在退伍军人和非退伍军人中阻塞性睡眠呼吸暂停的患病率
Lizabeth A Goldstein1,2, Paul A Bernhard3, Claire A Hoffmire4,5
1San Francisco VA Health Care System, San Francisco, CA, USA.
American journal of health promotion : AJHP
|August 13, 2024
概括
与非退伍军人相比,退伍军人患阻塞性睡眠呼吸暂停 (OSA) 的患病率是退伍军人的两倍多. 对于患有OSA的退伍军人,特别是患有PTSD的退伍军人来说,早期诊断和治疗机会至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 睡眠医学 睡眠医学
背景情况:
- 了解疾病患病率对于公共卫生规划和资源分配至关重要.
- 阻塞性睡眠呼吸暂停 (OSA) 是一个重要的公共卫生问题,可能对整体健康和福祉产生影响.
研究的目的:
- 确定和比较美国退伍军人人口与非退伍军人人口中阻塞性睡眠呼吸暂停 (OSA) 的患病率.
主要方法:
- 使用全国比较健康评估面试研究,采用了横截面调查设计.
- 通过互联网或电话收集了15166名退伍军人和4654名非退伍军人的数据.
- 使用统计权重计算了患病率,二次分析检查了部署状态,诊断时的年龄和人口统计因素.
主要成果:
- 发现退伍军人 (21%) 的阻塞性睡眠呼吸暂停 (OSA) 患病率是退伍军人 (9%) 的两倍多.
- 在退伍军人中,部署状态与OSA的几率增加有关 (aOR: 1.64).
- 退伍军人平均比非退伍军人早大约5年被诊断出患有OSA.
结论:
- 退伍军人患阻塞性睡眠呼吸暂停 (OSA) 的患病率明显高,这凸显了需要获得退伍军人医疗保健的需要.
- 在非退伍军人中,OSA可能被诊断不足,特别是在种族和种族少数群体中.
- 建议进行进一步的研究,以解决诊断差异和探索风险因素,特别是对于少数民族退伍军人和患有创伤后应激障碍 (PTSD) 的退伍军人.
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