DYNAMICS OF EDUCATION LEVEL AND ITS ASSOCIATION WITH ATTITUDE TOWARDS HEALTH AND PREVENTION OF CARDIOVASCULAR DISEASES IN MEN WORKING ON EXPEDITION-SHIFT WORK METHODS IN THE CONDITIONS OF THE ARCTIC REGION OF RUSSIA

Highlights

• Social status is an important component of the psychosocial risk factors identified in the European Guidelines for the Prevention of Cardiovascular Diseases (CVD). The educational level-related attitude to CVD health and prevention among gas and oil workers, with an increase in the length of service by the expeditionary shift method, seems to be a reliable indicator for the formation of a comprehensive CVD prevention program in the oil and gas production industry among this most in-demand and large organized population.

Absract

Aim. To determine the level of education among men engaged in expeditionary shift work, its 35-year dynamics and associations with attitudes to health and prevention of cardiovascular diseases while working at an oil and gas production complex in the Arctic region of Russia.

Methods. Epidemiological studies were conducted on two population slices in the thirty-five-year range by using the “random number” method to form representative samples of working men aged 25–54 in the expeditionary shift mode at industrial enterprises in the Arctic. The assessment of the level of education was carried out according to the parameters of higher and secondary education, the attitude to health and prevention of CVD was carried out according to the WHO MONICA-psychosocial algorithms.

Results. Thirty–five–year trends in the growth of the level of education among men working in the expeditionary shift mode have been established by age – mainly in the age category among young people aged 25–34 years; and experience – working in the Arctic for three years or less. With an increase in the length of service of the expedition shift to 4–9 years at the highest level of education, the lowest self-assessment of health was determined relative to the secondary education group with a higher responsibility for health, but clearly insufficient care for it. With the experience of working as an expedition shift for 4–9 years, the group with higher education demonstrated great confidence in the need to prevent heart disease.

Conclusion. Thus, the establishment of the dynamics of the level of education over a long period of time on the attitude of shift workers to their health at different levels of education should serve as a scientific basis for the development and implementation of preventive programs in the Arctic zone of the Russian Federation.

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