Use of medical care for chest pain: differences between blacks and whites.

David S. Strogatz

77 citations0/0 files storedAmerican Journal of Public Health

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Health disparities and outcomes Healthcare Policy and Management Public Health and Social Inequalities

Abstract

Data from a 1980, community-based survey of adult residents of Edgecombe County, North Carolina were analyzed to examine differences between Blacks and Whites in the reported use of medical care after experiencing chest pain. Of all adults (N = 302) with chest pain in the year prior to interview, 49 percent of Blacks and 27 percent of Whites did not see a physician following the chest pain (difference = 22%, 95% CI = 12, 33). A multivariable analysis found that although the association between race and utilization was reduced at poverty levels of income, it was not explained by differences in demographic characteristics, health status or other dimensions of access to care.

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References

1989Racial Inequalities in the Use of Procedures for Patients With Ischemic Heart Disease in Massachusetts 1986A New Perspective on the Relationships Among Race, Social Class, and Psychological Distress 1989Access to Medical Care for Black and White Americans 1986Blacks in the coronary artery surgery study (CASS): race and clinical decision making.1989Coronary arteriography and coronary bypass survey among whites and other racial groups relative to hospital-based incidence rates for coronary artery disease: findings from NHDS.1981Structural and Social Psychological Factors in the Decision to Seek Medical Care for Symptoms 1986SOCIAL SUPPORT AND HYPERTENSION AMONG BLACKS ANI WRITES IN A RURAL, SOUTHERN COMMUNITY

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1993Racial Differences in the Use of Invasive Cardiovascular Procedures in the Department of Veterans Affairs Medical System 2011Patient-centered culturally sensitive health care: Model testing and refinement.1989Coronary arteriography and coronary bypass survey among whites and other racial groups relative to hospital-based incidence rates for coronary artery disease: findings from NHDS.2002Contribution of the Veterans Health Administration in Understanding Racial Disparities in Access and Utilization of Health Care

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