Low Education As a Risk Factor for Undiagnosed Angina

Overview

Journal J Am Board Fam Med

Specialty Public Health

Date 2012 Jul 10

PMID 22773709

Citations 13

Authors

Michael M McKee

Paul C Winters

Kevin Fiscella

Affiliations

Soon will be listed here.

Abstract

Background: Early awareness, recognition, and treatment of angina can help prevent or delay an acute myocardial infarction and potentially delay death. A patient's educational level may affect a physician's diagnosis of angina and/or a patient's symptom recognition. The objective of this study was to determine whether low education is a risk factor for undiagnosed angina.

Methods: This was a cross-sectional observational study based on data from the National Health and Nutrition Examination Survey 2001 to 2008, providing a nationally representative sample of adults ≥40 years of age with angina based on physician diagnosis, presence of angina symptoms based on the Rose Questionnaire, or both. Educational attainment (high school or less vs more than high school) was the independent variable of interest. Undiagnosed angina (angina symptoms in the absence of angina diagnosis) was the dependent variable. We used logistic regression to control for age, sex, race/ethnicity, income, and health care visit during the past year.

Results: Low education was associated with undiagnosed angina (odds ratio: 1.43; 95% confidence interval: 1.01-2.03). Other undiagnosed angina predictors included being female, being black, and having no health care visit during the past year.

Conclusions: Low education is associated with undiagnosed angina. These results underscore the need for providers to ask about angina symptoms and confirm patients' understanding of their angina diagnosis among those with low education.

Citing Articles

Prevalence and factors associated with undiagnosed and uncontrolled heart disease: A study based on self-reported chronic heart disease and symptom-based angina pectoris among middle-aged and older Indian adults.

Ahmed W, Muhammad T, Maurya C, Akhtar S PLoS One. 2023; 18(6):e0287455.

PMID: 37379277 PMC: 10306230. DOI: 10.1371/journal.pone.0287455.

Antenatal Hospital Use among Deaf and Hard of Hearing Women.

McKee M, Zhang J, Akobirshoev I, McKee K, Mitra M Am J Perinatol. 2023; 41(S 01):e1560-e1569.

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Impacts of the hearing aid intervention on healthcare utilization and costs among middle-aged and older adults: results from a randomized controlled trial in rural China.

Ye X, Zhu D, Wang Y, Chen S, Gao J, Du Y Lancet Reg Health West Pac. 2023; 31:100594.

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Oral Health and Dental Care in Deaf and Hard of Hearing Population: A Scoping Review.

Cannobbio V, Cartes-Velasquez R, McKee M Oral Health Prev Dent. 2020; 18(3):417-425.

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Pregnancy, Birth, and Infant Outcomes Among Women Who Are Deaf or Hard of Hearing.

Mitra M, McKee M, Akobirshoev I, Valentine A, Ritter G, Zhang J Am J Prev Med. 2020; 58(3):418-426.

PMID: 31952943 PMC: 7039738. DOI: 10.1016/j.amepre.2019.10.012.

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