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Variation in Seeking Care for Cardiovascular Disease and Ambulance Utilization among Migrants in Australia: Time, Ethnicity, and Delay (TED) Study III
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 3; Pages: 1516 (2022)
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Abstract:
Insight into differences in seeking medical care for chest pain among migrant populations is limited. This study aimed to determine ethnic differences in seeking care behaviors and using ambulances among migrants compared to an Australian-born group. A total of 607 patients presenting with chest pain to a tertiary hospital between 1 July 2012 and 30 June 2014 were randomly selected. Data from the emergency department dataset and medical record reviews were collected and linked for analysis. The migrant group was stratified into nine ethnic groups for analysis based on the Australian Standard Classification of Cultural and Ethnic Groups. The overall median prehospital delay time was 3.7 (1.5, 10.7) h, which ranged from 2.5 (1.0, 10.7) (Southern and Eastern European group) to 6.0 (2.3, 20.6) (Sub-Saharan African group). The median decision time was 2.0 (0.8, 7.9) h, which ranged from 1.5 (Australian-born group) to 4.5 h (Sub-Saharan African group). Five ethnic groups had significantly longer decision times compared to the Australian-born group. Decision time accounted for 58.4% of pre-hospital delay time. Migrant patients were 60% less likely to seek care for chest pain within one hour (odds ratio 0.40, (0.23–0.68), p = 0.001). There was no significant difference in ambulance utilization between migrant and Australian-born groups. In conclusion, ethnic differences in seeking care for chest pain do exist, and ethnicity plays a vital role in a longer delay in seeking care. To reduce the delays and improve patient outcomes, appropriate health campaigns focusing on ethnic differences among migrant populations and normalizing cultural competency into practice are recommended.
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Keyword:
ambulance utilization; chest pain; culturally and linguistically diverse; decision time; delay time; ethnicity; migrant; prehospital delay; seeking medical care
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URL: https://doi.org/10.3390/ijerph19031516
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| 2 |
Promoting Mental Health and Wellbeing in Multicultural Australia: A Collaborative Regional Approach
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 5; Pages: 2723 (2022)
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Second Language Assessment Issues in Refugee and Migrant Children’s Integration and Education: Assessment Tools and Practices for Young Students with Refugee and Migrant Background in Greece
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In: Languages; Volume 7; Issue 2; Pages: 82 (2022)
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Factors That Prevent Mosquito-Borne Diseases among Migrant Workers in Taiwan: Application of the Health Belief Model in a Church-Based Health Promotion Study
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 2; Pages: 787 (2022)
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| 5 |
Stakeholders' Insights Into Migrant Students’ Experiences in a Thai Public School: A Linguistic Ecological Perspective
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In: ASEAS - Austrian Journal of South-East Asian Studies ; 14 ; 2 ; 243-266 ; Multicultural Lingual and Multicultural Education (2022)
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| 6 |
Korean Fusion: Consuming a Globalized Korea Through Food and Music
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In: Honors Theses (2021)
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| 7 |
Challenges and opportunities for culturally responsive leadership in schools: evidence from four European countries
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In: Brown, Martin orcid:0000-0002-5436-354X , Altrichter, Herbert orcid:0000-0002-5331-4199 , Shiyan, Igor, Rodríguez Conde, María José orcid:0000-0002-2509-1901 , McNamara, Gerry orcid:0000-0002-9725-9304 , Herzog-Punzenberger, Barbara orcid:0000-0002-6766-3170 , Vorobyeva, Irina orcid:0000-0003-2707-8417 , Vangrando, Valentina, Gardezi, Sarah orcid:0000-0002-2234-3704 , O'Hara, Joe orcid:0000-0003-1956-7640 , Postlbauer, Alexandra, Milyaeva, Daria, Sergeevna, Natalia, Fulterer, Sieglinde, García, Adriana Gamazo orcid:0000-0002-7523-9484 and Sánchez, Lourdes orcid:0000-0002-9999-2593 (2021) Challenges and opportunities for culturally responsive leadership in schools: evidence from four European countries. Policy Futures in Education . ISSN 1478-2103 (2021)
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| 8 |
Challenges and opportunities for culturally responsive Leadership in schools: evidence from four European countries
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In: Brown, Martin orcid:0000-0002-5436-354X , Altrichter, Herbert orcid:0000-0002-5331-4199 , Shiyan, Igor, Rodríguez Conde, María José orcid:0000-0002-2509-1901 , McNamara, Gerry orcid:0000-0002-9725-9304 , Herzog-Punzenberger, Barbara orcid:0000-0002-6766-3170 , Vorobyeva, Irina orcid:0000-0003-0561-3888 , Vangrando, Valentina, Gardezi, Sarah orcid:0000-0002-2234-3704 , O’Hara, Joe orcid:0000-0003-1956-7640 , Postlbauer, Alexandra orcid:0000-0001-6790-0490 , Milyaeva, Daria orcid:0000-0002-5489-720X , Sergeevna, Natalia, Fulterer, Sieglinde, García, Adriana Gamazo orcid:0000-0002-7523-9484 and Sánchez, Lourdes orcid:0000-0002-9999-2593 (2021) Challenges and opportunities for culturally responsive Leadership in schools: evidence from four European countries. Policy Futures in Education . ISSN 1478-2103 (2021)
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| 9 |
Capitalism, migration, and adult education. Toward a critical project in the second language learning class ...
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ОСОБЕННОСТИ ОБОГАЩЕНИЯ РЕЧИ УЧАЩИХСЯ ПОЛИКУЛЬТУРНОЙ НАЧАЛЬНОЙ ШКОЛЫ ... : ASPECTS OF ENRICHING THE SPEECH OF STUDENTS OF MULTICULTURAL PRIMARY SCHOOLS ...
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| 11 |
Destination-language acquisition of recently arrived immigrants. Do refugees differ from other immigrants? ; Spracherwerb von Neuzuwanderern. Unterscheiden sich Geflüchtete von anderen Migranten?
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In: Journal for educational research online 13 (2021) 1, S. 128-156 (2021)
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Capitalism, migration, and adult education. Toward a critical project in the second language learning class
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In: European journal for Research on the Education and Learning of Adults 12 (2021) 1, S. 65-79 (2021)
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| 13 |
Understanding cervical cancer screening barriers among migrant women ; a qualitative study with healthcare and community workers in portugal
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| 14 |
A Scoping review of Strategies for Inclusion and Involvement of children of Minority Background in Creative Activities. ...
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| 15 |
A Study of Social Integration through Sports Program among Migrant Women in Korea
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In: Societies ; Volume 11 ; Issue 4 (2021)
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| 16 |
Washback Effects of Diagnostic Assessment in Greek as an SL: Primary School Teachers’ Perceptions in Cyprus
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In: Languages; Volume 6; Issue 4; Pages: 195 (2021)
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| 17 |
La formation initiale et continue des enseignant-e-s à l’interculturel : discontinuités et injonctions paradoxales
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How do individuals perform intercultural communication? ...
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