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Equity in the Diagnosis of Chest Pain: Race and Gender

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Objective: To explore gender and racial equity in emergency room treatment of chest pain. Methods: Three hundred seventy-nine patient records were analyzed, taking into account effects of age, clinic, comorbid status, and insurance status. Results: Analysis of covariance and logistic regression revealed statistically significant differences between races but not between genders for time to first EKG and percent of patients receiving cardiac catheterization and echocardiography. Blacks waited longer than whites for an EKG and were less likely to receive cardiac catheterizations but more likely to receive echocardiography. Conclusion: This study demonstrates a lack of equity by race in treatment of chest pain emergencies.

Document Type: Research Article


Affiliations: 1: Department of Health Information Management, School of Allied Health Sciences, East Carolina University, Greenville, NC. 2: Department of Biostatistics, School of Allied Health Sciences, East Carolina University, Greenville, NC.

Publication date: January 1, 2001

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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