Primary care use and cardiovascular disease risk in Russian 40-69 year olds: a cross-sectional study
Background The Russian Federation has very high cardiovascular disease (CVD) mortality rates compared with countries of similar economic development. This cross-sectional study compares the characteristics of CVD-free participants with and without recent primary care contact to ascertain their CVD r...
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fthighwire:oai:open-archive.highwire.org:jech:74/9/692 2023-05-15T15:24:00+02:00 Primary care use and cardiovascular disease risk in Russian 40-69 year olds: a cross-sectional study Petersen, Jakob Kontsevaya, Anna McKee, Martin Richardson, Erica Cook, Sarah Malyutina, Sofia Kudryavtsev, Alexander V Leon, David A 2020-09-01 00:00:00.0 text/html http://jech.bmj.com/cgi/content/short/74/9/692 https://doi.org/10.1136/jech-2019-213549 en eng BMJ Publishing Group Ltd http://jech.bmj.com/cgi/content/short/74/9/692 http://dx.doi.org/10.1136/jech-2019-213549 Copyright (C) 2020, BMJ Publishing Group Ltd Original research TEXT 2020 fthighwire https://doi.org/10.1136/jech-2019-213549 2020-08-21T10:44:32Z Background The Russian Federation has very high cardiovascular disease (CVD) mortality rates compared with countries of similar economic development. This cross-sectional study compares the characteristics of CVD-free participants with and without recent primary care contact to ascertain their CVD risk and health status. Methods A total of 2774 participants aged 40–69 years with no self-reported CVD history were selected from a population-based study conducted in Arkhangelsk and Novosibirsk, Russian Federation, 2015–2018. A range of co-variates related to socio-demographics, health and health behaviours were included. Recent primary care contact was defined as seeing primary care doctor in the past year or having attended a general health check under the 2013 Dispansarisation programme. Results The proportion with no recent primary care contact was 32.3% (95% CI 29.7% to 35.0%) in males, 16.3% (95% CI 14.6% to 18.2%) in females, and 23.1% (95% CI 21.6% to 24.7%) overall. In gender-specific age-adjusted analyses, no recent contact was also associated with low education, smoking, very good to excellent self-rated health, no chest pain, CVD 10-year SCORE risk 5+%, absence of hypertension control, absence of hypertension awareness and absence of care-intensive conditions. Among those with no contact: 37% current smokers, 34% with 5+% 10-year CVD risk, 32% untreated hypertension, 20% non-anginal chest pain, 18% problem drinkers, 14% uncontrolled hypertension and 9% Grade 1–2 angina. The proportion without general health check attendance was 54.6%. Conclusion Primary care and community interventions would be required to proactively reach sections of 40–69 year olds currently not in contact with primary care services to reduce their CVD risk through diagnosis, treatment, lifestyle recommendations and active follow-up. Text Arkhangelsk HighWire Press (Stanford University) Journal of Epidemiology and Community Health jech-2019-213549 |
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Original research Petersen, Jakob Kontsevaya, Anna McKee, Martin Richardson, Erica Cook, Sarah Malyutina, Sofia Kudryavtsev, Alexander V Leon, David A Primary care use and cardiovascular disease risk in Russian 40-69 year olds: a cross-sectional study |
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Original research |
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Background The Russian Federation has very high cardiovascular disease (CVD) mortality rates compared with countries of similar economic development. This cross-sectional study compares the characteristics of CVD-free participants with and without recent primary care contact to ascertain their CVD risk and health status. Methods A total of 2774 participants aged 40–69 years with no self-reported CVD history were selected from a population-based study conducted in Arkhangelsk and Novosibirsk, Russian Federation, 2015–2018. A range of co-variates related to socio-demographics, health and health behaviours were included. Recent primary care contact was defined as seeing primary care doctor in the past year or having attended a general health check under the 2013 Dispansarisation programme. Results The proportion with no recent primary care contact was 32.3% (95% CI 29.7% to 35.0%) in males, 16.3% (95% CI 14.6% to 18.2%) in females, and 23.1% (95% CI 21.6% to 24.7%) overall. In gender-specific age-adjusted analyses, no recent contact was also associated with low education, smoking, very good to excellent self-rated health, no chest pain, CVD 10-year SCORE risk 5+%, absence of hypertension control, absence of hypertension awareness and absence of care-intensive conditions. Among those with no contact: 37% current smokers, 34% with 5+% 10-year CVD risk, 32% untreated hypertension, 20% non-anginal chest pain, 18% problem drinkers, 14% uncontrolled hypertension and 9% Grade 1–2 angina. The proportion without general health check attendance was 54.6%. Conclusion Primary care and community interventions would be required to proactively reach sections of 40–69 year olds currently not in contact with primary care services to reduce their CVD risk through diagnosis, treatment, lifestyle recommendations and active follow-up. |
format |
Text |
author |
Petersen, Jakob Kontsevaya, Anna McKee, Martin Richardson, Erica Cook, Sarah Malyutina, Sofia Kudryavtsev, Alexander V Leon, David A |
author_facet |
Petersen, Jakob Kontsevaya, Anna McKee, Martin Richardson, Erica Cook, Sarah Malyutina, Sofia Kudryavtsev, Alexander V Leon, David A |
author_sort |
Petersen, Jakob |
title |
Primary care use and cardiovascular disease risk in Russian 40-69 year olds: a cross-sectional study |
title_short |
Primary care use and cardiovascular disease risk in Russian 40-69 year olds: a cross-sectional study |
title_full |
Primary care use and cardiovascular disease risk in Russian 40-69 year olds: a cross-sectional study |
title_fullStr |
Primary care use and cardiovascular disease risk in Russian 40-69 year olds: a cross-sectional study |
title_full_unstemmed |
Primary care use and cardiovascular disease risk in Russian 40-69 year olds: a cross-sectional study |
title_sort |
primary care use and cardiovascular disease risk in russian 40-69 year olds: a cross-sectional study |
publisher |
BMJ Publishing Group Ltd |
publishDate |
2020 |
url |
http://jech.bmj.com/cgi/content/short/74/9/692 https://doi.org/10.1136/jech-2019-213549 |
genre |
Arkhangelsk |
genre_facet |
Arkhangelsk |
op_relation |
http://jech.bmj.com/cgi/content/short/74/9/692 http://dx.doi.org/10.1136/jech-2019-213549 |
op_rights |
Copyright (C) 2020, BMJ Publishing Group Ltd |
op_doi |
https://doi.org/10.1136/jech-2019-213549 |
container_title |
Journal of Epidemiology and Community Health |
container_start_page |
jech-2019-213549 |
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1766354582388080640 |