Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in China
Guohua Jia, Ming Lu, Rui Wu, Yahong Chen, Wanzhen Yao Department of Pulmonary and Critical Care Medicine, Peking University Third Hospital, Beijing, China Purpose: To investigate the gender difference in knowledge, attitude, and practice of COPD diagnosis and treatment in China. Patients and meth...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-10-01
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| Series: | International Journal of COPD |
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| Online Access: | https://www.dovepress.com/gender-difference-on-the-knowledge-attitude-and-practice-of-copd-diagn-peer-reviewed-article-COPD |
| _version_ | 1811214399767052288 |
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| author | Jia G Lu M Wu R Chen Y Yao W |
| author_facet | Jia G Lu M Wu R Chen Y Yao W |
| author_sort | Jia G |
| collection | DOAJ |
| description | Guohua Jia, Ming Lu, Rui Wu, Yahong Chen, Wanzhen Yao Department of Pulmonary and Critical Care Medicine, Peking University Third Hospital, Beijing, China Purpose: To investigate the gender difference in knowledge, attitude, and practice of COPD diagnosis and treatment in China. Patients and methods: A nationwide, multicenter, cross-sectional questionnaire study was carried out to investigate patients’ understanding and experience of COPD between September 2007 and December 2008. Results: Two thousand and seventy-two patients were recruited from eleven centers. The final effective questionnaires were those of 1,698 cases, of which 32% were female. Women were younger, had higher body mass index, were more never smokers, and had lesser pack-years (all P<0.01). More women had under elementary education level and monthly income <1,000 RMB (about 160 USD) (all P<0.01). Women had higher ratio of FEV1/FVC (54.1±10.9 vs 50.2±11.5), FEV1% (50.0±19.1 vs 45.4±29.0), and lower short form-36 mental component summary (57.5±26.8 vs 61.3±25.0) (all P<0.01). Fewer women reported severe exacerbation (defined as an acute worsening of respiratory symptoms that results in patient’s hospitalization) in the previous year (44.5% vs 51.6%, P<0.05). More women reported that they never heard of COPD before (67.0% vs 59.0%, P<0.01). Less women reported that physician had to tell them they had emphysema (50.5% vs 60.4%) or COPD (31.9% vs 37.9%). Less women had pulmonary function test (PFT) done before (65.2% vs 70.4%, P<0.05). More women reported that they would not repeat PFT annually (91.7% vs 87.6%, P<0.05) and did not know the PFT results (78.6% vs 73.1%, P<0.05). More women reported not having had pulmonary rehabilitation before (87.8% vs 83.6%, P<0.05). Fewer women reported knowing that COPD should be given combined therapy (38.3% vs 44.5%) and long-term treatment (46.1% vs 51.9%) (all P<0.05). Conclusion: Male and female patients had different experiences on COPD diagnosis and treatment. Physicians should pay more attention to patients’ education on COPD, especially of women. Keywords: chronic obstructive pulmonary disease, sex, perception, experience, education, management |
| first_indexed | 2024-04-12T06:03:55Z |
| format | Article |
| id | doaj.art-6645aed5dfba4840a0c12c325da12bea |
| institution | Directory Open Access Journal |
| issn | 1178-2005 |
| language | English |
| last_indexed | 2024-04-12T06:03:55Z |
| publishDate | 2018-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of COPD |
| spelling | doaj.art-6645aed5dfba4840a0c12c325da12bea2022-12-22T03:44:57ZengDove Medical PressInternational Journal of COPD1178-20052018-10-01Volume 133269328041328Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in ChinaJia GLu MWu RChen YYao WGuohua Jia, Ming Lu, Rui Wu, Yahong Chen, Wanzhen Yao Department of Pulmonary and Critical Care Medicine, Peking University Third Hospital, Beijing, China Purpose: To investigate the gender difference in knowledge, attitude, and practice of COPD diagnosis and treatment in China. Patients and methods: A nationwide, multicenter, cross-sectional questionnaire study was carried out to investigate patients’ understanding and experience of COPD between September 2007 and December 2008. Results: Two thousand and seventy-two patients were recruited from eleven centers. The final effective questionnaires were those of 1,698 cases, of which 32% were female. Women were younger, had higher body mass index, were more never smokers, and had lesser pack-years (all P<0.01). More women had under elementary education level and monthly income <1,000 RMB (about 160 USD) (all P<0.01). Women had higher ratio of FEV1/FVC (54.1±10.9 vs 50.2±11.5), FEV1% (50.0±19.1 vs 45.4±29.0), and lower short form-36 mental component summary (57.5±26.8 vs 61.3±25.0) (all P<0.01). Fewer women reported severe exacerbation (defined as an acute worsening of respiratory symptoms that results in patient’s hospitalization) in the previous year (44.5% vs 51.6%, P<0.05). More women reported that they never heard of COPD before (67.0% vs 59.0%, P<0.01). Less women reported that physician had to tell them they had emphysema (50.5% vs 60.4%) or COPD (31.9% vs 37.9%). Less women had pulmonary function test (PFT) done before (65.2% vs 70.4%, P<0.05). More women reported that they would not repeat PFT annually (91.7% vs 87.6%, P<0.05) and did not know the PFT results (78.6% vs 73.1%, P<0.05). More women reported not having had pulmonary rehabilitation before (87.8% vs 83.6%, P<0.05). Fewer women reported knowing that COPD should be given combined therapy (38.3% vs 44.5%) and long-term treatment (46.1% vs 51.9%) (all P<0.05). Conclusion: Male and female patients had different experiences on COPD diagnosis and treatment. Physicians should pay more attention to patients’ education on COPD, especially of women. Keywords: chronic obstructive pulmonary disease, sex, perception, experience, education, managementhttps://www.dovepress.com/gender-difference-on-the-knowledge-attitude-and-practice-of-copd-diagn-peer-reviewed-article-COPDchronic obstructive pulmonary diseasegenderperceptionexperience |
| spellingShingle | Jia G Lu M Wu R Chen Y Yao W Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in China International Journal of COPD chronic obstructive pulmonary disease gender perception experience |
| title | Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in China |
| title_full | Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in China |
| title_fullStr | Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in China |
| title_full_unstemmed | Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in China |
| title_short | Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in China |
| title_sort | gender difference on the knowledge attitude and practice of copd diagnosis and treatment a national multicenter cross sectional survey in china |
| topic | chronic obstructive pulmonary disease gender perception experience |
| url | https://www.dovepress.com/gender-difference-on-the-knowledge-attitude-and-practice-of-copd-diagn-peer-reviewed-article-COPD |
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