Lay diagnosis and health-care-seeking behaviour for chest pain in south Asians and Europeans.
Background South Asian people in the UK experience greater delays than Europeans in obtaining appropriate specialist management for heart disease, but the causes are not known.
We investigated whether south Asians and Europeans interpret and act upon anginal symptoms differently.
Methods We randomly selected 2000 people from general practitioners' (family physicians) lists in London, UK, to receive a questionnaire that included a short fictional case history of an individual with possible anginal pain and asked how respondents would react to experiencing it.
A second questionnaire seeking information on medical history, attitudes to health, and demography was sent later.
The main outcome measure was the proportion who said they would seek immediate care (hospital emergency department or general practitioner) for the pain described in the case scenario.
Findings The rate of response to both questionnaires was 60-2% (903 of 1500 who received both). 553 responders were of European origin, 124 were Hindu, and 235 were Sikh.
There were no differences between the ethnic groups in the proportion identifying the pain as cardiac, but south Asians would be more anxious about the pain than would Europeans.
Of the men, 55 (23%) Europeans, 20 (38%) Hindus, and 52 (47%) Sikhs said they would seek immediate care (p<0.0001 for heterogeneity) ; of women, 77 (24%), 25 (35%), and 58 (46%), respectively, would seek immediate care (p<0.0001). (...)
Mots-clés Pascal : Angine poitrine, Européen, Asiatique, Royaume Uni, Europe, Diagnostic, Retard, Questionnaire, Comportement, Soin santé primaire, Ethnie, Homme, Appareil circulatoire pathologie, Cardiopathie coronaire
Mots-clés Pascal anglais : Angina pectoris, European, Asiatic, United Kingdom, Europe, Diagnosis, Delay, Questionnaire, Behavior, Primary health care, Ethnic group, Human, Cardiovascular disease, Coronary heart disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0033442
Code Inist : 002B12A03. Création : 17/04/1998.