Dissertation/Thesis Abstract

Sex Bias in the Diagnosis of Chronic Obstructive Pulmonary Disease
by Ryan, Olga Ivan Belitchenko , D.P.H., Walden University, 2020, 80; 27835814
Abstract (Summary)

Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity, mortality, disability, and cost globally and in the United States. Various sources point to women experiencing greater morbidity, increased health care resource use and higher incidence of mortality resultant from COPD. While exact causality is not fully understood, it is possible that social bias towards COPD in women impacting screening and timely diagnosis may be a contributing factor. This current investigation involved the social ecological model. In this cross-sectional secondary analysis of Behavioral Risk Factor Surveillance System, 2017 data, differences in screening through use of breathing testing among 6334 males and females who have knowledge of COPD were assessed through descriptive statistics, Pearson’s chi-squared test, and binomial logistic regression (BLR). Bivariate analysis indicated a marginally significant association between sex and participation in breathing tests (χ2 = 3.44, p = 0.063), disproportionately impacting women who used tests less. According to BLR models, females were 15.9% more likely not to take the breathing tests compared to males (OR = .841, CI 95%: 0.739-0.961) adjusted for COPD symptoms, and females were 11.7% more likely not to take the breathing test when controlling for healthcare coverage, but this result was marginally significant (OR=.883 CI 95%: .775-1.007). This study can offer insight into the use and patterns of breathing testing among the US population while further describing potential gaps in care, serving as catalyst towards driving necessary education, policy development and broader social change.

Indexing (document details)
Advisor: Margaritis, Vasileios
Commitee: Connors, Jeanne, Onyejekwe, Egondu, Subocz, Sue
School: Walden University
Department: Public Health
School Location: United States -- Minnesota
Source: DAI-B 81/10(E), Dissertation Abstracts International
Subjects: Public health
Keywords: Chronic obstructive pulmonary disease, COPD in women, Lung function in women, Sex bias ion COPD
Publication Number: 27835814
ISBN: 9798607321482
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