Prognostic value of socioeconomic parameters among the Russian population aged 25-64: results of a population-based study

Aim. To assess the contribution of individual socioeconomic parameters to the risk of death and cardiovascular events among Russian men and women aged 25-64, according to epidemiological study data.Material and methods. The study was based on data from the prospective study ESSE-RF (2013-2014) and E...

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Main Authors: A. E. Imaeva, Yu. A. Balanova, L. I. Gomanova, V. A. Kutsenko, N. A. Imaeva, B. M. Nazarov, A. V. Kapustina, S. E. Evstifeeva, G. A. Muromtseva, S. A. Shalnova, O. M. Drapkina
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Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2025-02-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/4226
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author A. E. Imaeva
Yu. A. Balanova
L. I. Gomanova
V. A. Kutsenko
N. A. Imaeva
B. M. Nazarov
A. V. Kapustina
S. E. Evstifeeva
G. A. Muromtseva
S. A. Shalnova
O. M. Drapkina
author_facet A. E. Imaeva
Yu. A. Balanova
L. I. Gomanova
V. A. Kutsenko
N. A. Imaeva
B. M. Nazarov
A. V. Kapustina
S. E. Evstifeeva
G. A. Muromtseva
S. A. Shalnova
O. M. Drapkina
author_sort A. E. Imaeva
collection DOAJ
description Aim. To assess the contribution of individual socioeconomic parameters to the risk of death and cardiovascular events among Russian men and women aged 25-64, according to epidemiological study data.Material and methods. The study was based on data from the prospective study ESSE-RF (2013-2014) and ESSE-RF2 (2017), which included a total of 22812 participants aged 25-64 years from 14 regions. The analysis assessed the following sociodemographic parameters: marital status, education level, income, employment, and type of settlement. From 2013 to 2021, 688 participants died. The composite endpoint (CE), including fatal and non-fatal (myocardial infarction and/or cerebrovascular accident) cardiovascular events, was registered in 470 (4,6%) men and 380 (2,4%) women. Associations with endpoints were assessed using Cox proportional hazards models with corresponding hazard ratios (HR).Results. According to multivariate analysis, the following parameters were significantly associated with the all-cause death risk in the male population: non-marriage (HR 1,86, 95% confidence interval (CI): 1,48-2,33), no higher education (HR 1,34, 95% CI: 1,08-1,67), low income (HR 1,32, 95% CI: 1,06-1,63), non-employment (HR 1,97, 95% CI: 1,58-2,46); with CE — no higher education (HR 1,64, 95% CI: 1,34-2,01), nonemployment (HR 1,49, 95% CI: 1,21-1,84). In the population of women, a reliable contribution to all-cause death risk and CE occurrence was made by the lack of higher education and non-employment — HR 1,54, 95% CI: 1,17-2,04; HR 1,64, 95% CI: 1,26-2,14; HR 1,35, 95% CI: 1,07-1,71; HR 1,38, 95% CI: 1,1-1,73, respectively.Conclusion. The study results indicate that the most unfavorable prognostic factors in relation to death risk and fatal and non-fatal cardiovascular events are the lack of higher education and nonemployment, regardless of sex and region of residence.
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spelling doaj-art-7013d71a9f034f86bafafb5f0fc6f0942025-08-20T03:18:37Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252025-02-01231210.15829/1728-8800-2024-42263117Prognostic value of socioeconomic parameters among the Russian population aged 25-64: results of a population-based studyA. E. Imaeva0Yu. A. Balanova1L. I. Gomanova2V. A. Kutsenko3N. A. Imaeva4B. M. Nazarov5A. V. Kapustina6S. E. Evstifeeva7G. A. Muromtseva8S. A. Shalnova9O. M. Drapkina10National Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineOOO Healthy FamilyNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineAim. To assess the contribution of individual socioeconomic parameters to the risk of death and cardiovascular events among Russian men and women aged 25-64, according to epidemiological study data.Material and methods. The study was based on data from the prospective study ESSE-RF (2013-2014) and ESSE-RF2 (2017), which included a total of 22812 participants aged 25-64 years from 14 regions. The analysis assessed the following sociodemographic parameters: marital status, education level, income, employment, and type of settlement. From 2013 to 2021, 688 participants died. The composite endpoint (CE), including fatal and non-fatal (myocardial infarction and/or cerebrovascular accident) cardiovascular events, was registered in 470 (4,6%) men and 380 (2,4%) women. Associations with endpoints were assessed using Cox proportional hazards models with corresponding hazard ratios (HR).Results. According to multivariate analysis, the following parameters were significantly associated with the all-cause death risk in the male population: non-marriage (HR 1,86, 95% confidence interval (CI): 1,48-2,33), no higher education (HR 1,34, 95% CI: 1,08-1,67), low income (HR 1,32, 95% CI: 1,06-1,63), non-employment (HR 1,97, 95% CI: 1,58-2,46); with CE — no higher education (HR 1,64, 95% CI: 1,34-2,01), nonemployment (HR 1,49, 95% CI: 1,21-1,84). In the population of women, a reliable contribution to all-cause death risk and CE occurrence was made by the lack of higher education and non-employment — HR 1,54, 95% CI: 1,17-2,04; HR 1,64, 95% CI: 1,26-2,14; HR 1,35, 95% CI: 1,07-1,71; HR 1,38, 95% CI: 1,1-1,73, respectively.Conclusion. The study results indicate that the most unfavorable prognostic factors in relation to death risk and fatal and non-fatal cardiovascular events are the lack of higher education and nonemployment, regardless of sex and region of residence.https://cardiovascular.elpub.ru/jour/article/view/4226socioeconomic parametersmortalitycardiovascular diseasesfatal and non-fatal cardiovascular events
spellingShingle A. E. Imaeva
Yu. A. Balanova
L. I. Gomanova
V. A. Kutsenko
N. A. Imaeva
B. M. Nazarov
A. V. Kapustina
S. E. Evstifeeva
G. A. Muromtseva
S. A. Shalnova
O. M. Drapkina
Prognostic value of socioeconomic parameters among the Russian population aged 25-64: results of a population-based study
Кардиоваскулярная терапия и профилактика
socioeconomic parameters
mortality
cardiovascular diseases
fatal and non-fatal cardiovascular events
title Prognostic value of socioeconomic parameters among the Russian population aged 25-64: results of a population-based study
title_full Prognostic value of socioeconomic parameters among the Russian population aged 25-64: results of a population-based study
title_fullStr Prognostic value of socioeconomic parameters among the Russian population aged 25-64: results of a population-based study
title_full_unstemmed Prognostic value of socioeconomic parameters among the Russian population aged 25-64: results of a population-based study
title_short Prognostic value of socioeconomic parameters among the Russian population aged 25-64: results of a population-based study
title_sort prognostic value of socioeconomic parameters among the russian population aged 25 64 results of a population based study
topic socioeconomic parameters
mortality
cardiovascular diseases
fatal and non-fatal cardiovascular events
url https://cardiovascular.elpub.ru/jour/article/view/4226
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