Racial Differences in Positive Airway Pressure Adherence in the Treatment of Sleep Apnea.

Autor:	May AM; Research Section and Sleep Section, VA Northeast Ohio Healthcare System, Cleveland, OH, USA; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA. Electronic address: drannamay@gmail.com., Billings ME; Division of Pulmonary, Critical Care & Sleep Medicine, Department of Medicine, University of Washington School of Medicine, UW Medicine Sleep Center, Harborview Medical Center, Box 359803, 325 Ninth Avenue, Seattle, WA 98104, USA.
Jazyk:	angličtina
Zdroj:	Sleep medicine clinics [Sleep Med Clin] 2022 Dec; Vol. 17 (4), pp. 543-550. Date of Electronic Publication: 2022 Oct 09.
DOI:	10.1016/j.jsmc.2022.07.002
Abstrakt:	Although data are limited, studies suggest on average lower positive airway pressure use in Black, indigenous, and people of color (BIPOC) compared with Whites in most but not all studies. Most of these observational studies are certainly limited by confounding by socioeconomic status and other unmeasured factors that likely contribute to differences. The etiology of these observed disparities is likely multifactorial, due in part to financial limitations, differences in sleep opportunity, poor sleep quality due to environmental disruptions, and so forth. These disparities in sleep health are likely related to chronic inequities, including experiences of racism, neighborhood features, structural, and contextual factors. Dedicated studies focusing on understanding adherence in BIPOC are lacking. Further research is needed to understand determinants of PAP use in BIPOC subjects and identify feasible interventions to improve sleep health and reduce sleep apnea treatment disparities. (Published by Elsevier Inc.)
Databáze:	MEDLINE
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