Crawford S L, McGraw S A, Smith K W, McKinlay J B, Pierson J E
New England Research Institute, Watertown, MA 02172.
Am J Public Health. 1994 Jun;84(6):957-64. doi: 10.2105/ajph.84.6.957.
The purpose of this study was to identify the role of race in seeking and receipt of care for symptoms of coronary heart disease.
Data on medical care, sociodemographic characteristics, symptoms, risk factors, income, and insurance were collected in a telephone interview for a random sample of 2030 Black and White adults in inner-city Boston. Rates of care-seeking for symptoms, amounts of delay in seeking care, and rates of receipt of care were compared for Blacks and Whites after adjustment for other characteristics.
Before and after adjustment for other factors, Blacks and Whites were equally likely to seek care. Average delay time was shorter for Blacks, particularly Black women. With the exception of a lower rate of referral to cardiologists among Blacks, receipt of care was similar for Blacks and Whites who sought medical attention for symptoms.
In an urban population of Blacks and Whites who were similar in socioeconomic status and access to medical care, there were few racial differences in coronary heart disease-related care patterns.
本研究旨在确定种族在冠心病症状就医及接受治疗方面所起的作用。
通过电话访谈，收集了波士顿市中心区2030名黑人和白人成年人随机样本的医疗护理、社会人口学特征、症状、风险因素、收入及保险等数据。在对其他特征进行调整后，比较了黑人和白人出现症状后寻求治疗的比例、寻求治疗的延迟时间以及接受治疗的比例。
在对其他因素进行调整前后，黑人和白人寻求治疗的可能性相同。黑人，尤其是黑人女性的平均延迟时间较短。在因症状寻求医疗关注的黑人和白人中，除了黑人被转诊至心脏病专家的比例较低外，接受治疗的情况相似。
在社会经济地位和获得医疗护理机会相似的城市黑人和白人人群中，冠心病相关护理模式的种族差异很少。
