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Barriers to CPAP Use in India: An Exploratory Study.

Abhishek Goyal1, Namrata Agarwal2, Abhijit Pakhare3

  • 1Pulmonary Medicine, AIIMS Bhopal, India.

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
|October 26, 2017
PubMed
Summary

Financial constraints are the primary barrier to continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea (OSA) in India. Patients who can afford CPAP devices show significantly higher adherence rates.

Keywords:
CPAPadherencecontinuous positive airway pressurecostobstructive sleep apnea

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Area of Science:

  • Sleep Medicine
  • Respiratory Medicine
  • Public Health

Background:

  • Obstructive sleep apnea (OSA) is a prevalent condition requiring effective treatment.
  • Continuous positive airway pressure (CPAP) therapy is a gold standard treatment for OSA.
  • Understanding adherence and barriers to CPAP use in diverse populations like India is crucial.

Purpose of the Study:

  • To investigate CPAP therapy adherence rates among Indian patients with moderate to severe OSA.
  • To identify key barriers hindering CPAP utilization in this population.
  • To explore factors influencing CPAP device purchase and usage.

Main Methods:

  • A semistructured questionnaire was administered to 79 patients with moderate to severe OSA.
  • Patients were categorized based on CPAP device buying behavior and compliance.
  • Data collected included demographics, socioeconomic status, disease severity, and symptoms.

Main Results:

  • Overall CPAP adherence was 30.3%.
  • Patients who purchased CPAP devices demonstrated high adherence (82.7%).
  • Financial constraints (60%) were the primary reason for not purchasing CPAP devices; severity of OSA correlated with higher purchase and adherence rates.

Conclusions:

  • The inability to afford a CPAP device is the main barrier to its use in India.
  • Adherence is significantly higher among those who purchase CPAP devices.
  • Increased awareness of CPAP benefits and addressing financial barriers are essential for improving treatment outcomes.