Rich and poor respond differently to chest pain

People living in a socioeconomically deprived area feel more vulnerable to heart disease than people living in a more affluent area but are no more likely to report chest pain symptoms to their doctor. These findings are from a community based interview study of 30 people from a deprived area of Glasgow and 30 people from an affluent area of Glasgow conducted by Richards and colleagues (p 1308). Barriers to presentation included normalisation of their chest pain, self blame, and fear of chastisement. The authors conclude that these socioeconomic variations in responses to chest pain may contribute to the inequalities in uptake of cardiology services.


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Relevant Article

Socioeconomic variations in responses to chest pain: qualitative study
Helen Mary Richards, Margaret Elspeth Reid, and Graham Charles Murray Watt
BMJ 2002 324: 1308. [Abstract] [Full Text] [PDF]




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