Barriers to managing coronary artery disease among older women.
Numerous barriers to managing coronary artery disease (CAD) among older women are reported in the literature; however, few studies adjust for demographic and health status differences. A survey assessing barriers and other factors was distributed to a stratified random sampling of older women with CAD. Factor analysis and multiple logistic regression procedures were used to estimate the impact of these issues on receiving a CAD-related office visit. The most problematic barriers included denial and low health literacy. Efforts to promote patient awareness of heart health and better communication between patients and clinicians may alleviate these barriers.
a OptumInsight , Ann Arbor , MI.
Shirley
S
Musich
Ronald J
RJ
Ozminkowski
Frank G
FG
Bottone
Kevin
K
Hawkins
Shaohung S
SS
Wang
Janelle G
JG
Ekness
Cynthia
C
Barnowski
Richard J
RJ
Migliori
Charlotte S
CS
Yeh
D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003324:Coronary Artery Disease / Q000628:therapy*; D005260:Female; D057220:Health Literacy; D006293:Health Promotion; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D010817:Physician-Patient Relations; D016387:Women's Health