Abstract
Hypertension — a risk factor in the mortality structure in the world. Important role in the development of complications and the formation of mortality in patients with arterial hypertension are risk factors. Among the most significant currently emit Smoking. The aim of this study is to evaluate the contribution of Smoking as a risk factor in individuals with arterial hypertension in the Arctic region.
We examined 283 inhabitants during scientific research expeditions in Yamal, Nadym and Tazovsky districts. Men – 80(28.3%) and women -203(71,7%), average age -41,9±13.3 years. The survey consisted of: questionnaires, measurement of blood pressure.
According to the research results the greatest influence on the development of arterial hypertension according to univariate analysis were: age, the odds ratio is OR=1,06, then the experience of Smoking OR=1,05, the number of cigarettes and the Northern experience OR=1,02 and 1,04 respectively. To identify the combined effect of the studied parameters on the development of hypertension was used in multivariate binary logistic analysis.
When comparing the calculated results with the actual data on the risk of development of hypertension was obtained a good coincidence of the results: χ2=32,4; p<0.001; OR=4,28; 95% CI from 2.5 to 7.4. The operational characteristics of the method of logistic regression: sensitivity of 66.7%, specificity of 75.3 per cent. The overall accuracy of a predictive model of 73.8%.
Built the model of logical regression revealed that the combination of such factors as age, Northern experience, the number of cigarettes and years of Smoking increases the risk of hypertension.
- Copyright ©the authors 2016