Cargando…

Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in 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 Sept...

Descripción completa

Detalles Bibliográficos
Autores principales: Jia, Guohua, Lu, Ming, Wu, Rui, Chen, Yahong, Yao, Wanzhen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188108/
https://www.ncbi.nlm.nih.gov/pubmed/30349232
http://dx.doi.org/10.2147/COPD.S176173
_version_ 1783363158271852544
author Jia, Guohua
Lu, Ming
Wu, Rui
Chen, Yahong
Yao, Wanzhen
author_facet Jia, Guohua
Lu, Ming
Wu, Rui
Chen, Yahong
Yao, Wanzhen
author_sort Jia, Guohua
collection PubMed
description 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 FEV(1)/FVC (54.1±10.9 vs 50.2±11.5), FEV(1)% (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.
format Online
Article
Text
id pubmed-6188108
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Dove Medical Press
record_format MEDLINE/PubMed
spelling pubmed-61881082018-10-22 Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in China Jia, Guohua Lu, Ming Wu, Rui Chen, Yahong Yao, Wanzhen Int J Chron Obstruct Pulmon Dis Original Research 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 FEV(1)/FVC (54.1±10.9 vs 50.2±11.5), FEV(1)% (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. Dove Medical Press 2018-10-10 /pmc/articles/PMC6188108/ /pubmed/30349232 http://dx.doi.org/10.2147/COPD.S176173 Text en © 2018 Jia et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Jia, Guohua
Lu, Ming
Wu, Rui
Chen, Yahong
Yao, Wanzhen
Gender difference on the knowledge, attitude, and practice of COPD diagnosis and treatment: a national, multicenter, cross-sectional survey in China
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 Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188108/
https://www.ncbi.nlm.nih.gov/pubmed/30349232
http://dx.doi.org/10.2147/COPD.S176173
work_keys_str_mv AT jiaguohua genderdifferenceontheknowledgeattitudeandpracticeofcopddiagnosisandtreatmentanationalmulticentercrosssectionalsurveyinchina
AT luming genderdifferenceontheknowledgeattitudeandpracticeofcopddiagnosisandtreatmentanationalmulticentercrosssectionalsurveyinchina
AT wurui genderdifferenceontheknowledgeattitudeandpracticeofcopddiagnosisandtreatmentanationalmulticentercrosssectionalsurveyinchina
AT chenyahong genderdifferenceontheknowledgeattitudeandpracticeofcopddiagnosisandtreatmentanationalmulticentercrosssectionalsurveyinchina
AT yaowanzhen genderdifferenceontheknowledgeattitudeandpracticeofcopddiagnosisandtreatmentanationalmulticentercrosssectionalsurveyinchina