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Potential and limitations of health policy to improve coronary heart disease prevention and to reduce the burden of disease: A Russian experience.
Pogosova, Nana; Oganov, Rafael; Saner, Hugo; Suvorov, Sergey; Sokolova, Olga.
  • Pogosova N; 1 Federal Health Centre, Moscow, Russia.
  • Oganov R; 2 Department of NCDs Secondary Prevention, The National Research Centre for Preventive Medicine of the Ministry of Healthcare of the Russian Federation, Moscow, Russia.
  • Saner H; 3 Directorate, The National Research Centre for Preventive Medicine of the Ministry of Healthcare of the Russian Federation, Moscow, Russia.
  • Suvorov S; 4 Preventive Cardiology and Sports Medicine, Clinic for Cardiology, University Hospital Bern, Inselspital, Switzerland.
  • Sokolova O; 2 Department of NCDs Secondary Prevention, The National Research Centre for Preventive Medicine of the Ministry of Healthcare of the Russian Federation, Moscow, Russia.
Eur J Prev Cardiol ; 25(16): 1725-1734, 2018 11.
Article en En | MEDLINE | ID: mdl-29635927
ABSTRACT
Background Mortality from cardiovascular diseases is particularly high in Russia compared with the European average. The National Priority Project 'Health', launched in 2005, aimed to promote prevention of non-communicable diseases, particularly cardiovascular diseases, in primary care and to increase availability of state-of-art cardiovascular disease management. Methods This is a multiregional population based study with analysis of indicators for cardiovascular health and coronary heart disease in Moscow, St Petersburg, the Moscow region and across Russia, including a total population of 143.7 million inhabitants between 2005 and 2013. Data were collected using conventional methodology and originate from open statistical sources. Results The overall age-standardized coronary heart disease mortality decreased in 2005-2013 by 24.7% from 383.6 to 289.0 per 100000 population, but with substantial interregional differences it declined from 306.1 to 196.9 per 100,000 in Moscow (-35.7%), from 362.1 to 258.9 per 100,000 in St Petersburg (-28.5%) and from 433.8 to 374.3 per 100,000 in the Moscow region (-13.7%). Income in Moscow exceeded the national average 2-3-fold, and Moscow had the highest availability of modern treatments and interventions. Although vegetables, fruits and fish consumption increased overall in Russia, this trend was most prominent in Moscow. Indicators for psychosocial well-being also were best in Moscow. Life expectancy in Moscow is almost six years higher than the Russian average. Conclusion Health policy interventions turned out to be successful but with substantial interregional differences. Lower coronary heart disease mortality and higher life expectancy in Moscow may be due to a more favourable socioeconomic and psychological environment, more healthy eating and greater availability of medical care.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Prevención Primaria / Enfermedad Coronaria / Política de Salud Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Humans País como asunto: Asia / Europa Idioma: En Año: 2018 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Prevención Primaria / Enfermedad Coronaria / Política de Salud Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Humans País como asunto: Asia / Europa Idioma: En Año: 2018 Tipo del documento: Article