歧视预测了对CPAP治疗的不理想遵守,并调解了黑人和白人的使用差异
Douglas M Wallace1, Andrea Barnes Grant2, Zuzana Belisova-Gyure3
1Neurology Service, Bruce W. Carter Department of Veterans Affairs Medical Center, Miami, FL; Department of Neurology, University of Miami Miller School of Medicine, Miami, FL.
Chest
|September 23, 2023
概括
种族歧视对阻塞性睡眠呼吸暂停 (OSA) 的成年人持续正气道压力 (CPAP) 的使用产生负面影响. 经历歧视与随着时间的推移减少CPAP坚持有关,独立于种族.
科学领域:
- 睡眠医学 睡眠医学
- 健康差异 在健康上的差异
- 健康中的心理社会因素
背景情况:
- 对阻塞性睡眠呼吸暂停 (OSA) 的持续正气道压力 (CPAP) 坚持的种族和种族差异得到了充分证实.
- 然而,感知种族歧视对CPAP使用的具体影响仍未得到充分研究.
研究的目的:
- 调查是否有OSA的黑人成年人报告的歧视水平高于非西班牙裔白人成年人.
- 为了确定歧视是否与随着时间的推移减少CPAP坚持独立相关.
- 检查歧视是否调解了黑人种族和CPAP使用之间的关系.
主要方法:
- 对黑人和非西班牙裔白人成年人进行前性研究,他们患有OSA并启动CPAP.
- 使用日常歧视量表 (EDS) 来衡量所感知的歧视.
- 使用线性回归来分析30天和90天的种族,歧视和CPAP使用之间的关联,并对心理社会因素进行调整.
主要成果:
- 黑人成年人报告说,他们比白人成年人更频繁地经历种族歧视.
- 自认黑人种族与30天和90天的CPAP平均每日使用量明显较低有关,即使考虑到歧视.
- 感知歧视的增加独立地与30天和90天CPAP使用的减少有关.
结论:
- 感知到的种族歧视是导致OSA成年人CPAP坚持减少的一个重要因素.
- 解决歧视的干预措施可能对改善CPAP使用和OSA少数群体的健康结果至关重要.
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