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Acute chest pain in African Americans: Factors in the delay in seeking emergency care

Author

Listed:
  • Ell, K.
  • Haywood, L.J.
  • Sobel, E.
  • DeGuzman, M.
  • Blumfield, D.
  • Ning, J.-P.

Abstract

Objectives. African Americans have been shown to have longer delay times than the majority population in seeking care for acute cardiac problems. The purpose of this study was to determine whether socioeconomic factors affect delay times. Methods. Structured interviews were administered to 254 African Americans admitted to a public hospital and 194 African Americans admitted to a private hospital for suspected acute myocardial infarction. Results. Patient characteristics found by multiple regression analysis to affect decision-making and travel time for care-seeking were structural access to care, persistence of symptoms, degree of incapacitation, consultation with a layperson, consultation with medical professionals, and mode of transportation. Conclusions. Within-group differences were found to be related to socioeconomic status. Strategies to increase knowledge about heart attack symptoms, improve access to care, and improve the socioeconomic status of at-risk African Americans are indicated.

Suggested Citation

  • Ell, K. & Haywood, L.J. & Sobel, E. & DeGuzman, M. & Blumfield, D. & Ning, J.-P., 1994. "Acute chest pain in African Americans: Factors in the delay in seeking emergency care," American Journal of Public Health, American Public Health Association, vol. 84(6), pages 965-970.
    • Handle: RePEc:aph:ajpbhl:1994:84:6:965-970_2
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    Cited by:

    1. Leviton, Laura C. & Finnegan, John R. & Zapka, Jane G. & Meischke, Hendrika & Estabrook, Barbara & Gilliland, Janice & Linares, Adriana & Weitzman, Elissa R. & Raczynski, James & Stone, Elaine, 1999. "Formative research methods to understand patient and provider responses to heart attack symptoms," Evaluation and Program Planning, Elsevier, vol. 22(4), pages 385-397, November.

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