Atencion primaria · 2026
[Determinants of healthcare-seeking delay in women with acute coronary syndrome].
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Parellada-Vendrell Marta, Pérez-Ortega Sílvia, Romeu-Mirabete Nuria, Venturas Montserrat, Andrea Rut, Zabalegui Adelaida
Аннотация
OBJECTIVE: To identify the factors associated with delays in seeking healthcare among women with Acute Coronary Syndrome (ACS).
DESIGN: Observational, cross-sectional and single-center study.
SETTING: Hospital setting (Acute Cardiac Care Unit of a tertiary hospital).
PARTICIPANTS: Consecutive selection of women admitted for and surviving an ACS over a one-year period; 80 participants were ultimately included.
MAIN MEASUREMENTS: Sociodemographic, cardiovascular risk, clinical, contextual, cognitive, knowledge, behavioural, and gender role variables were analysed. Factors associated with a decision time (DT) >120minutes were identified using Poisson regression with robust variance, calculating adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI), adjusted for age.
RESULTS: The median DT was 120minutes (IQR: 54-583). The lack of perceived severity was the main factor associated with delay (aPR=3.62; 95% CI: 1.80-7.29; p <0.001). Residing outside the urban area was also associated with a longer DT (aPR=1.51; 95% CI: 1.06-2.15; p=0.021). A history of anxiety-depressive syndrome showed a borderline trend toward delay (aPR=1.39; 95% CI: 0.99-1.95; p=0.053), whereas presenting with dizziness/instability was associated with a lower prevalence of delay (aPR=0.31; 95% CI: 0.10-0.97; p=0.044).
CONCLUSIONS: Delays in seeking healthcare among women with ACS are associated with sociodemographic, clinical, and, fundamentally, cognitive factors. Integrating these findings into the design of community-based strategies and interventions is a priority to reduce response times and improve women's cardiovascular health.
DESIGN: Observational, cross-sectional and single-center study.
SETTING: Hospital setting (Acute Cardiac Care Unit of a tertiary hospital).
PARTICIPANTS: Consecutive selection of women admitted for and surviving an ACS over a one-year period; 80 participants were ultimately included.
MAIN MEASUREMENTS: Sociodemographic, cardiovascular risk, clinical, contextual, cognitive, knowledge, behavioural, and gender role variables were analysed. Factors associated with a decision time (DT) >120minutes were identified using Poisson regression with robust variance, calculating adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI), adjusted for age.
RESULTS: The median DT was 120minutes (IQR: 54-583). The lack of perceived severity was the main factor associated with delay (aPR=3.62; 95% CI: 1.80-7.29; p <0.001). Residing outside the urban area was also associated with a longer DT (aPR=1.51; 95% CI: 1.06-2.15; p=0.021). A history of anxiety-depressive syndrome showed a borderline trend toward delay (aPR=1.39; 95% CI: 0.99-1.95; p=0.053), whereas presenting with dizziness/instability was associated with a lower prevalence of delay (aPR=0.31; 95% CI: 0.10-0.97; p=0.044).
CONCLUSIONS: Delays in seeking healthcare among women with ACS are associated with sociodemographic, clinical, and, fundamentally, cognitive factors. Integrating these findings into the design of community-based strategies and interventions is a priority to reduce response times and improve women's cardiovascular health.