Tina L Harralson1. 1. Center for Urban Health Policy and Research, Philadelphia, PA 19144, USA.
Abstract
OBJECTIVE: We examined factors associated with delay in seeking emergency medical attention for acute ischemic symptoms in a sample of predominantly African American women. METHOD: Female patients who presented with symptoms of acute myocardial infarction (AMI) were interviewed. Qualitative and quantitative methods were used to examine barriers associated with delay. RESULTS: The mean hours of delay were 20.4 (median = 4.5 hours). Sixty-nine percent of the patients delayed 1 hour or more. These delays were associated with younger age, African American ethnicity, poorer self-rated health, and the belief that one could not personally ever have an AMI. In a multiple logistic regression model, the belief that one could not ever have an AMI significantly increased the odds of delay compared with other patient characteristics. CONCLUSION: The results indicate that efforts should be made to increase women's awareness of personal risk for AMI and the need for development of cognitive representations of AMI.
OBJECTIVE: We examined factors associated with delay in seeking emergency medical attention for acute ischemic symptoms in a sample of predominantly African American women. METHOD: Female patients who presented with symptoms of acute myocardial infarction (AMI) were interviewed. Qualitative and quantitative methods were used to examine barriers associated with delay. RESULTS: The mean hours of delay were 20.4 (median = 4.5 hours). Sixty-nine percent of the patients delayed 1 hour or more. These delays were associated with younger age, African American ethnicity, poorer self-rated health, and the belief that one could not personally ever have an AMI. In a multiple logistic regression model, the belief that one could not ever have an AMI significantly increased the odds of delay compared with other patient characteristics. CONCLUSION: The results indicate that efforts should be made to increase women's awareness of personal risk for AMI and the need for development of cognitive representations of AMI.
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