Cardiovascular care research for immigrant or ethnic groups

King‐Shier, Kathryn

doi:10.1177/1474515115613889

Cited by 3 publications

(2 citation statements)

References 9 publications

(17 reference statements)

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“…It is important to determine the differences in seeking care behaviors in migrant populations to understand their unique problems and needs. Therefore, further research to investigate in ethnic groups among migrant population is warranted [20].…”

Section: Introductionmentioning

confidence: 99%

Variation in Seeking Care for Cardiovascular Disease and Ambulance Utilization among Migrants in Australia: Time, Ethnicity, and Delay (TED) Study III

Wechkunanukul

Ullah

Beilby

2022

IJERPH

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Insight into differences in seeking medical care for chest pain among migrant populations is limited. This study aimed to determine ethnic differences in seeking care behaviors and using ambulances among migrants compared to an Australian-born group. A total of 607 patients presenting with chest pain to a tertiary hospital between 1 July 2012 and 30 June 2014 were randomly selected. Data from the emergency department dataset and medical record reviews were collected and linked for analysis. The migrant group was stratified into nine ethnic groups for analysis based on the Australian Standard Classification of Cultural and Ethnic Groups. The overall median prehospital delay time was 3.7 (1.5, 10.7) hours, which ranged from 2.5 (1.0, 10.7) (Southern and Eastern European group) to 6.0 (2.3, 20.6) (Sub-Saharan African group). The median decision time was 2.0 (0.8, 7.9) hours, which ranged from 1.5 (Australian-born group) to 4.5 h (Sub-Saharan African group). Five ethnic groups had significantly longer decision times compared to the Australian-born group. Decision time accounted for 58.4% of pre-hospital delay time. Migrant patients were 60% less likely to seek care for chest pain within one hour (odds ratio 0.40, (0.23–0.68), p = 0.001). There was no significant difference in ambulance utilization between migrant and Australian-born groups. In conclusion, ethnic differences in seeking care for chest pain do exist, and ethnicity plays a vital role in a longer delay in seeking care. To reduce the delays and improve patient outcomes, appropriate health campaigns focusing on ethnic differences among migrant populations and normalizing cultural competency into practice are recommended.

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Section: Introductionmentioning

confidence: 99%

Variation in Seeking Care for Cardiovascular Disease and Ambulance Utilization among Migrants in Australia: Time, Ethnicity, and Delay (TED) Study III

Wechkunanukul

Ullah

Beilby

2022

IJERPH

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“…For example, unintentional bias stemming from inadequate knowledge and sensitivity to cultural differences of patients from ethnic backgrounds can lead to differential treatment and referral patterns. 4 Not only do ethnic groups experience limited access to care in general, 13 they face more barriers to CVD diagnosis, 14,15 lower rates of cardiac intervention 4 and overall lower quality health care. 16 Additionally, ethnic groups have a higher prevalence of unrecognized CVD risk factors that remain untreated, resulting in higher morbidity and mortality.…”

mentioning

confidence: 99%