Help-seeking behaviors of blacks and whites dying from coronary heart disease.
Help-seeking behaviors of blacks and whites dying from coronary heart disease.
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死于冠心病的黑人和白人的求助行为。
DOI：
10.1080/1355785022000038560
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
McKinlay,JohnB
中科院分区：
文献类型：
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作者：
Frayne,SusanM;Crawford,SybilL;McGraw,SarahA;Smith,KevinW;McKinlay,JohnB
目的本研究旨在确定患有危及生命的心脏事件的黑人和白人在寻求帮助的可能性、寻求帮助的类型或死前到达医院的可能性方面是否存在差异。设计死亡证明用于识别 1988-89 年美国马萨诸塞州波士顿三个相邻内城区 45 至 74 岁、黑人和白人、非住院居民中发生的所有与冠心病相关的死亡。一名线人接受采访，了解死者的健康状况、获得护理的机会以及生前寻求帮助的行为。结果在分析的 232 名死者中，寻求帮助的可能性不存在种族差异。在寻求帮助的人中，到达医院的可能性不存在种族差异。然而，黑人比白人更有可能进行两种特定的寻求帮助行为：拨打 911 急救系统，以及试图前往急诊室。结论在黑人和白人在社会经济地位和获得护理方面相似的地区，种族并不影响寻求帮助的可能性或在死亡前成功到达医院的可能性。
ObjectivesThis study sought to determine whether blacks and whites with life-threatening cardiac events differ in likelihood of help seeking, types of help sought, or likelihood of reaching the hospital before death.DesignDeath certificates were used to identify all coronary heart disease-related deaths occurring in 1988-89 among 45- to 74-year-old, black and white, non-institutionalized residents of three contiguous inner-city districts in Boston, Massachusetts, USA. An informant was interviewed about the decedent's health status, access to care and pre-mortal help-seeking behaviors.ResultsAmong the 232 decedents analyzed, there were no racial differences in the likelihood of help seeking. Among those who sought help, there were no racial differences in the likelihood of reaching the hospital. However, blacks were more likely than whites to engage in two specific help-seeking behaviors: calling the 911 emergency system, and trying to reach an emergency room.ConclusionIn an area where blacks and whites were similar with respect to socioeconomic status and access to care, race did not affect the likelihood of help seeking or the likelihood of succeeding in reaching the hospital before death.