Gender disparities in the mediating role of symptom knowledge level in reducing acute coronary syndrome (ACS) decision delay : Findings from a community-based study in China
© 2023. The Author(s)..
BACKGROUND: Implementing training programs to educate patients on the prodromal symptoms of acute coronary syndrome (ACS) may assist patients in accurately recognizing these symptoms, and ultimately decrease their time delay in seeking emergency medical services (EMS). However, the effectiveness of this approach remains uncertain, particularly among the Chinese population.
METHODS: A cross-sectional study was conducted within 22 communities in Beijing, China between 2015 and 2018, with a total of 1099 participants recruited. The study utilized a standardized questionnaire to evaluate the presence of intentional decision delay in turning to EMS under a hypothetical chest pain, the participants' knowledge of ACS prodromal symptoms, and whether they had ever received any training programs aimed at increasing their symptom knowledge. Mediation analysis was performed with regression models and bootstrapping methods, and gender difference was further analyzed through moderated mediation analysis.
RESULTS: A total of 1099 participants (58.2% female, median [IQR] age 34 [20]) were included in the study. The results of the mediation analysis indicated that training programs were associated with a decrease risk in decision delay, with increased knowledge playing a mediating role (mediation effect/total effect = 36.59%, P < 0.0001). Gender modified this mediation effect, with it being observed only in the male group. Specifically, training programs were not found to significantly decrease decision delay among females (P > 0.05), even though they did improve women's knowledge of ACS prodromal symptoms (β = 0.57, P = 0.012).
CONCLUSION: The results suggested a relationship between prior training programs and reduced decision delay, with increased knowledge of prodromal symptoms of ACS serving as a mediator. However, the effect was only observed in male participants and not in female participants. This highlights the notion that mere transfer of knowledge regarding ACS prodromal symptoms may not be sufficient to mitigate decision delay in the female population. Further research is needed to corroborate these results and to gain deeper insights into the gender-specific barriers encountered in this study.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2023 |
---|---|
Erschienen: |
2023 |
Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
---|---|
Enthalten in: |
BMC emergency medicine - 23(2023), 1 vom: 16. Dez., Seite 146 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Wang, Siyue [VerfasserIn] |
---|
Links: |
---|
Themen: |
Acute coronary syndrome |
---|
Anmerkungen: |
Date Completed 19.12.2023 Date Revised 19.12.2023 published: Electronic Citation Status MEDLINE |
---|
doi: |
10.1186/s12873-023-00916-5 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM365947814 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM365947814 | ||
003 | DE-627 | ||
005 | 20231227134518.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231227s2023 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1186/s12873-023-00916-5 |2 doi | |
028 | 5 | 2 | |a pubmed24n1232.xml |
035 | |a (DE-627)NLM365947814 | ||
035 | |a (NLM)38104084 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Wang, Siyue |e verfasserin |4 aut | |
245 | 1 | 0 | |a Gender disparities in the mediating role of symptom knowledge level in reducing acute coronary syndrome (ACS) decision delay |b Findings from a community-based study in China |
264 | 1 | |c 2023 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 19.12.2023 | ||
500 | |a Date Revised 19.12.2023 | ||
500 | |a published: Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a © 2023. The Author(s). | ||
520 | |a BACKGROUND: Implementing training programs to educate patients on the prodromal symptoms of acute coronary syndrome (ACS) may assist patients in accurately recognizing these symptoms, and ultimately decrease their time delay in seeking emergency medical services (EMS). However, the effectiveness of this approach remains uncertain, particularly among the Chinese population | ||
520 | |a METHODS: A cross-sectional study was conducted within 22 communities in Beijing, China between 2015 and 2018, with a total of 1099 participants recruited. The study utilized a standardized questionnaire to evaluate the presence of intentional decision delay in turning to EMS under a hypothetical chest pain, the participants' knowledge of ACS prodromal symptoms, and whether they had ever received any training programs aimed at increasing their symptom knowledge. Mediation analysis was performed with regression models and bootstrapping methods, and gender difference was further analyzed through moderated mediation analysis | ||
520 | |a RESULTS: A total of 1099 participants (58.2% female, median [IQR] age 34 [20]) were included in the study. The results of the mediation analysis indicated that training programs were associated with a decrease risk in decision delay, with increased knowledge playing a mediating role (mediation effect/total effect = 36.59%, P < 0.0001). Gender modified this mediation effect, with it being observed only in the male group. Specifically, training programs were not found to significantly decrease decision delay among females (P > 0.05), even though they did improve women's knowledge of ACS prodromal symptoms (β = 0.57, P = 0.012) | ||
520 | |a CONCLUSION: The results suggested a relationship between prior training programs and reduced decision delay, with increased knowledge of prodromal symptoms of ACS serving as a mediator. However, the effect was only observed in male participants and not in female participants. This highlights the notion that mere transfer of knowledge regarding ACS prodromal symptoms may not be sufficient to mitigate decision delay in the female population. Further research is needed to corroborate these results and to gain deeper insights into the gender-specific barriers encountered in this study | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Acute coronary syndrome | |
650 | 4 | |a Decision delay | |
650 | 4 | |a Knowledge of prodromal symptoms | |
650 | 4 | |a Pre-hospital delay | |
700 | 1 | |a Song, Junxian |e verfasserin |4 aut | |
700 | 1 | |a Lee, Chongyou |e verfasserin |4 aut | |
700 | 1 | |a Jiang, Jin |e verfasserin |4 aut | |
700 | 1 | |a Wang, Mengying |e verfasserin |4 aut | |
700 | 1 | |a Liu, Dongjing |e verfasserin |4 aut | |
700 | 1 | |a Wang, Zhuqing |e verfasserin |4 aut | |
700 | 1 | |a Yuan, Yuan |e verfasserin |4 aut | |
700 | 1 | |a Li, Wenyong |e verfasserin |4 aut | |
700 | 1 | |a Zhou, Ren |e verfasserin |4 aut | |
700 | 1 | |a Zheng, Hongchen |e verfasserin |4 aut | |
700 | 1 | |a Wei, Jianmin |e verfasserin |4 aut | |
700 | 1 | |a Hu, Yonghua |e verfasserin |4 aut | |
700 | 1 | |a Wu, Tao |e verfasserin |4 aut | |
700 | 1 | |a Tian, Zhenbiao |e verfasserin |4 aut | |
700 | 1 | |a Chen, Hong |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t BMC emergency medicine |d 2001 |g 23(2023), 1 vom: 16. Dez., Seite 146 |w (DE-627)NLM113421230 |x 1471-227X |7 nnns |
773 | 1 | 8 | |g volume:23 |g year:2023 |g number:1 |g day:16 |g month:12 |g pages:146 |
856 | 4 | 0 | |u http://dx.doi.org/10.1186/s12873-023-00916-5 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 23 |j 2023 |e 1 |b 16 |c 12 |h 146 |