Insurance and Prehospital Delay in Patients ≤55 Years With Acute Myocardial Infarction.

ABSTRACT: This prospective study assessed whether gender differences in health insurance help explain gender differences in delay in seeking care for patients in the US, with acute myocardial infarction (AMI). We also assessed gender differences in such prehospital delay for AMI in Spain, a country with universal insurance. We used data from 2,951 US and 496 Spanish patients aged 18 to 55 years with AMI. US patients were grouped by insurance status: adequately insured, underinsured, or uninsured. For each country, we assessed the association between gender and prehospital delay (symptom onset to hospital arrival). For the US cohort, we modeled the relation between insurance groups and delay of >12 hours. US women were less likely than men to be uninsured but more likely to be underinsured, and a lar

SUBMITTER: Chen SI 

PROVIDER: S-EPMC5323057 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature