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Research ArticleOriginal Research

Low Education as a Risk Factor for Undiagnosed Angina

Michael M. McKee, Paul C. Winters and Kevin Fiscella
The Journal of the American Board of Family Medicine July 2012, 25 (4) 416-421; DOI: https://doi.org/10.3122/jabfm.2012.04.110282
Michael M. McKee
MD, MPH
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Paul C. Winters
MS
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Kevin Fiscella
MD, MPH
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  • Article
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Article Figures & Data

Tables

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    Table 1. Questions on the Rose Questionnaire
    1.Have you ever had any pain or discomfort in your chest?
    2.Do you get it when you walk uphill or hurry?
    3.Do you get it when you walk at an ordinary pace on level ground?
    4.What do you do if you get it while you are walking?
    5.Do you stop or slow down or continue at the same pace?
    6.If you stand still, what happens to it?
    7.Is the pain or discomfort relieved or not relieved?
    8.How soon is the pain relieved?
    9.Where is the pain or discomfort located?
    • View popup
    Table 2. Characteristics of Participants with Undiagnosed and Diagnosed Angina
    VariableUndiagnosed Angina SymptomsP*
    YesNo
    All62.8 (359)37.2 (669)
    Education.1164
        High school/equivalent or less59.0 (237)53.5 (390)
        More than high school41.0 (122)46.5 (279)
    Sex.0004
        Female62.6 (219)47.8 (312)
        Male37.4 (140)52.2 (357)
    Age, years<.0001
        40-<5550.4 (141)22.3 (103)
        55-<6523.4 (92)21.5 (127)
        ≥6526.2 (126)56.2 (439)
    Race/ethnicity<.0001
        Hispanic/Mexican7.5 (62)6.4 (108)
        Non-Hispanic black17.7 (104)6.3 (76)
        Non-Hispanic white68.7 (182)82.7 (460)
        Other6.0 (11)4.7 (25)
    Poverty income ratio (%).0134
        <10023.4 (100)13.8 (109)
        100-<20026.3 (113)31.8 (262)
        200-<30014.9 (60)17.4 (109)
        ≥30035.3 (86)37.0 (189)
    Health care during the past year.0020
        No10.0 (28)3.4 (22)
        Yes90.0 (331)96.6 (647)
    • Values provided as % (n). Column percentages reported are weighted to the noninstitutionalized US population.

    • ↵* χ2 test for association.

    • View popup
    Table 3. Predictors of Undiagnosed Angina
    VariableOdds Ratio (95% Limits)P*
    Education.0446
        High school/equivalent or less1.43 (1.01–2.03)
        More than high school1.00 (1.00–1.00)
    Sex.0005
        Female1.95 (1.36–2.81)
        Male1.00 (1.00–1.00)
    Age, years<.0001
        40-<551.00 (1.00–1.00)
        55-<650.51 (0.33–0.79)
        ≥650.23 (0.17–0.31)
    Race/ethnicity.0003
        Hispanic/Mexican0.83 (0.49–1.39)
        Non-Hispanic black2.56 (1.67–3.93)
        Non-Hispanic white1.00 (1.00–1.00)
        Other1.40 (0.60–3.25)
    Poverty income ratio (%).7654
        <1001.08 (0.64–1.81)
        100-<2000.86 (0.54–1.37)
        200-<3000.89 (0.45–1.73)
        ≥3001.00 (1.00–1.00)
    Health care visit during the past year.0012
        No2.81 (1.53–5.16)
        Yes1.00 (1.00–1.00)
    • Logistic regression model with all variables in the model.

    • ↵* Wald test.

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The Journal of the American Board of Family     Medicine: 25 (4)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 4
July-August 2012
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Low Education as a Risk Factor for Undiagnosed Angina
Michael M. McKee, Paul C. Winters, Kevin Fiscella
The Journal of the American Board of Family Medicine Jul 2012, 25 (4) 416-421; DOI: 10.3122/jabfm.2012.04.110282

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Low Education as a Risk Factor for Undiagnosed Angina
Michael M. McKee, Paul C. Winters, Kevin Fiscella
The Journal of the American Board of Family Medicine Jul 2012, 25 (4) 416-421; DOI: 10.3122/jabfm.2012.04.110282
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