Severity, comorbidities, and adherence to therapy in Native Hawaiians/Pacific Islanders with obstructive sleep apnea. Locke, B. W., Sundar, D. J., & Ryujin, D. Journal of Clinical Sleep Medicine, 19(5):967–974. Publisher: American Academy of Sleep Medicine![Severity, comorbidities, and adherence to therapy in Native Hawaiians/Pacific Islanders with obstructive sleep apnea [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Study Objectives:Considerable disparities in the prevalence, diagnosis, and management of obstructive sleep apnea (OSA) exist for minority groups in the United States. However, the impact of OSA on Native Hawaiian/Pacific Islanders (NHPIs) has not been evaluated.Methods:We performed a retrospective review of patient records of NHPIs who underwent sleep apnea testing between 2014 and 2021 at a single center in Utah to characterize the distribution of comorbidities, disease severity, and treatment adherence.Results:140 of 141 NHPI patients who underwent sleep testing had OSA. High rates of obesity (94%) and other relevant comorbidities were found. OSA was mostly severe (57%), particularly in males with higher obesity. Adherence to continuous positive airway pressure was low (41% using for 4 or more hours on 70% of nights), and medical factors predicted whether adherence targets were met with modest accuracy (area under the curve 0.699).Conclusions:NHPIs at a single sleep center had a high prevalence of comorbidities in association with OSA, a skewed distribution toward severe disease suggestive of barriers to care or unique disease characteristics, and low adherence to continuous positive airway pressure. These findings suggest a high burden of OSA in this population, and further work to characterize barriers to identifying and treating OSA in NHPIs can improve chronic disease outcomes in NHPIs.Citation:Locke BW, Sundar DJ, Ryujin D. Severity, comorbidities, and adherence to therapy in Native Hawaiians/Pacific Islanders with obstructive sleep apnea. J Clin Sleep Med. 2023;19(5):967–974.
@article{locke_severity_nodate,
title = {Severity, comorbidities, and adherence to therapy in {Native} {Hawaiians}/{Pacific} {Islanders} with obstructive sleep apnea},
volume = {19},
url = {https://jcsm.aasm.org/doi/full/10.5664/jcsm.10472},
doi = {10.5664/jcsm.10472},
abstract = {Study Objectives:Considerable disparities in the prevalence, diagnosis, and management of obstructive sleep apnea (OSA) exist for minority groups in the United States. However, the impact of OSA on Native Hawaiian/Pacific Islanders (NHPIs) has not been evaluated.Methods:We performed a retrospective review of patient records of NHPIs who underwent sleep apnea testing between 2014 and 2021 at a single center in Utah to characterize the distribution of comorbidities, disease severity, and treatment adherence.Results:140 of 141 NHPI patients who underwent sleep testing had OSA. High rates of obesity (94\%) and other relevant comorbidities were found. OSA was mostly severe (57\%), particularly in males with higher obesity. Adherence to continuous positive airway pressure was low (41\% using for 4 or more hours on 70\% of nights), and medical factors predicted whether adherence targets were met with modest accuracy (area under the curve 0.699).Conclusions:NHPIs at a single sleep center had a high prevalence of comorbidities in association with OSA, a skewed distribution toward severe disease suggestive of barriers to care or unique disease characteristics, and low adherence to continuous positive airway pressure. These findings suggest a high burden of OSA in this population, and further work to characterize barriers to identifying and treating OSA in NHPIs can improve chronic disease outcomes in NHPIs.Citation:Locke BW, Sundar DJ, Ryujin D. Severity, comorbidities, and adherence to therapy in Native Hawaiians/Pacific Islanders with obstructive sleep apnea. J Clin Sleep Med. 2023;19(5):967–974.},
number = {5},
urldate = {2024-12-13},
journal = {Journal of Clinical Sleep Medicine},
author = {Locke, Brian W. and Sundar, Divya J. and Ryujin, Darin},
note = {Publisher: American Academy of Sleep Medicine},
keywords = {Native Hawaiian/Pacific Islander (NHPI), continuous positive airway pressure, obstructive sleep apnea, racial disparity},
pages = {967--974},
}
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However, the impact of OSA on Native Hawaiian/Pacific Islanders (NHPIs) has not been evaluated.Methods:We performed a retrospective review of patient records of NHPIs who underwent sleep apnea testing between 2014 and 2021 at a single center in Utah to characterize the distribution of comorbidities, disease severity, and treatment adherence.Results:140 of 141 NHPI patients who underwent sleep testing had OSA. High rates of obesity (94%) and other relevant comorbidities were found. OSA was mostly severe (57%), particularly in males with higher obesity. Adherence to continuous positive airway pressure was low (41% using for 4 or more hours on 70% of nights), and medical factors predicted whether adherence targets were met with modest accuracy (area under the curve 0.699).Conclusions:NHPIs at a single sleep center had a high prevalence of comorbidities in association with OSA, a skewed distribution toward severe disease suggestive of barriers to care or unique disease characteristics, and low adherence to continuous positive airway pressure. These findings suggest a high burden of OSA in this population, and further work to characterize barriers to identifying and treating OSA in NHPIs can improve chronic disease outcomes in NHPIs.Citation:Locke BW, Sundar DJ, Ryujin D. Severity, comorbidities, and adherence to therapy in Native Hawaiians/Pacific Islanders with obstructive sleep apnea. 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