Pederson Ann P, Hoyak Kristy A K, Mills Sue, Camp Pat G
British Columbia Centre of Excellence for Women's Health, Vancouver, Canada.
Proc Am Thorac Soc. 2007 Dec;4(8):683-5. doi: 10.1513/pats.200707-091SD.
Emerging evidence suggests that sex and gender differences exist in the prevalence, susceptibility to, severity of, and response to treatment and management of, chronic obstructive pulmonary disease (COPD). However, the identification of knowledge gaps regarding sex, gender, and COPD involves not only pinpointing what areas of etiology, epidemiology, and management need to be examined from a sex and gender perspective (as discussed in other articles of this issue), but also must include discussion of how such new and emerging findings are translated to health care professionals, policy makers, and the general population. How emerging knowledge is reflected in educational, awareness-raising, and policy materials made available to the public through community-based organizations, lung health advocacy organizations, the government, and clinicians is not known. A preliminary examination of such documents from around the world suggests that many materials continue to present COPD as a disease that primarily afflicts men. This gap in the translation of research knowledge may be specifically problematic for women-for example, because they may not be adequately informed of the symptoms of COPD, be appropriately screened for the disease, or receive appropriate interventions and treatment.
新出现的证据表明,慢性阻塞性肺疾病(COPD)在患病率、易感性、严重程度以及治疗和管理反应方面存在性别差异。然而,确定关于性别与慢性阻塞性肺疾病的知识差距,不仅涉及从性别角度明确病因、流行病学和管理的哪些领域需要研究(如本期其他文章所讨论),还必须包括讨论如何将这些新出现的发现传达给医疗保健专业人员、政策制定者和普通民众。目前尚不清楚通过社区组织、肺部健康倡导组织、政府和临床医生向公众提供的教育、提高认识和政策材料中,新出现的知识是如何体现的。对来自世界各地的此类文件进行的初步审查表明,许多材料仍然将慢性阻塞性肺疾病描述为主要影响男性的疾病。研究知识转化方面的这一差距可能对女性尤其成问题——例如,因为她们可能没有充分了解慢性阻塞性肺疾病的症状,没有得到适当的疾病筛查,或者没有得到适当的干预和治疗。