Adherence to positive airway pressure treatment among minority populations in the US: A scoping review.

Abstract:

:Minority individuals in the United States (US) have an increased prevalence of obstructive sleep apnea (OSA) compared to their white/Caucasian counterparts. In general, adherence to positive airway pressure (PAP) therapy is poor and some studies suggest that PAP use among minority individuals is inferior to that of whites. However, there has not been a review of the evidence that addresses racial-ethnic disparities for PAP adherence in the treatment of OSA, and no review has systematically examined the contributing factors to poor adherence among minority individuals compared to whites. We searched the literature for studies published between January 1990 to July 2016 that included objective PAP use comparisons between adult US minority individuals and whites. Twenty-two studies met the inclusion criteria. All studies compared the PAP adherence of blacks to whites. Seven studies compared the PAP adherence of additional minority groups to that of whites. Sixteen of the 22 studies (73%) showed worse PAP adherence in blacks compared to whites. Four studies found equivalent PAP use in US Hispanics compared to whites. Little is known about the PAP adherence of other US minority groups. We present a framework and research agenda for understanding PAP use barriers among US minority individuals.

journal_name

Sleep Med Rev

journal_title

Sleep medicine reviews

authors

Wallace DM,Williams NJ,Sawyer AM,Jean-Louis G,Aloia MS,Vieira DL,Wohlgemuth WK

doi

10.1016/j.smrv.2017.04.002

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

56-69

eissn

1087-0792

issn

1532-2955

pii

S1087-0792(17)30010-2

journal_volume

38

pub_type

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