Effect of social support on the risk of hypertension in the open population of 25—64 years old women in Russia/Siberia (population-based study — WHO program «MONICA-psychosocial»)

В.В. Гафаров^{1, 2}, Д.О. Панов^{1, 2}, Е.А. Громова^{1, 2}, И.В. Гагулин^{1, 2}, А.В. Гафарова^{1, 2}

Authors: V.V. Gafarov1, 2, D.O. Panov1, 2, E.A. Gromova1, 2, I.V. Gagulin1, 2, A.V. Gafarova1, 2

Place: Novosibirsk, Russia

Institution: 1 Collaborative Laboratory of Cardiovascular Diseases Epidemiology of the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk, Russia 2 Laboratory of Psychological and Sociological Issues of Internal Medicine, Institute of Internal Medicine the Siberian Branch of Russian Academy of Medical Sciences, Novosibirsk, Russia

Abstract: Objective. To determine the prevalence and impact of social support on the relative risk (RR) of systemic hypertension in the open population of25-64 years old women for 16 years. Design and methods. In 1994, within the framework of the third screening of the WHO «MONICA-psychosocial» program random representative sample of women aged 25-64 (n = 870), who were residents of one district in Novosibirsk, were surveyed. Social support was studied by the method of Berkman-Sim test. During the 16-year period (1994-2010) all cases of new-onset hypertension were investigated. Results. The prevalence of low levels of the index of close contacts (ICC) and the social network index (SNI) was 57,1 and 77,7 %, respectively. The risk of developing hypertension in those with low ICC was 2,01; 1,93 and 1,42 times higher for 5, 10 and 16 years from the date of screening, respectively (p < 0,05). In women with low SNI risk of hypertension for 5 years was not significant. After 10 years, the risk of hypertension was 1,88 (p < 0,05), after 16 years it was 1,58 times higher compared to the subgroup with higher social support (p < 0,01). Conclusion. The results show a high prevalence of low ICC and SNI, which significantly increase the risk of developing hypertension in the population of women aged 25-64.

Keywords: social support, self-rated health, awareness in relation to health and the prevention of cardiovascular diseases, the relative risk of hypertension

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