Perceptions of chest pain and healthcare seeking behavior for chest pain in northern Tanzania: A community-based survey.

Published

Journal Article

BACKGROUND:Little is known about community perceptions of chest pain and healthcare seeking behavior for chest pain in sub-Saharan Africa. METHODS:A two-stage randomized population-based cluster survey with selection proportional to population size was performed in northern Tanzania. Self-identified household healthcare decision-makers from randomly selected households were asked to list all possible causes of chest pain in an adult and asked where they would go if an adult household member had chest pain. RESULTS:Of 718 respondents, 485 (67.5%) were females. The most commonly cited causes of chest pain were weather and exercise, identified by 342 (47.6%) and 318 (44.3%) respondents. Two (0.3%) respondents identified 'heart attack' as a possible cause of chest pain. A hospital was selected as the preferred healthcare facility for an adult with chest pain by 277 (38.6%) respondents. Females were less likely to prefer a hospital than males (OR 0.65, 95% CI 0.47-0.90, p = 0.008). CONCLUSIONS:There is little community awareness of cardiac causes of chest pain in northern Tanzania, and most adults reported that they would not present to a hospital for this symptom. There is an urgent need for educational interventions to address this knowledge deficit and guide appropriate care-seeking behavior.

Full Text

Duke Authors

Cited Authors

  • Hertz, JT; Madut, DB; Tesha, RA; William, G; Simmons, RA; Galson, SW; Sakita, FM; Maro, VP; Bloomfield, GS; Crump, JA; Rubach, MP

Published Date

  • January 2019

Published In

Volume / Issue

  • 14 / 2

Start / End Page

  • e0212139 -

PubMed ID

  • 30753216

Pubmed Central ID

  • 30753216

Electronic International Standard Serial Number (EISSN)

  • 1932-6203

International Standard Serial Number (ISSN)

  • 1932-6203

Digital Object Identifier (DOI)

  • 10.1371/journal.pone.0212139

Language

  • eng