Authors
Marta Parellada-Vendrell, Sílvia Pérez-Ortega, Nuria Romeu-Mirabete, Montserrat Venturas, Rut Andrea, Adelaida Zabalegui
Published in
Atencion primaria. Volume 58. Issue 12. Pages 103618. Sep 22, 2026. Epub Sep 22, 2026.
Abstract
To identify the factors associated with delays in seeking healthcare among women with Acute Coronary Syndrome (ACS).
Observational, cross-sectional and single-center study.
Hospital setting (Acute Cardiac Care Unit of a tertiary hospital).
Consecutive selection of women admitted for and surviving an ACS over a one-year period; 80 participants were ultimately included.
Sociodemographic, cardiovascular risk, clinical, contextual, cognitive, knowledge, behavioural, and gender role variables were analysed. Factors associated with a decision time (DT) >120minutes were identified using Poisson regression with robust variance, calculating adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI), adjusted for age.
The median DT was 120minutes (IQR: 54-583). The lack of perceived severity was the main factor associated with delay (aPR=3.62; 95% CI: 1.80-7.29; p <0.001). Residing outside the urban area was also associated with a longer DT (aPR=1.51; 95% CI: 1.06-2.15; p=0.021). A history of anxiety-depressive syndrome showed a borderline trend toward delay (aPR=1.39; 95% CI: 0.99-1.95; p=0.053), whereas presenting with dizziness/instability was associated with a lower prevalence of delay (aPR=0.31; 95% CI: 0.10-0.97; p=0.044).
Delays in seeking healthcare among women with ACS are associated with sociodemographic, clinical, and, fundamentally, cognitive factors. Integrating these findings into the design of community-based strategies and interventions is a priority to reduce response times and improve women's cardiovascular health.
PMID:
42772008
Bibliographic data and abstract were imported from PubMed on 23 Sep 2026.
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