CB3-01: Comparison of Ethnicity and Race Categorization in Electronic Medical Records and by Self-report

Background/Aims: In the US heart disease is the number one cause of death and stroke is the leading cause of adult disability. Early treatment, received within three-hours after a heart attack or a stroke, is critical to lowering the risk of disability and/or death. Understanding the symptoms and signs of heart attacks and strokes are important not only in saving lives, but also in preserving quality of life. Findings from recent research have yielded that the prevalence of cardiovascular disease risk factors are higher in rural populations, suggesting that adults living in rural locales may be at higher risk for heart attack and/or stroke. Knowledge of heart attack and stroke symptomology as well as calling 911 as the appropriate first response to suspected heart attack or stroke are essential first steps in seeking care. This study sought to examine the knowledge of heart attack and stroke symptoms among rural adults in comparison to non-rural adults living in the US. Methods: Using multivariate techniques, a cross-sectional analysis of an amalgamated multi-year Behavioral Risk Factor Surveillance Survey (BRFSS) database was performed. The dependent variable for this analysis was low heart attack and stroke knowledge score. The covariates for the analysis were: age, sex, race/ethnicity, annual household income, attained education, health insurance status, health care provider (HCP), timing of last routine medical check-up, medical care deferment, self-defined health status and geographic locale. Results: Logistic regression analysis revealed that those US adults who had low composite heart attack and stroke knowledge scores were more likely to be rural (OR=1.218 95%CI 1.216-1.219) rather than non-rural residents. Furthermore, those with low scores were more likely to be: male (OR=1.353 95%CI 1.352-1.354), >65 years of age (OR=1.369 95%CI 1.368-1.371), African American (OR=1.892 95%CI 1.889-1.894), not educated beyond high school (OR=1.400 955CI 1.3991.402), uninsured (OR=1.308 95%CI 1.3-6-1.310), without a HCP (OR=1.216 95%CI 1.215-1.218), and living in a household with <$50,000 annual income(OR= 1.429 95%CI 1.428-1.431). Discussion: Analysis identified clear disparities between the knowledge levels US adults have regarding heart attack and stroke symptoms. These disparities should inform education