The University of Southampton
University of Southampton Institutional Repository

Age and sex interaction in reported help seeking in response to chest pain

Adamson, Joy, Donovan, Jenny, Ben-Shlomo, Yoav, Chaturvedi, Nish and Bowling, Ann (2008) Age and sex interaction in reported help seeking in response to chest pain British Journal of General Practice, 58, (550), 318 - 323. (doi:10.3399/bjgp08X279670). (PMID:18482485).

Record type: Article


Background: There is a growing literature suggesting that access to cardiology services is affected by age. However, there is a dearth of studies that have considered age and sex in conjunction.

Aim: This study aims to examine the impact of age, and its interaction with sex, on reported healthcare seeking, based on responses to symptom vignettes, in an attempt to standardise symptomatology across all responders.

Design of study: A cross-sectional survey design was utilised.

Setting: Primary care.

Method: A random sample of 911 individuals, stratified by sex, was selected from one practice in the UK. Participants were invited to state how they would react in response to the chest pain symptoms presented. Patterns of response were examined, by age and sex, using chi2 and logistic regression models.

Results: This study identified differences by age and sex in a general practice population in the propensity to seek health care. In particular, men aged 60-69 years and women aged 70 years and over were more likely to report healthcare seeking than younger responders. For example, women aged 70 years and over had over three times greater odds of reporting contact with the GP compared to the reference category. Evidence for an interaction effect between age and sex was observed.

Conclusion: The results suggest that the inequity that has been demonstrated in access to cardiology services by age is not likely to be due to the patient's illness behaviour as, overall, older people are more likely than younger people to be willing to consult their doctors.

Full text not available from this repository.

More information

Published date: May 2008
Keywords: aged, gender identity, heart, patient acceptance of health care
Organisations: Faculty of Health Sciences


Local EPrints ID: 334552
ISSN: 0960-1643
PURE UUID: 45328b57-cc78-49a6-9d9d-ad696905a5db

Catalogue record

Date deposited: 23 Mar 2012 13:11
Last modified: 18 Jul 2017 06:11

Export record



Author: Joy Adamson
Author: Jenny Donovan
Author: Yoav Ben-Shlomo
Author: Nish Chaturvedi
Author: Ann Bowling

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton:

ePrints Soton supports OAI 2.0 with a base URL of

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.