Provision of professional interpreters and Heart School attendance for foreign-born compared with native-born myocardial infarction patients in Sweden

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Provision of professional interpreters and Heart School attendance for foreign-born compared with native-born myocardial infarction patients in Sweden

Zwackman, Sammy (author): Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US,Linköping Univ, Dept Hlth Med & Caring Sci, Div Diagnost & Specialist Med, Unit Cardiovasc Sci, Linköping, Sweden.

Leosdottir, Margret (author): Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital,Skane Univ Hosp, Dept Cardiol, Malmö, Sweden.;Lund Univ, Fac Med, Dept Clin Sci, Malmö, Sweden.

Hagström, Emil (author): Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Kardiologi,Uppsala kliniska forskningscentrum (UCR)

Jernberg, Tomas (author): Karolinska Institutet,Danderyd Hospital,Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Stockholm, Sweden.

Karlsson, Jan-Erik (author): Linköpings universitet,Linköping University,Swedish Renal Registry,Ryhov County Hospital, Jönköping,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Linköping Univ, Dept Hlth Med & Caring Sci, Div Diagnost & Specialist Med, Unit Cardiovasc Sci, Linköping, Sweden.;Cty Hosp Ryhov, Dept Internal Med, Jönköping, Sweden.

Lawesson, Sofia Sederholm (author): Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US,Linköping Univ, Dept Hlth Med & Caring Sci, Div Diagnost & Specialist Med, Unit Cardiovasc Sci, Linköping, Sweden.

Michelsen, Halldora Ögmundsdottir (author): Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups

Ravn-Fischer, Annica, 1974 (author): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Sahlgrenska University Hospital,Gothenburg Univ, Sahlgrenska Univ Hosp, Inst Med, Sahlgrenska Acad,Dept Mol & Clin Med,Dept Cardiol, Gothenburg, Sweden.

Wallert, John (author): Karolinska Institutet,Karolinska Institute,Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.;Stockholm HealthCare Serv, Huddinge, Region Stockhol, Sweden.

Alfredsson, Joakim (author): Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Region Östergötland, Kardiologiska kliniken US,Linköping Univ, Dept Hlth Med & Caring Sci, Div Diagnost & Specialist Med, Unit Cardiovasc Sci, Linköping, Sweden.

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ELSEVIER IRELAND LTD, 2024
2024
English.
In: IJC Heart and Vasculature. - : ELSEVIER IRELAND LTD. - 2352-9067. ; 51

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Journal article (peer-reviewed)

Abstract Subject headings

Objective: Interactive patient education, referred to as Heart School (HS), is an important part of cardiac rehabilitation (CR) after myocardial infarction (MI), which has been associated with improved outcomes. Little is known about HS attendance among foreign-born patients. The aims were to assess; 1) HS attendance in foreign-born versus native-born patients, 2) the association between the provision of professional interpreters and HS attendance, and 3) secondary prevention goal attainment after MI based on HS attendance. Methods: The provision of professional interpreters during post-MI follow-up was assessed by a questionnaire sent to all 78 Swedish CR sites. Patient-specific data was retrieved from the SWEDEHEART registry. The association between the provision of professional interpreters and HS attendance was estimated with logistic regression models. HS attendance and attainment of secondary prevention goals by country of birth were investigated. Results: In total, 8377 patients < 75 years (78 % male) were included. Foreign-born (19.8 %) had a higher prevalence of cardiovascular risk factors and were less likely to attend HS (33.7 vs 51.3 %, p < 0.001), adjusted odds ratio (OR) 0.59 (95 % confidence interval (CI) 0.52–0.68), compared with native-born patients. CR centers providing professional interpreters had higher HS attendance among foreign-born (adjusted OR 1.55, 95 % CI 1.20–2.01) but not among native-born patients. Attending HS was similarly associated with improved secondary prevention goal attainment in both groups. Conclusions: Despite similar positive association between HS attendance and attainment of secondary prevention goals, foreign-born patients attended HS less often. With the provision of professional interpreters, HS attendance increased in foreign-born patients.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Cell- och molekylärbiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Cell and Molecular Biology (hsv//eng)

Keyword

Language barriers
Myocardial infarction
Patient education
Professional interpreters
Secondary prevention
Myocardial infarction; Secondary prevention; Professional interpreters; Language barriers; Patient education

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art (subject category)
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By the author/editor: Zwackman, Sammy; Leosdottir, Marg ...; Hagström, Emil; Jernberg, Tomas; Karlsson, Jan-Er ...; Lawesson, Sofia ...; show more...; Michelsen, Halld ...; Ravn-Fischer, An ...; Wallert, John; Alfredsson, Joak ...; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Basic Medicine; and Cell and Molecul ...

Articles in the publication: IJC Heart and Va ...

By the university: Lund University; University of Gothenburg; Karolinska Institutet; Linköping University; Uppsala University

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