{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:34:57Z","timestamp":1777916097233,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2012,12,1]],"date-time":"2012-12-01T00:00:00Z","timestamp":1354320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Surveys were administered to a convenience sample of COPD patients to evaluate perceptions about symptoms, barriers to care, and sources of information about COPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      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 &lt;$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,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.01), although anxiety (OR 1.83, 95% CI 1.10-3.06,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.02) and history of exacerbations (OR 1.60, 95% CI 1.08-2.37,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =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,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.004), as was prior history of exacerbations (OR 2.25, 95% CI 1.21-4.20,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.01), and (3) female gender (OR 2.15, 95% CI 1.10-4.21,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.02) was the only significant predictor for finding time spent with their physician as insufficient.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2012.3650","type":"journal-article","created":{"date-parts":[[2012,12,4]],"date-time":"2012-12-04T16:19:29Z","timestamp":1354637969000},"page":"1267-1274","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":62,"title":["Gender Differences in Symptoms and Care Delivery for Chronic Obstructive Pulmonary Disease"],"prefix":"10.1177","volume":"21","author":[{"given":"Carlos H.","family":"Martinez","sequence":"first","affiliation":[{"name":"University of Michigan Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swetha","family":"Raparla","sequence":"additional","affiliation":[{"name":"Novartis Pharmaceutical Corporation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig A.","family":"Plauschinat","sequence":"additional","affiliation":[{"name":"Novartis Pharmaceutical Corporation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas D.","family":"Giardino","sequence":"additional","affiliation":[{"name":"University of Michigan Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Rogers","sequence":"additional","affiliation":[{"name":"National Emphysema\/COPD Association"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julien","family":"Beresford","sequence":"additional","affiliation":[{"name":"National Emphysema\/COPD Association"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith D.","family":"Bentkover","sequence":"additional","affiliation":[{"name":"Innovative Health Solutions"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Schachtner-Appel","sequence":"additional","affiliation":[{"name":"Innovative Health Solutions"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey L.","family":"Curtis","sequence":"additional","affiliation":[{"name":"University of Michigan Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando J.","family":"Martinez","sequence":"additional","affiliation":[{"name":"University of Michigan Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MeiLan K.","family":"Han","sequence":"additional","affiliation":[{"name":"University of Michigan Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,12,1]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Minino A Xu J Kochanek K. 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