5075.0: Wednesday, October 24, 2001 - Board 1

Abstract #23616

Gender-Specific Problems in Women with Asthma

Melissa Valerio, MPH Candidate1, Jian Jimmy Yu, PhD Candidate2, Zhongxin M. Gong, MD1, and Noreen M. Clark, PhD1. (1) Department of Health Behavior & Health Education, University of Michigan School of Public Health, 109 S. Observatory Street, Ann Arbor, MI 48109-2029, 734-615-5271, mvalerio@umich.edu, (2) Biostatistics, University of Michigan, School of Public Health, 1420 Washington Heights, Ann Arbor, MI 48109

Asthma continues to be a major public health problem. Whereas, from 1982 to 1992, the overall annual prevalence rate of self-reported asthma increased by 42%, the rate for women disproportionately increased by 82% (CDC, 1995). Approximately five million of women in the US are currently diagnosed with asthma (Crespo, 1997). It is only recently that reports in the asthma literature have begun to describe differences in the etiology and natural history of the disease that may be attributable to the sex or gender role of the patients. The purpose of this study of 200 women 18 years old and older including 20% minorities is to examine the relationship of gender-specific problems and self-management behavior for controlling and preventing disease in women with asthma. Data regarding the asthma experience of women indicate the role of gender specific problems incuding: changes in asthma symptoms associated with menstrual cycle (19%), pregnancy (17%), PMS (19%), use of birth control pills (0.3%), estrogen replacement therapy (0.3%), gastroesophageal reflux symptoms (50%), migraines (0.6%), urinary incontinence (31%), and sexual activities (14%). Asthma management problems related to women's tasks as a mother, a wife, and/or a daughter, in a family, are also evident including symptoms associated with housework (67%), childcare (25%), and social activities (56%). Women's perceptions about asthma severity, early warning signs, triggers, environmental factors, and their self-management behaviors in controlling and preventing asthma regarding medication use, compliance and communication with health providers, will be discussed.

Learning Objectives: At the conclusion of the abstract, the participant will be able to 1. assess women's specific issues in controlling and preventing asthma. 2. to recognize women's spcific needs in asthma management.

Keywords: Behavioral Research, Women

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA