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Impact of socioeconomic disparities on CPAP adherence.

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Názov: Impact of socioeconomic disparities on CPAP adherence.
Autori: Shing SR; Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania., Molin N; Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania., DeKloe J; Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania., Perlov NM; Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania., Creighton EW; Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania., Boon MS; Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania., Huntley CT; Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania., Grewal RG; Division of Pulmonary, Allergy & Critical Care, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Zdroj: Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2025 Dec 01; Vol. 21 (12), pp. 2091-2099.
Spôsob vydávania: Journal Article
Jazyk: English
Informácie o časopise: Publisher: American Academy of Sleep Medicine Country of Publication: United States NLM ID: 101231977 Publication Model: Print Cited Medium: Internet ISSN: 1550-9397 (Electronic) Linking ISSN: 15509389 NLM ISO Abbreviation: J Clin Sleep Med Subsets: MEDLINE
Imprint Name(s): Original Publication: Darien, IL : American Academy of Sleep Medicine, 2005-
Výrazy zo slovníka MeSH: Continuous Positive Airway Pressure*/statistics & numerical data , Sleep Apnea, Obstructive*/therapy , Patient Compliance*/statistics & numerical data , Socioeconomic Factors*, Humans ; Retrospective Studies ; Male ; Female ; Middle Aged ; Adult ; Aged ; Socioeconomic Disparities in Health
Abstrakt: Study Objectives: Socioeconomic disparities are known to have a significant impact on health outcomes including those related to obstructive sleep apnea. More recently, a metric known as area deprivation index (ADI), which combines 17 social determinants of health, has been used to better quantify this impact. We aim to examine the relationship between socioeconomic disparities and continuous positive airway pressure (CPAP) adherence among adults with obstructive sleep apnea using ADI.
Methods: A retrospective study of patients with diagnosis of obstructive sleep apnea and prescribed CPAP from October-December 2022 was performed. Patients were divided into more- or less-socioeconomically disadvantaged groups based on ADI, as well as social vulnerability index, which captures high school diploma rates. Thirty-day, 6-month, and 12-month CPAP adherence and follow-up rates were collected and compared across ADI/social vulnerability index quartiles.
Results: A total of 536 patients met inclusion criteria. Patients from the most deprived areas (highest ADI) had significantly lower CPAP adherence than those from least deprived areas at all timepoints ( P < .05). Patients from areas with lower high school diploma rates had lower CPAP adherence ( P < .05).
Conclusions: Socioeconomic disparities appear to have a significant impact on CPAP adherence. People from areas that are more deprived and with lower high school diploma rates have lower therapy adherence rates. Patients within these groups may benefit from additional resources and/or closer follow up to improve adherence with treatment.
Citation: Shing SR, Molin N, DeKloe J, et al. Impact of socioeconomic disparities on CPAP adherence. J Clin Sleep Med . 2025;21(12):2091-2099.
(© 2025 American Academy of Sleep Medicine.)
Contributed Indexing: Keywords: CPAP; adherence; area deprivation index; obstructive sleep apnea
Entry Date(s): Date Created: 20250918 Date Completed: 20251202 Latest Revision: 20251204
Update Code: 20251204
PubMed Central ID: PMC12670618
DOI: 10.5664/jcsm.11874
PMID: 40963296
Databáza: MEDLINE
Popis
Abstrakt:Study Objectives: Socioeconomic disparities are known to have a significant impact on health outcomes including those related to obstructive sleep apnea. More recently, a metric known as area deprivation index (ADI), which combines 17 social determinants of health, has been used to better quantify this impact. We aim to examine the relationship between socioeconomic disparities and continuous positive airway pressure (CPAP) adherence among adults with obstructive sleep apnea using ADI.<br />Methods: A retrospective study of patients with diagnosis of obstructive sleep apnea and prescribed CPAP from October-December 2022 was performed. Patients were divided into more- or less-socioeconomically disadvantaged groups based on ADI, as well as social vulnerability index, which captures high school diploma rates. Thirty-day, 6-month, and 12-month CPAP adherence and follow-up rates were collected and compared across ADI/social vulnerability index quartiles.<br />Results: A total of 536 patients met inclusion criteria. Patients from the most deprived areas (highest ADI) had significantly lower CPAP adherence than those from least deprived areas at all timepoints ( P &lt; .05). Patients from areas with lower high school diploma rates had lower CPAP adherence ( P &lt; .05).<br />Conclusions: Socioeconomic disparities appear to have a significant impact on CPAP adherence. People from areas that are more deprived and with lower high school diploma rates have lower therapy adherence rates. Patients within these groups may benefit from additional resources and/or closer follow up to improve adherence with treatment.<br />Citation: Shing SR, Molin N, DeKloe J, et al. Impact of socioeconomic disparities on CPAP adherence. J Clin Sleep Med . 2025;21(12):2091-2099.<br /> (© 2025 American Academy of Sleep Medicine.)
ISSN:1550-9397
DOI:10.5664/jcsm.11874