Socioeconomic Disparities in Obstructive Sleep Apnea: a Systematic Review of Empirical Research

Overview

Journal Sleep Breath

Publisher Springer

Date 2021 Jan 16

PMID 33452999

Citations 22

Authors

F A Etindele Sosso

E Matos

Affiliations

Soon will be listed here.

Abstract

Background: Considering socioeconomic status (SES) in the diagnosis of obstructive sleep apnea (OSA) will enhance our understanding of socioeconomic disparities in clinical practice of sleep medicine. This systematic review analyzes the relations between SES and OSA measures.

Methodology: Eleven articles were identified through the Pubmed database. The National Institute of Health's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies was used to rate the quality of these studies.

Results: This systematic review revealed that associations between socioeconomic status and OSA measures are similar for both adults, children, and adolescents. Our findings showed that: (1) A lower SES is associated with an increased risk of OSA, both in adults and children/adolescents as well as for men and women. (2) Several studies assessed sleep outcomes with a single question, an approach that is unable to capture the multi-dimensionality and day-to-day variability of sleep in general or OSA in particular, (3) Low SES has detrimental effects on sleep health. (4) Sleep questionnaires are more commonly used than objective measure to assess OSA.

Conclusions: Interaction between SES and OSA must be better understood to improve current clinical guidelines. Living conditions influence the trajectory of OSA with unknown speed and for an, undetermined period, pointing to the need for more studies on this topic. Future work should identify the effect of SES on the development and progression of OSA, determine the effect of behavioral intervention and local public health programs to reduce social inequalities associated with OSA.

Citing Articles

Socioeconomic status and sleep duration among a representative, cross-sectional sample of US adults.

Wetzel S, Bilal U BMC Public Health. 2024; 24(1):3410.

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Design, manufacture, and control of a low-cost positive airway pressure device.

Hill J, Jackson S, Uluilelata M, Sood S, Clifton J, Guy E HardwareX. 2024; 19:e00559.

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The Use of Podcasts as Patient Preparation for Hospital Visits-An Interview Study Exploring Patients' Experiences.

Frolund J, Lokke A, Jensen H, Farver-Vestergaard I Int J Environ Res Public Health. 2024; 21(6).

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Disparities in polysomnography referral in a high-risk cardiac population.

Koss K, Kumar D, Friedland D, Adams J, Lauer K, Tong L Sleep Breath. 2024; 28(5):1969-1976.

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The Association of Serum Uric Acid with Risk of Obstructive Sleep Apnea: The Korean National Health and Nutrition Examination Survey 2019-2021.

Park S, Lim J, Lee J J Pers Med. 2024; 14(5).

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