Association Between Area-Level Deprivation and Cardio-Metabolic Risk Factors Among the Adult Population in Russia.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-10 DOI:10.3390/ijerph22040594

Anastasia A Zelenina, Svetlana A Shalnova, Oksana M Drapkina

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Abstract

Background: Cardiovascular diseases have been the leading cause of death in the Russian population to date.

Methods: Using generalized estimating equations, we examined the links of area-level socio-economic and environmental deprivation with cardiovascular disease risk factors in the adult population as a whole, as well as in men and women separately.

Results: People living in more economically deprived areas had 61 percent higher odds of being obese (Q4: odds ratio (OR) 1.61; 95% confidence interval (CI): 1.20-2.16), 2.32 times higher odds of having chronic kidney disease (OR 2.32; 95% CI: 1.56-3.44), up to 57 percent higher odds of having hyperuricemia (OR 1.57; 95% CI: 1.31-1.88), and up to 80 percent higher odds of having diabetes mellitus (OR 1.80; 95% CI: 1.71-1.89), compared to those in the least deprived areas. Individuals living in the most environmentally deprived areas were associated with higher odds of hypertension (OR 1.37; 95% CI: 1.19-1.57) and these associations persisted for both when considering men (OR 1.38; 95% CI: 1.19-1.61) and women (OR 1.37; 95% CI: 1.14-1.65) separately.

Conclusions: This is the first study to examine the relationship of area characteristics with cardio-metabolic risk factors such as elevated blood pressure and prediabetes, taking into account individual characteristics among the Russian population.

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俄罗斯成年人区域水平剥夺与心脏代谢危险因素之间的关系

背景：迄今为止，心血管疾病一直是俄罗斯人口死亡的主要原因。方法：使用广义估计方程，我们检查了区域层面的社会经济和环境剥夺与心血管疾病危险因素的联系，在成年人群中作为一个整体，以及在男性和女性中单独。结果：生活在经济更贫困地区的人肥胖的几率高出61% (Q4：比值比（OR） 1.61；95%可信区间（CI）： 1.20-2.16)，患慢性肾脏疾病的几率高2.32倍(OR 2.32；95% CI: 1.56-3.44)，高尿酸血症的几率高达57% (OR 1.57；95% CI: 1.31-1.88)，患糖尿病的几率高达80% (OR 1.80；95% CI: 1.71-1.89)，与最贫困地区相比。生活在环境最贫瘠地区的人患高血压的几率更高(OR 1.37；95% CI: 1.19-1.57)，当考虑男性时，这些关联仍然存在(OR 1.38；95% CI: 1.19-1.61)和女性(OR: 1.37；95% CI: 1.14-1.65)。结论：考虑到俄罗斯人群的个体特征，这是第一个研究地区特征与心脏代谢危险因素（如血压升高和前驱糖尿病）之间关系的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Environmental Research and Public Health ENVIRONMENTAL SCIENCES-

自引率

0.00%

发文量

14422

期刊介绍： International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.