Russ.) DOI:10.17116/terarkh201890136-44.

10. Kaveshnikov V.S., SerebryakovaV.N., Trubacheva I.A. Attitude to your health, its parameters and selfesteem among the participants in the preventive action. Sibirskiy Meditsinskiy Zhurnal. 2014;29(3):112-5 (In Russ.) DOI:10/29001/2073-8552-201429-3-115-122.

11. Rozanov V.B., Alexandrov A.A., Shugaeva E.N., et al. Primary Prevention of Cardiovascular Diseases: Long Term Results of Five Year Long Preventive Intervention in 12-Year Old Boys (Ten Year Prospective Study). Kardiologiia. 2007;47(8):60-8 (In Russ.)

12. Kopina O.S., Souslova E.A., Zaikin E.V. Population studies of psychosocial stress as a risk factor for cardiovascular diseases. Kardiologiia. 1996;3:53-6. (In Russ.)

13. Appels A., Hoppener P., Mulder P. A questionnaire to assess premonitory symptoms of myocardial infarction. Int J Cardiol. 1987;17(1):15-24. DOI:10.1016/0167-5273(87)90029-5.

14. Gundarov I.A. Rose “Quality of Life”. Siberian Health. 1995;1:15-6. (In Russ.) [Гундаров И.А. Роза «Качества жизни». Сибирское Здоровье. 1995;1:15-6].

15. Kupriyanova I.E. Clinical dynamics and quality of life in patients with neurotic disorders. Medical psychology in Russia. 2014;2(25). [cited by Sep 10, 2019]. Available from: http://mprj.ru/archiv_global/2014_2_25/nomer/nomer04.php. (In Russ.)

16. Nazarova I.B. Health and quality of life of residents of Russia. Sotsiologicheskiye Issledovaniya. 2014;9:139-145 (In Russ.)

17. Maximova T.M., Lushkina N.P. Regularities of health self-evaluation formation in different population groups. Russian Academy of Medical Sciences. Bulletin of the National Public Health Research Institute. 2014;(1):172-8. (In Russ.)

18. Nikolayuk E.A. Self-assessment of health and self-protective behavior of rural dwellers and summer Residents in Kostroma region. Social Aspects of Population Health. 2015;3(43). [cited by Sep 10, 2019]. Available from: http://vestnik.mednet.ru/content/view/681/30/lang,en/. (In Russ.)

19. Pogosova N.V., Saner H., Pedersen S.S., et al. Psychosocial aspects in cardiological rehabilitation: from theory to practice. Consensus document of the cardiac rehabilitation section of the European Association for Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology. Kardiologiia. 2015;55(10):96-108 (In Russ.) DOI:10.18565/cardio.2015.10.96-108.

20. Gerry C.J., Baydin V.M. Sources of bias in self-assessed health. Farmakoekonomika. Modern Pharmacoeconomic and Pharmacoepidemiology. 2017;10(4):31-36. (In Russ.) DOI:10.17749/20704909.2017.10.4.031-036.

21. Mallett S., Bentley R., Baker E., et al. Precarious housing and health inequalities: what are the links? Summary report. Melbourne: University of Adelaide; 2011.

22. Kawachi I., Subramanian S.V., Almeida-Filho N. A glossary for health inequalities. J. Epidemiol. Community Health. 2002;56(9):647-52. DOI:10.1136/jech.56.9.647.

23. Reshetnikov A.V. Social portrait of a consumer of medical services. Ekonomika Zdravookhraneniya. 2000;12:5-12. (In Russ.)

24. Varlamova S.N., Sedova N.N. A healthy lifestyle is a step forward, two backward. Sociological Research. 2010;4:75-88. (In Russ.)

25. Kislitsina O.A. The influence of socio-economic factors on health: the role of absolute or relative deprivation. The Journal of Social Policy Studies. 2015;13(2):289-302 (In Russ.)

26. Rimashevskaya N.M., Rusanova N.E. The health of the Russian population in the conditions of socioeconomic modernization. Population. 2015;4:33-42 (In Russ.)

27. Rutten A., Abel T., Kannas L., et al. Self reported physical activity, public health and perceived environment: results from a comparative European study. Journal of Epidemiology and Community Health. 2001;55(2):139-46. DOI:10.1136/jech.55.2.139.

28. Perlman F., Bobak M. Determinants of self rated health and mortality in Russia – are they the same? Int J Equity Health. 2008;7:19. DOI:10.1186/1475-9276-7-19.

29. Gagulin I.V., Gafarov V.V., Gromova E.A., et al. Epidemiological study of vital exhaustion and sleep disorders in dwellers of Siberia. Neurology, Neuropsychiatry, Psychocomatics. 2016;8(3):10-6 (In Russ.) DOI:10.14412/2074-2711-2016-3-10-16.

30. Macassa G., Winersjo R., Wijk K., et al. Fear of crime and its relationship to self-reported health and stress among men. J Public Health Res. 2018;6(3):1010. DOI:10.4081/jphr.2017.1010.