Equity in the diagnosis of chest pain: race and gender

Am J Health Behav. Jan-Feb 2001;25(1):60-71. doi: 10.5993/ajhb.25.1.7.


Objective: To explore gender and racial equity in emergency room treatment of chest pain.

Methods: Three hundred seventy-nine patient records were analyzed, taking into account effects of age, clinic, comorbid status, and insurance status.

Results: Analysis of covariance and logistic regression revealed statistically significant differences between races but not between genders for time to first EKG and percent of patients receiving cardiac catheterization and echocardiography. Blacks waited longer than whites for an EKG and were less likely to receive cardiac catheterizations but more likely to receive echocardiography.

Conclusion: This study demonstrates a lack of equity by race in treatment of chest pain emergencies.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • African Americans / statistics & numerical data
  • Aged
  • Analysis of Variance
  • Cardiac Catheterization / statistics & numerical data
  • Chest Pain / diagnosis*
  • Chest Pain / epidemiology
  • Chest Pain / etiology
  • Coronary Disease / complications
  • Coronary Disease / diagnosis
  • Coronary Disease / epidemiology
  • Coronary Disease / prevention & control*
  • Echocardiography / statistics & numerical data
  • Electrocardiography / statistics & numerical data
  • Emergency Service, Hospital / standards*
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Humans
  • Male
  • Medical Audit*
  • Middle Aged
  • Minority Groups
  • North Carolina / epidemiology
  • Odds Ratio
  • Retrospective Studies
  • Risk
  • Stereotyping*
  • Time Factors
  • Women's Health