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Gender Differences in Symptoms and Care Delivery for Chronic Obstructive Pulmonary Disease

dc.contributor.authorMartinez, Carlos H.en_US
dc.contributor.authorRaparla, Swethaen_US
dc.contributor.authorPlauschinat, Craig A.en_US
dc.contributor.authorGiardino, Nicholas D.en_US
dc.contributor.authorRogers, Barbaraen_US
dc.contributor.authorBeresford, Julienen_US
dc.contributor.authorBentkover, Judith D.en_US
dc.contributor.authorSchachtner-Appel, Amyen_US
dc.contributor.authorCurtis, Jeffrey L.en_US
dc.contributor.authorMartinez, Fernando J.en_US
dc.contributor.authorHan, MeiLan K.en_US
dc.date.accessioned2013-06-25T18:43:20Z
dc.date.available2013-06-25T18:43:20Z
dc.date.issued2012-12en_US
dc.identifier.citationMartinez, Carlos H.; Raparla, Swetha; Plauschinat, Craig A.; Giardino, Nicholas D.; Rogers, Barbara; Beresford, Julien; Bentkover, Judith D.; Schachtner-Appel, Amy; Curtis, Jeffrey L.; Martinez, Fernando J.; Han, MeiLan K. (2012). "Gender Differences in Symptoms and Care Delivery for Chronic Obstructive Pulmonary Disease." Journal of Women's Health 21(12): 1267-1274. <http://hdl.handle.net/2027.42/98466>en_US
dc.identifier.issn1540-9996en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/98466
dc.description.abstractAbstract Background: Morbidity and mortality for women with chronic obstructive pulmonary disease (COPD) are increasing, and little is known about gender differences in perception of COPD care. Methods: Surveys were administered to a convenience sample of COPD patients to evaluate perceptions about symptoms, barriers to care, and sources of information about COPD. Results: Data on 295 female and 273 male participants were analyzed. With similar frequencies, women and men reported dyspnea and rated their health as poor/very poor. Although more women than men reported annual household income <$30,000, no significant gender differences in frequency of health insurance, physician visits, or ever having had spirometry were detected. In adjusted models (1) women were more likely to report COPD diagnostic delay (odds ratio [OR] 1.66, 95% confidence interval [CI] 1.13-2.45, p=0.01), although anxiety (OR 1.83, 95% CI 1.10-3.06, p=0.02) and history of exacerbations (OR 1.60, 95% CI 1.08-2.37, p=0.01) were also significant predictors, (2) female gender was associated with difficulty reaching one's physician (OR 2.54, 95% CI 1.33-4.86, p=0.004), as was prior history of exacerbations (OR 2.25, 95% CI 1.21-4.20, p=0.01), and (3) female gender (OR 2.15, 95% CI 1.10-4.21, p=0.02) was the only significant predictor for finding time spent with their physician as insufficient. Conclusions: Significant gender-related differences in the perception of COPD healthcare delivery exist, revealing an opportunity to better understand what influences these attitudes and to improve care for both men and women.en_US
dc.publisherMary Ann Liebert, Inc., publishersen_US
dc.titleGender Differences in Symptoms and Care Delivery for Chronic Obstructive Pulmonary Diseaseen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.identifier.pmid23210491en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/98466/1/jwh%2E2012%2E3650.pdf
dc.identifier.doi10.1089/jwh.2012.3650en_US
dc.identifier.sourceJournal of Women's Healthen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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