Features of associations of subjective-objective health indicators with stress at work among men employed in expeditionary shift mode in the Arctic

This study investigates adverse factors affecting individuals in the Arctic and examines the evolution of attitudes toward health, prevention, and medical care among oil and gas workers engaged in expeditionary shift work in the Arctic territories of Western Siberia. The research emphasizes the management of modifiable risk factors for cardiovascular diseases among shift workers. Objective. To determine associations between subjective-objective health indicator and work-related stress in men engaged in expeditionary shift work in the Arctic region and in the temperate climatic zone of Western Siberia. Materials and methods. Two cross-sectional studies were conducted on representative samples of men aged 25 to 54 years from the Tyumen and Arctic populations, with response rates of 84.8% and 82.4%, respectively. The World Health Organization MONICA-MOPSY questionnaire was used to assess the subjective-objective health indicator and work-related stress. Results. Men aged 25 to 54 years working in the Arctic territories of Western Siberia exhibited significantly higher levels of work-related stress compared to the Tyumen population across all age groups: 25 to 34, 35 to 44, and 45 to 54 years. The associations observed between the subjective-objective health indicator and work-related stress indicate that increased complaints, heightened health concerns, and more positive attitudes toward the prevention and treatment of cardiovascular diseases and medical care among shift workers are key areas for preventive intervention. In contrast, men in the Tyumen population demonstrate greater commitment to their health and hold favorable views of contemporary cardiovascular disease diagnostic methods. Conclusions. Effective models for addressing modifiable cardiovascular risk factors among oil and gas workers should incorporate work-related stress, the subjective-objective health indicator, age, and work experience. The implementation of socially oriented preventive measures based on these risk factors may enhance prevention efforts and reduce cardiovascular risk.