title: Predictors of Delay in Seeking Health Care among Myocardial Infarction Patients, Minia District, Egypt.
abstract: Objectives. To determine the barriers that hinder early seeking of medical care among Minia's myocardial infarction patients. Methods. The study was based on individual interviews with 207 men and women with a first confirmed myocardial infarction (MI), admitted to the coronary care units of hospitals in Minia city in the period from April 1 to August 30, 2014. Data was collected via structured questionnaire and patient medical charts. The delay was evaluated by assisting patients to triangulate time of symptom onset and time of professional health care by placing both times in context of daily activities that participants could easily remember. Results. The median (25th, 75th percentiles) delay time was 4 (2, 10) h. Only 32.8% of patients arrived within 2 hours of symptoms onset. Variables that significantly predicted prehospital delay time were patient's misinterpretation of nature of pain with OR 8.98 (95% CI) (3.97-20.32), illiteracy 7.98 (2.77-22.95), age (>65) 5.07 (1.57-16.29), and pain resistance behavior 4.61 (2.04-10.41). Conclusions. Interventions to decrease prehospital delay must focus on improving public awareness of acute myocardial infarction symptoms and increasing their knowledge on early treatment benefits.
authors.affiliation: Public Health Department, Faculty of Medicine, Minia University, Minia 61111, Egypt.
authors.forename: Eman Ramadan
authors.initials: ER
authors.lastname: Ghazawy
authors.affiliation: Public Health Department, Faculty of Medicine, Minia University, Minia 61111, Egypt.
authors.forename: Amany Edward
authors.initials: AE
authors.lastname: Seedhom
authors.affiliation: Public Health Department, Faculty of Medicine, Minia University, Minia 61111, Egypt.
authors.forename: Eman Mohamed
authors.initials: EM
authors.lastname: Mahfouz