Associations of the prevalence of coronary heart disease and psychosocial risk factors in middle-aged men from an open urban population

Kayumova M.M., Gafarov V.V., Bessonova M.I., Troshina I.A., et al.

ABSTRACT

The aim of the study is to determine the prevalence of coronary heart disease (CHD), sleep disorders, and negative affective states among men aged 55–64 years in an open urban population and to assess the likelihood of developing CHD with high levels of depression, hostility, vital exhaustion, and sleep disorders. Methods. A cross-sectional study with an 85.0% response rate was conducted on a  representative sample of men aged 25–64 years in the city of Tyumen (n=1000). Standard epidemiological methods were used to determine the prevalence of CHD. High levels of depression, hostility, vital exhaustion, and sleep disorders among middle-aged individuals (55–64 years) were identified using algorithms from the WHO MONICA-MOPSY questionnaire. Results. With a  lower prevalence of high levels of depression in the open population and its increase among middle-aged men, the highest likelihood of developing definite CHD (DCHD) and CHD according to extended epidemiological criteria was observed in the general population, with a tendency to decrease in the sixth decade of life. In the presence of high levels of hostility at the age of 55–64 years, the likelihood of developing CHD and DCHD increased by 2 and 5 times, respectively. In the same age category, with a  significant increase in vital exhaustion relative to the general population indicator, the likelihood of developing CHD with high levels of vital exhaustion was lower than in the general population, while the likelihood of developing DCHD increased by 12.5 times with its twofold increase in the general population. Among men aged 55–64 years, with a  significant increase in sleep disorders, the likelihood of developing CHD in the presence of sleep disorders did not differ significantly from the general population indicator, but there was a twofold increase in the likelihood of developing DCHD. Conclusion. Thus, the analysis of identifying psychosocial risk factors in middle-aged men and the associations of their high levels with the development of CHD appears necessary for use in forming preventive programs aimed at reducing high cardiovascular risk in an open urban population. These programs should primarily focus on regulating psychological parameters.

Keywords: open population, epidemiologic study, psychosocial factors, coronary heart disease.

For citation:

Kayumova M.M., Gafarov V.V., Bessonova M.I., Troshina  I.A., et al. Associations of the prevalence of coronary heart disease and psychosocial risk factors in middle-aged men from an open urban population. International Heart and Vascular Disease Journal. 2025. 13(45):15-22. DOI: 10.24412/2311-1623-2025-45-18-27