Skip to main content
Top
Published in: Social Psychiatry and Psychiatric Epidemiology 7/2005

01-07-2005 | Original Paper

Social and lifestyle determinants of depression, anxiety, sleeping disorders and self-evaluated quality of life in Russia

A population-based study in Arkhangelsk

Authors: Maria Averina, Odd Nilssen, Tormod Brenn, Jan Brox, Vadim L. Arkhipovsky, Alexei G. Kalinin

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 7/2005

Login to get access

Abstract

Background

The paper investigates social and lifestyle determinants of depression, anxiety, sleeping disorders and self-evaluated low quality of life in a population sample from the northwest of Russia.

Methods

Altogether 1968 men and 1737 women aged 18–90 years participated in a population-based study in Arkhangelsk, Russia, in the period 1999–2000. Depression, anxiety, and sleeping disorders were evaluated by a questionnaire with the formulations that have been previously used in population studies in Northern Norway. Alcohol dependence was diagnosed by the Alcohol Use Disorders Identification Test (AUDIT). Quality of life was evaluated by a 10-score Cantril Ladder. A score lower than five was defined as low quality of life. Relations between depression, anxiety, and sleeping disorders and socioeconomic/lifestyle factors were tested by logistic regression analyses.

Results

Women reported significantly higher prevalence of depression, anxiety and/or sleeping disorders than men: 68.7% and 32.3%, respectively. Depression, anxiety, sleeping disorders and low quality of life were positively associated with self-evaluation of nutrition as “poor”, low consumption of food, and with low-paid professional status. Depression and sleeping disorders were associated with smoking, hazardous level of alcohol drinking and alcohol dependence. Anxiety and low quality of life were associated with alcohol dependence. Depression, anxiety, sleeping disorders and low quality of life had a strong positive association with circulatory diseases and gastrointestinal diseases, the association remained significant after adjustment for smoking and alcohol variables.

Conclusions

A considerable part of the examined Russian population experienced depression, anxiety, and sleeping disorders that were strongly positively associated with poor nutrition, low socioeconomic status and adverse health behaviors (alcohol use disorders, smoking).
Literature
1.
go back to reference Averina M, Nilssen O, Brenn T, Brox J, Kalinin AG, Arkhipovsky VL (2003) High cardiovascular mortality in Russia cannot be explained by the classical risk factors. The Arkhangelsk study 2000. Eur J Epidemiol 18:871–878CrossRefPubMed Averina M, Nilssen O, Brenn T, Brox J, Kalinin AG, Arkhipovsky VL (2003) High cardiovascular mortality in Russia cannot be explained by the classical risk factors. The Arkhangelsk study 2000. Eur J Epidemiol 18:871–878CrossRefPubMed
2.
go back to reference Averina M, Nilssen O, Brenn T, Brox J, Arkhipovsky VL, Kalinin AG (2004) Factors behind the increase in cardiovascular mortality in Russia: apolipoprotein AI and B distribution in the Arkhangelsk study. Clin Chem 50(2):346–354CrossRefPubMed Averina M, Nilssen O, Brenn T, Brox J, Arkhipovsky VL, Kalinin AG (2004) Factors behind the increase in cardiovascular mortality in Russia: apolipoprotein AI and B distribution in the Arkhangelsk study. Clin Chem 50(2):346–354CrossRefPubMed
3.
go back to reference Alyanak L (1999) Baltic blues: for women workers in Estonia, new jobs are lacking. World Work 31:16–17PubMed Alyanak L (1999) Baltic blues: for women workers in Estonia, new jobs are lacking. World Work 31:16–17PubMed
4.
go back to reference Cantril H (1965) The patterns of human concern. New Brunswick: NJ Rutgers University Press Cantril H (1965) The patterns of human concern. New Brunswick: NJ Rutgers University Press
5.
go back to reference Carlson P (2001) Risk behaviours and self rated health in Russia 1998. J Epidemiol Community Health 55:806–817CrossRefPubMed Carlson P (2001) Risk behaviours and self rated health in Russia 1998. J Epidemiol Community Health 55:806–817CrossRefPubMed
6.
go back to reference Chenet L, McKee M, Leon D, Shkolnikov V, Vassin S (1998) Alcohol and cardiovascular mortality in Moscow; new evidence of a causal association. J Epidemiol Community Health 52:772–774PubMed Chenet L, McKee M, Leon D, Shkolnikov V, Vassin S (1998) Alcohol and cardiovascular mortality in Moscow; new evidence of a causal association. J Epidemiol Community Health 52:772–774PubMed
7.
go back to reference Dalgard OS, Håheim LL (1998) Psychosocial risk factors and mortality: a prospective study with special focus on social support, social participation, and locus of control in Norway. J Epidemiol Community Health 52:476–481PubMed Dalgard OS, Håheim LL (1998) Psychosocial risk factors and mortality: a prospective study with special focus on social support, social participation, and locus of control in Norway. J Epidemiol Community Health 52:476–481PubMed
8.
go back to reference DiIorio FC, Hardy KA (1996) Quick start to data analysis with SAS. Belmont, CA: Wadsworth Publishing Company DiIorio FC, Hardy KA (1996) Quick start to data analysis with SAS. Belmont, CA: Wadsworth Publishing Company
9.
go back to reference Gafarov VV, Pak VA, Gagulin IV, Gafarova AV (2003) Study based on the WHO MONICA program on the connection between psychosocial risk factors and ischemic heart disease in men aged 25–64 in Novosibirsk (in Russian). Therapeutic Archive 75:51–54 Gafarov VV, Pak VA, Gagulin IV, Gafarova AV (2003) Study based on the WHO MONICA program on the connection between psychosocial risk factors and ischemic heart disease in men aged 25–64 in Novosibirsk (in Russian). Therapeutic Archive 75:51–54
10.
go back to reference Ginter E (1995) Cardiovascular risk factors in the former communist countries. Analysis of 40 European MONICA populations. Eur J Epidemiol 11:199–205CrossRefPubMed Ginter E (1995) Cardiovascular risk factors in the former communist countries. Analysis of 40 European MONICA populations. Eur J Epidemiol 11:199–205CrossRefPubMed
12.
go back to reference Grant BF, Stinson FS, Dawson DA et al (2004) Prevalence and cooccurence of substance use disorders and independent mood and anxiety disorders. Arch Gen Psychiatry 61:807–816CrossRefPubMed Grant BF, Stinson FS, Dawson DA et al (2004) Prevalence and cooccurence of substance use disorders and independent mood and anxiety disorders. Arch Gen Psychiatry 61:807–816CrossRefPubMed
13.
go back to reference Hallqvist J, Lundberg M, Diderichsen F, Ahlbom A (1998) Socioeconomic differences in risk of myocardial infarction 1971–1994 in Sweden: time trends, relative risks and population attributable risks. Int J Epidemiol 27:410–415CrossRefPubMed Hallqvist J, Lundberg M, Diderichsen F, Ahlbom A (1998) Socioeconomic differences in risk of myocardial infarction 1971–1994 in Sweden: time trends, relative risks and population attributable risks. Int J Epidemiol 27:410–415CrossRefPubMed
15.
go back to reference Kennedy BP, Kawachi I (1998) The role of social capital in the Russian mortality crisis. World Dev 26(11):2029–2043CrossRef Kennedy BP, Kawachi I (1998) The role of social capital in the Russian mortality crisis. World Dev 26(11):2029–2043CrossRef
16.
go back to reference Ketterer MW, Mahr G, Goldberg AD (2000) Psychological factors affecting a medical condition: ischemic coronary heart disease. A review. J Psychosom Res 48:357–367CrossRefPubMed Ketterer MW, Mahr G, Goldberg AD (2000) Psychological factors affecting a medical condition: ischemic coronary heart disease. A review. J Psychosom Res 48:357–367CrossRefPubMed
17.
go back to reference Koivumaa-Honkanen H, Honkanen R, Viinamäki H, Heikkilä K, Kaprio J, Koskenvuo M (2000) Self-reported life satisfaction and 20-year mortality in healthy Finnish adults. Am J Epidemiol 152(10):983–991CrossRefPubMed Koivumaa-Honkanen H, Honkanen R, Viinamäki H, Heikkilä K, Kaprio J, Koskenvuo M (2000) Self-reported life satisfaction and 20-year mortality in healthy Finnish adults. Am J Epidemiol 152(10):983–991CrossRefPubMed
18.
go back to reference Kuulasmaa K, Tunstall-Pedoe H, Dobson A, Fortmann S, Sans S, Tolonen H et al (2000) Estimation of contribution of changes in classic risk factors to trends in coronary-event rates across the WHO MONICA project populations. Lancet 355:675–687CrossRefPubMed Kuulasmaa K, Tunstall-Pedoe H, Dobson A, Fortmann S, Sans S, Tolonen H et al (2000) Estimation of contribution of changes in classic risk factors to trends in coronary-event rates across the WHO MONICA project populations. Lancet 355:675–687CrossRefPubMed
19.
go back to reference Leon DA, Shkolnikov VM (1998) Social stress and the Russian mortality crisis. J Am Med Assoc 279:790–791CrossRef Leon DA, Shkolnikov VM (1998) Social stress and the Russian mortality crisis. J Am Med Assoc 279:790–791CrossRef
20.
go back to reference Malyutina S, Bobak M, Kurilovitch S, Gafarov V, Simonova G, Nikitin Y et al (2002) Relation between heavy and binge drinking and all-cause and cardiovascular mortality in Novosibirsk, Russia: a prospective cohort study. Lancet 360:1448–1454CrossRefPubMed Malyutina S, Bobak M, Kurilovitch S, Gafarov V, Simonova G, Nikitin Y et al (2002) Relation between heavy and binge drinking and all-cause and cardiovascular mortality in Novosibirsk, Russia: a prospective cohort study. Lancet 360:1448–1454CrossRefPubMed
21.
go back to reference Nemtsov AV (2002) Alcohol-related human losses in Russia in the 1980 s and 1990s. Addiction 97:1413–1425CrossRefPubMed Nemtsov AV (2002) Alcohol-related human losses in Russia in the 1980 s and 1990s. Addiction 97:1413–1425CrossRefPubMed
22.
go back to reference Nilssen O, Brenn T, Høyer G, Lipton R, Boiko J, Tkachev A (1999) Self-reported seasonal variation in depression at 78 degree North. The Svalbard Study. Int J Circumpolar Health 58:14–23PubMed Nilssen O, Brenn T, Høyer G, Lipton R, Boiko J, Tkachev A (1999) Self-reported seasonal variation in depression at 78 degree North. The Svalbard Study. Int J Circumpolar Health 58:14–23PubMed
23.
go back to reference Notzon FC, Komarov YM, Ermakov SP, Sempos CT, Marks JS, Sempos EV (1998) Causes of declining life expectancy in Russia. J Am Med Assoc 279(10):793–800CrossRef Notzon FC, Komarov YM, Ermakov SP, Sempos CT, Marks JS, Sempos EV (1998) Causes of declining life expectancy in Russia. J Am Med Assoc 279(10):793–800CrossRef
24.
go back to reference Perova NV, Oganov RG, Williams DH, Irving SH, Abernathy JR, Deev AD et al (1995) Association of high density lipoprotein cholesterol with mortality and other risk factors for major chronic non-communicable diseases in samples of US and Russian men. Ann Epidemiol 5(3):179–185CrossRefPubMed Perova NV, Oganov RG, Williams DH, Irving SH, Abernathy JR, Deev AD et al (1995) Association of high density lipoprotein cholesterol with mortality and other risk factors for major chronic non-communicable diseases in samples of US and Russian men. Ann Epidemiol 5(3):179–185CrossRefPubMed
25.
go back to reference Rush D,Welch K (1996) The first year of hyperinflation in the former Soviet Union: nutritional status among elderly pensioners, 1992. Am J Public Health 86:355–360PubMed Rush D,Welch K (1996) The first year of hyperinflation in the former Soviet Union: nutritional status among elderly pensioners, 1992. Am J Public Health 86:355–360PubMed
26.
go back to reference Saunders JB, Aasland OG, Amundsen A, Grant M (1993) Alcohol consumption and related problems among primary care patients: WHO Collaborative project on early detection of persons with harmful alcohol consumption – I. Addiction 88:349–362PubMed Saunders JB, Aasland OG, Amundsen A, Grant M (1993) Alcohol consumption and related problems among primary care patients: WHO Collaborative project on early detection of persons with harmful alcohol consumption – I. Addiction 88:349–362PubMed
27.
go back to reference Saunders JB, Aasland OG, Babor TF, De La Fuente JR, Grant M (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction 88:791–804PubMed Saunders JB, Aasland OG, Babor TF, De La Fuente JR, Grant M (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction 88:791–804PubMed
28.
go back to reference Shkolnikov V, Cornia GA, Leon DA, Meslé F (1998) Causes of the Russian mortality crisis: evidence and interpretations. World Dev 26(11):1995–2011CrossRef Shkolnikov V, Cornia GA, Leon DA, Meslé F (1998) Causes of the Russian mortality crisis: evidence and interpretations. World Dev 26(11):1995–2011CrossRef
29.
go back to reference Shkolnikov V, McKee M, Leon DA (2001) Changes in life expectancy in Russia in the mid-1990s. Lancet 357:917–921CrossRefPubMed Shkolnikov V, McKee M, Leon DA (2001) Changes in life expectancy in Russia in the mid-1990s. Lancet 357:917–921CrossRefPubMed
30.
go back to reference Sloan TB, Roache JD, Johnson BA (2003) The role of anxiety in predicting drinking behavior. Alcohol Alcohol 38:360–363PubMed Sloan TB, Roache JD, Johnson BA (2003) The role of anxiety in predicting drinking behavior. Alcohol Alcohol 38:360–363PubMed
31.
go back to reference Smith DF (2001) Negative emotions and coronary heart disease: causality related or merely coexistent? A review. Scand J Psychol 42(1):57–69CrossRefPubMed Smith DF (2001) Negative emotions and coronary heart disease: causality related or merely coexistent? A review. Scand J Psychol 42(1):57–69CrossRefPubMed
32.
go back to reference Truelsen T, Nielsen N, Boysen G, Grønbæk M (2003) Self-reported stress and risk of stroke. The Copenhagen City Heart Study. Stroke 34:856–862CrossRefPubMed Truelsen T, Nielsen N, Boysen G, Grønbæk M (2003) Self-reported stress and risk of stroke. The Copenhagen City Heart Study. Stroke 34:856–862CrossRefPubMed
33.
go back to reference Walberg P, McKee M, Shkolnikov V, Chenet L, Leon DA (1998) Economic change, crime, and mortality crisis in Russia. BMJ 317:312–318PubMed Walberg P, McKee M, Shkolnikov V, Chenet L, Leon DA (1998) Economic change, crime, and mortality crisis in Russia. BMJ 317:312–318PubMed
34.
go back to reference Westlund K, Søgaard AJ (1993) Helse, livsstil og levekår i Finnmark. Resultater fra hjerte-karundersøkelsen i 1987–88 (In Norwegian). (Health, life style and living conditions in Finnmark. Results from Cardiovascular study in 1987–1988). University in Tromsø: Institute of Community Medicine press Westlund K, Søgaard AJ (1993) Helse, livsstil og levekår i Finnmark. Resultater fra hjerte-karundersøkelsen i 1987–88 (In Norwegian). (Health, life style and living conditions in Finnmark. Results from Cardiovascular study in 1987–1988). University in Tromsø: Institute of Community Medicine press
Metadata
Title
Social and lifestyle determinants of depression, anxiety, sleeping disorders and self-evaluated quality of life in Russia
A population-based study in Arkhangelsk
Authors
Maria Averina
Odd Nilssen
Tormod Brenn
Jan Brox
Vadim L. Arkhipovsky
Alexei G. Kalinin
Publication date
01-07-2005
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 7/2005
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-005-0918-x

Other articles of this Issue 7/2005

Social Psychiatry and Psychiatric Epidemiology 7/2005 Go to the issue

Original Investigation

Violence and PTSD in Mexico