OS 30-03 GENDER DIFFERENCES OF AN ARTERIAL HYPERTENSION RISK IN POPULATION WITH SLEEP DISTURBANCE IN RUSSIA / SIBERIA: WHO PROGRAM MONICA-PSYCHOSOCIAL

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Abstract

Objective:

To determine the gender differences influence sleep disturbances (SD) on the risk of arterial hypertension (AH) in the open population 25–64 years in Russia / Siberia.

Design and Method:

As part of the third screening WHO program «MONICA-psychosocial» a random representative sample of the population of both sexes aged 25–64 in Novosibirsk was surveyed in 1994 (men: n = 657 44.3 ± 0.4 years, the response −82.1%; women: n = 689, 45.4 ± 0.4 years, the response −72.5%). Registration of socio-demographic data and determining of SD were made. 229 cases of new-onset AH in women and 46 cases in men were identified over 16-year period.

Results:

In general population aged 25–64 years 48.6% of men and 65.9% of women had SD. The social gradient in both men and women with SD had the following differences: marital status structure is not significantly different, but widowhood increased the risk of AH in men over HR = 14.6, than women HR = 5.6 (p < 0.0001). Low level of education was associated with SD in women more likely HR = 10.3, the same picture was in occupational groups. Over 5 years men with SD had higher risk of AH HR = 5.4 than women HR = 4.35. After 10 years the risk of AH was higher in women HR = 2.68 than men HR = 2.3. After 16 years there was a tendency in AH risk in men HR = 1.2 (p < 0.05) but not in women HR = 1.05 (95%CI 0.73- 1.48; p > 0.05).

Conclusions:

SD are more prevalent in women than in men. The risk of AH was higher among widowed men than in women. The low level of education was significantly associated with SD, only women. At the same time the risk of AH was higher in men than women with SD.

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