Married men seek treatment sooner for heart attacks
Men who are married or in common-law relationships seek medical care sooner for heart attacks compared with single, divorced or widowed men, found a new study in CMAJ (Canadian Medical Association Journal).
The benefits of marriage on health, particularly for men, have long been known. Fast, effective treatment for heart attacks is available and emergency department delays have been significantly reduced over the last few decades. However, patient delays in seeking treatment for chest pain have not improved.
This study sought to assess the affect of marital status on time from first experiencing chest pain to arrival in an emergency department. Researchers looked at data on 4403 patients in Ontario, Canada, who had heart attacks (acute myocardial infarction). The mean age was 67.3 years and 33.7% were female. Almost half of patients (46.3%) went to hospital within 2 hours, with 73.6% arriving within 6 hours. In married people, 75.3% went to hospital within 6 hours of first chest pain, compared with 67.9% single, 68.5% divorced and 70.8% widowed patients presenting during the same period.
"At the patient level, among patients with an exact time of onset of chest pain, the adjusted time saved was a remarkable half-hour. Among all the factors that had an effect in the primary outcome model, only calling an ambulance had a greater influence on the time to presentation," writes Dr. Clare Atzema, Institute for Clinical Evaluative Sciences (ICES) with coauthors. "Because cardiovascular disease is the most frequent cause of death in Canada and the Western world, the benefit at the population level is substantial."
However, women who were married or in common-law relationships did not see the same benefit from marriage in seeking faster treatment. The researchers surmise it may be because women are more likely to take the role of caregiver and to urge their spouses to seek care sooner.
"Earlier attainment of medical care may be one reason why married men have a lower risk of cardiovascular mortality than their single counterparts," conclude the authors. "Awareness of the differences in reasons for delay by sex could facilitate the development of targeted public health campaigns as a way to reduce patient-caused delay among those at risk."
Provided by Canadian Medical Association Journal
- Unexplained chest pain can be due to stress Feb 09, 2009 | not rated yet | 0
- Heart attack patients with depression less likely to receive priority care in emergency rooms Feb 28, 2011 | not rated yet | 0
- Community education may shorten treatment time for heart attack patients Nov 16, 2010 | not rated yet | 0
- Low neighborhood income, Medicaid linked to delays in reaching hospital after heart attack Sep 22, 2008 | not rated yet | 0
- Gap found between patient knowledge and behavior when responding to cardiac symptoms Oct 07, 2009 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Classical and Quantum Mechanics via Lie algebras
Apr 15, 2011 I'd like to open a discussion thread for version 2 of the draft of my book ''Classical and Quantum Mechanics via Lie algebras'', available online at http://lanl.arxiv.org/abs/0810.1019 , and for the...
- More from Physics Forums - Independent Research
More news stories
(HealthDay)—In 2008 to 2010, the prevalence of key health behaviors among U.S. adults varied, with about one in five adults current smokers and 62.1 percent overweight or obese, according to a report presented ...
Health 56 minutes ago | not rated yet | 0
(HealthDay)—The overall health of Americans isn't improving much, with about six in 10 people either overweight or obese and large numbers engaging in unhealthy behaviors like smoking, heavy drinking or ...
Health 1 hour ago | not rated yet | 0
A federal court in San Francisco Tuesday struck down Arizona's ban on abortions after 20 weeks of pregnancy.
Health 1 hour ago | not rated yet | 0
Children who are exposed to secondhand smoke in early childhood are more likely to grow up to physically aggressive and antisocial, regardless of whether they were exposed during pregnancy or their parents have a history ...
Health 3 hours ago | 1 / 5 (1) | 0
Most elite athletes consider doping substances "are effective" in improving performance, while recognising that they constitute cheating, can endanger health and entail the obvious risk of sanction. At the same time, the ...
Health 4 hours ago | not rated yet | 0
A drug commonly used to treat depression and anxiety may improve a stress-related heart condition in people with stable coronary heart disease, according to researchers at Duke Medicine.
56 minutes ago | not rated yet | 0 |
(HealthDay)—Factors such as increased case finding may explain why Michigan had half of the total spinal infections associated with contaminated methylprednisolone acetate in the recent fungal meningitis ...
46 minutes ago | not rated yet | 0
Early use of tracheostomy for mechanically ventilated patients not associated with improved survival
For critically ill patients receiving mechanical ventilation, early tracheostomy (within the first 4 days after admission) was not associated with an improvement in the risk of death within 30 days compared to patients who ...
56 minutes ago | not rated yet | 0
(HealthDay)—Three-quarters of public schools in the metro Atlanta area contain microbes, including bacteria indicating the presence of fecal matter, according to research published in the May 17 issue of ...
36 minutes ago | not rated yet | 0
(Medical Xpress)—Native peoples in regions where cameras are uncommon sometimes react with caution when their picture is taken. The fear that something must have been stolen from them to create the photo ...
5 hours ago | 4 / 5 (4) | 0 |
Australian scientists have charted the path of insulin action in cells in precise detail like never before. This provides a comprehensive blueprint for understanding what goes wrong in diabetes.
5 hours ago | 4.5 / 5 (2) | 0 |