Sleep Apnea Among Gulf War Veterans: An Examination of VA Utilization Rates, Treatment Initiation, and Health Outcomes.
| Autor: | Ravyts SG; Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA., Eshera YM; Department of Psychological Sciences, Kent State University, Kent, OH, USA.; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA., Griffin SC; Corporal Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia, PA, USA.; Durham Veterans Affairs Health Care System, Durham, NC, USA.; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA., Halverson T; Durham Veterans Affairs Health Care System, Durham, NC, USA.; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA., Grove JL; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA., Beckham JC; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.; Durham Veterans Affairs Health Care System, Durham, NC, USA.; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA., Pugh MJ; Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA.; Department of Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA., Kimbrel NA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.; Durham Veterans Affairs Health Care System, Durham, NC, USA.; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA.; VA Health Services Research and Development Center of Innovation to Accelerate Discovery and Practice Transformation, Durham, NC, USA., Calhoun PS; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.; Durham Veterans Affairs Health Care System, Durham, NC, USA.; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Behavioral sleep medicine [Behav Sleep Med] 2024 Jul-Aug; Vol. 22 (4), pp. 446-456. Date of Electronic Publication: 2023 Dec 29. |
| DOI: | 10.1080/15402002.2023.2299675 |
| Abstrakt: | Objectives: Obstructive sleep apnea (OSA) among veterans is frequently underdiagnosed and undertreated. The present study sought to: 1) characterize the prevalence and rate of treatment of OSA among VA users and non-users and 2) examine the associations between diagnosed or probable OSA and key physical and mental health outcomes. Methods: Gulf-War I-era Veterans were recruited as part of a national survey assessing mental and physical health concerns, healthcare needs, and healthcare utilization. OSA diagnoses were self-reported while sleep apnea risk was assessed via the STOP-Bang. Veterans also completed questionnaires assessing overall health, pain, depression, PTSD, and psychosocial functioning. Results: 1,153 veterans were included in the present analyses (Mean age = 58.81; 21.84% female). Compared to non-VA healthcare users, veterans receiving care at the VA were more likely to have been diagnosed with OSA ( p < .001) and report receiving treatment for OSA ( p = .005). Compared to veterans at low risk for OSA, veterans at elevated risk reported higher levels of pain ( p = .001), depression ( p = .02), and poorer psychosocial functioning ( p < .001). Conclusions: OSA diagnoses appear to be more common among VA healthcare users. Findings suggest that OSA remains underdiagnosed and associated with important physical and mental health consequences. Additional screening for OSA, especially among non-VA clinics, is warranted. |
| Databáze: | MEDLINE |
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