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OCCUPATIONAL ROLE AND LONG-TERM SURVIVAL AFTER MYOCARDIAL INFARCTION

https://doi.org/10.15829/1560-4071-2015-6-38-41

Abstract

Aim. To analyze the influence of occupational role on long-term survival after myocardial infarction (MI).

Material and methods. The volume of selection was 471 patient; of those 342 men, 129 women. Among them at the moment of MI 118 had a job, and 353 had not. Comparison of survival was done by Kaplan-Meier method, criteria by Gekhan-Wilkokson. To eliminate the influence of gender and age on the statistics, before the risk assessment we directly standardized mortality by both these factors. For the risk of premature death in non-workers in comparison to current workers we measured an additional risk (EF) and odds ratio (OR) with 95% confidence interval (CI).

Results. Survival rate after MI in current workers group was higher than in nonworkers (p=0,00006). By the 8th year the level of survived among workers is 70%, and in non-workers — just 42%. The risks of premature death before 5 years after infarction in non-workers comparing to workers reach statistical significance: EF is 13,4% with 95% CI from 3,2% to 23,6%, OR is 1,78 with 95% CI from 1,14 to 2,78.

Conclusion. The results of the study witness higher survival rate in long-term period in currently working inhabitants than non-working, that presents even in first months after MI development. With the increase of time period from the onset of MI the differences in survival depending on occupation role getting more significant.

About the Authors

D. V. Kryuchkov
Scientific-Research Institute of Complex Cardiovascular Problems, Kemerovo
Russian Federation


S. A. Maksimov
Scientific-Research Institute of Complex Cardiovascular Problems, Kemerovo
Russian Federation


O. V. Kushch
Scientific-Research Institute of Complex Cardiovascular Problems, Kemerovo
Russian Federation


G. V. Artamonova
Scientific-Research Institute of Complex Cardiovascular Problems, Kemerovo
Russian Federation


References

1. Izmerov NF, Tihonova GI, Gorchakova TJu. Mortality working-age population in Russia and other developed countries in Europe: trends of the last decade. Vestnik RAMN 2014; 7-8: 121-6. Russian (Измеров Н.Ф., Тихонова Г. И., Горчакова Т.Ю. Смертность населения трудоспособного возраста в России и развитых странах Европы: тенденции последнего десятилетия. Вестник РАМН 2014, 7-8: 121-6).

2. Artamonova GV, Maksimov SA, Cherkass NV, et al. Analysis of regional features of mortality from diseases of the circulatory system to evaluate the effectiveness of health programs. Menedzher zdravoohranenija 2013; 12: 30-8. Russian (Артамонова Г.В., Максимов С.А., Черкасс Н.В. и др. Анализ региональных особенностей смертности от болезней системы кровообращения для оценки эффективности программ здравоохранения. Менеджер здравоохранения 2013, 12: 30-8).

3. Avenado M, Kunst AE, Huisman M, et al. Socioeconomic status and ischemic heart disease mortality in 10 Western European population during the 1990s. Heart 2006; 92: 461-7.

4. Ivanova AE, Zemljanova EV, Mihajlov AJu, et al. Differences of adult mortality Russia in terms of education. Zdravoohranenie Rossijskoj Federacii 2014; 2: 4-8. Russian (Иванова А.Е., Землянова Е.В., Михайлов А.Ю. и др. Различия смертности взрослого населения России по уровню образования. Здравоохранение Российской Федерации. 2014. 2: 4-8).

5. Van der Noordt M, Ijzelenberg H, Droomers M, et al. Health effects of employment: a systematic review of prospective studies. Occup. Environ. Med 2014; 71: 730-6.

6. Rose KM, Newman B, Tyroler HA, et al Women, employment status, and hypertension: crosssectional and prospective findings from the Atherosclerosis Risk in Communities (ARIC) Study. Ann Epidemiol 1999; 9(6): 374-82.

7. Carson AP, Rose KM, Catellier DJ, et al. Employment status, coronary heart disease, and stroke among women. Ann. Epidemiol. 2009; 19(9): 630-6.

8. Rose KM, Carson AP, Catellier D, et al. Women’s employment status and mortality: The atherosclerosis risk in communities study. J Women’s Health (Larchmt) 2004; 13(10): 1108-18.

9. Pomeshkina SA, Kondrikova NV, Barbarash OL. Assessment of work capacity of patients undergoing coronary artery bypass grafting. Kompleksnye problemy serdechno-sosudistyh zabolevanij 2014; 1: 26-30. Russian (Помешкина С.А., Кондрикова Н.В., Барбараш О. Л. Оценка трудоспособности пациентов, подвергшихся коронарному шунтированию. Комплексные проблемы сердечно-сосудистых заболеваний 2014, 1: 26-30).

10. Maksimov SA, Artamonova GV. The role of professional selection in the prevalence of hypertension: “the effect of a healthy / unhealthy working”. Vestnik RAMN 2013; 9: 37-41. Russian (Максимов С.А., Артамонова Г.В. Роль профессионального отбора в распространенности артериальной гипертензии: “эффект здорового/нездорового рабочего”. Вестник РАМН 2013, 9: 37-41).

11. Haertel U, Heiss G, Filipiak B, et al. Cross-sectional and Longitudinal Associations between High Density Lipoprotein Cholesterol and Women’s Employment. Am. J. Epidemiol. 1992; 135(1): 68-78.

12. Krjuchkov DV, Heraskov VJu, Maksimov SA, et al. Some medical and social factors probability of hospital mortality in myocardial infarction. Vestnik RAMN 2013; 11: 30-3. Russian (Крючков Д.В., Херасков В.Ю., Максимов С.А. и др. Некоторые медико-социальные факторы вероятности госпитальной летальности при инфаркте миокарда. Вестник РАМН 2013, 11: 30-3).

13. Vushkan AV. To work or not to pensioners? (logistic model choice determinant). Uchet i statistika 2008; 12: 229-34. Russian (Вушкан А.В. Работать или нет пенсионерам? (логистическая модель детерминант выбора). Учет и статистика 2008, 12: 229-34).

14. Carranza SN, LeBaron S. Adherence among Mexican Americans with type 2 diabetes: behavioral attribution, social support, and poverty. Fam. Med. 2004; 36(8): 539-540.

15. Schiele F, Meneyeau N, Seronde MF, et al. Compliance with guidelines and 1-year mortality in patients with acute myocardial infarction: a prospective study. Eur. Heart J. 2005; 26: 873-80.

16. Campos-Serna J, Ronda-Perez E, Artazcoz L, et al. Gender inequalities in occupational health related to the unequal distribution of working and employment conditions: a systematic review. Int. J. Equity. Health. 2013; 12(1): 57.

17. Eng A, ‘t Mannetje A, McLean D, et al. Gender differences in occupational exposure patterns. Occup. Environ. Med. 2011; 68(12): 888-94.

18. Berecki-Gisolf J, Lucke J, Hockey R, et al. Transitions into informal caregiving and out of paid employment of women in their 50s. Soc Sci Med. 2008; 67: 122-7.


Review

For citations:


Kryuchkov D.V., Maksimov S.A., Kushch O.V., Artamonova G.V. OCCUPATIONAL ROLE AND LONG-TERM SURVIVAL AFTER MYOCARDIAL INFARCTION. Russian Journal of Cardiology. 2015;(6):38-41. (In Russ.) https://doi.org/10.15829/1560-4071-2015-6-38-41

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)