A population study of social-psychological risk factors of ischemic heart disease in male population of Novosibirsk

Aim. To study a 5-year prevalence of and changes in anxiety, behavior of th e coronary type, social support, health self-estimation, attitude to smokin g, sleep disorders in male population. Materials and methods. In the context of the program "MONICA-psychosocial", a random representative sample of males aged 25-64 living in Novosibirsk h as been examined (screening in 1988-1989 - 739 males, and in 1994-1995 - 65 7 males). Results. Personal anxiety in the study population has increased for 5 years from 49.5 to 51%. The number of males with coronary behavior has reduced f rom 25.9 to 16.9% (p<0.001). Health self-estimation has improved and freque ncy of sleep disorders diminished. Negative tendencies also manifested: les s number of males quit smoking, social connections and contacts decreased Conclusion. A close correlation between psychosocial factors and ischemic h eart disease necessitate intensification of the preventive programs aimed a t weakening of influence of psychosocial factors on the population. Otherwi se no reduction in ischemic heart disease incidence in population can be ex pected.