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

Publication ,  Journal Article
Hertz, JT; Madut, DB; Tesha, RA; William, G; Simmons, RA; Galson, SW; Sakita, FM; Maro, VP; Bloomfield, GS; Crump, JA; Rubach, MP
Published in: PLoS One
2019

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.

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Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2019

Volume

14

Issue

2

Start / End Page

e0212139

Location

United States

Related Subject Headings

  • Young Adult
  • Tanzania
  • Surveys and Questionnaires
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Humans
  • Health Knowledge, Attitudes, Practice
  • General Science & Technology
  • Female
 

Citation

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Chicago
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Hertz, J. T., Madut, D. B., Tesha, R. A., William, G., Simmons, R. A., Galson, S. W., … Rubach, M. P. (2019). Perceptions of chest pain and healthcare seeking behavior for chest pain in northern Tanzania: A community-based survey. PLoS One, 14(2), e0212139. https://doi.org/10.1371/journal.pone.0212139
Hertz, Julian T., Deng B. Madut, Revogatus A. Tesha, Gwamaka William, Ryan A. Simmons, Sophie W. Galson, Francis M. Sakita, et al. “Perceptions of chest pain and healthcare seeking behavior for chest pain in northern Tanzania: A community-based survey.PLoS One 14, no. 2 (2019): e0212139. https://doi.org/10.1371/journal.pone.0212139.
Hertz JT, Madut DB, Tesha RA, William G, Simmons RA, Galson SW, et al. Perceptions of chest pain and healthcare seeking behavior for chest pain in northern Tanzania: A community-based survey. PLoS One. 2019;14(2):e0212139.
Hertz, Julian T., et al. “Perceptions of chest pain and healthcare seeking behavior for chest pain in northern Tanzania: A community-based survey.PLoS One, vol. 14, no. 2, 2019, p. e0212139. Pubmed, doi:10.1371/journal.pone.0212139.
Hertz JT, Madut DB, Tesha RA, William G, Simmons RA, Galson SW, Sakita FM, Maro VP, Bloomfield GS, Crump JA, Rubach MP. Perceptions of chest pain and healthcare seeking behavior for chest pain in northern Tanzania: A community-based survey. PLoS One. 2019;14(2):e0212139.

Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2019

Volume

14

Issue

2

Start / End Page

e0212139

Location

United States

Related Subject Headings

  • Young Adult
  • Tanzania
  • Surveys and Questionnaires
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Humans
  • Health Knowledge, Attitudes, Practice
  • General Science & Technology
  • Female