ArticleBMJ (Clinical research ed.)2002
Socioeconomic variations in responses to chest pain: qualitative study.
Article in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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Who cites it
17 citing papers in PubMed, 89 citations in OpenAlex.
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- A painful journey to antivenom: The therapeutic itinerary of snakebite patients in the Brazilian Amazon (The QUALISnake Study).PLoS neglected tropical diseases · 2021Article
- Influences of socioeconomic deprivation on GPs' decisions to refer patients to cardiology: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
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- Help seeking for cancer 'alarm' symptoms: a qualitative interview study of primary care patients in the UK.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Economic inequalities in burden of illness, diagnosis and treatment of five long-term conditions in England: panel study.BMJ open · 2014Article
- Too little, too late: Socioeconomic disparities in the experience of living with diabetes.Qualitative social work : QSW : research and practice · 2014Article
- How can socioeconomic inequalities in hospital admissions be explained? A cohort study.BMJ open · 2013Article
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- What is the 'problem' that outreach work seeks to address and how might it be tackled? Seeking theory in a primary health prevention programme.BMC health services research · 2011Article
- Patients' descriptions of angina symptoms: a qualitative study of primary care patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Equity in access to total joint replacement of the hip and knee in England: cross sectional study.BMJ (Clinical research ed.) · 2010Article
- Universal health care no guarantee of equity: comparison of socioeconomic inequalities in the receipt of coronary procedures in patients with acute myocardial infarction and angina.BMC public health · 2009Article
- Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups.BMC medical research methodology · 2006Article
- Investigation and management of chest pain.Heart (British Cardiac Society) · 2005Review
- Rose Angina Questionnaire: validation with cardiologists' diagnoses to detect coronary heart disease in Bangladesh.Indian heart journalArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo explore and explain socioeconomic variations in perceptions of and behavioural responses to chest pain.
designQualitative interviews.
settingCommunity based study in Glasgow, Scotland.
participants30 respondents (15 men and 15 women) from a socioeconomically deprived area of Glasgow and 30 respondents (15 men and 15 women) from an affluent area of Glasgow. OUTCOME MEASURES: Participants' reports of their perceptions of and actions in response to chest pain.
resultsResidents of the deprived area reported greater perceived vulnerability to heart disease, stemming from greater exposure to heart disease in family members and greater identification with high risk groups and stereotypes of cardiac patients. This greater perceived vulnerability was not associated with more frequent reporting of presenting to a general practitioner. People from the deprived area reported greater exposure to ill health, which allowed them to normalise their chest pain, led to confusion with other conditions, and gave rise to a belief that they were overusing medical services. These factors were associated with a reported tendency not to present with chest pain. Anxiety about presenting among respondents in the deprived area was heightened by self blame and fear that they would be chastised by their general practitioner for their risk behaviours.
conclusionsImportant socioeconomic variations in responses to chest pain may contribute to the known inequities in uptake of secondary cardiology services. Primary care professionals and health promoters should be aware of the ways in which perceptions of symptoms and illness behaviour are shaped by social and cultural factors.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.