社会经济差异对CPAP坚持的影响
Samuel R Shing1, Nicole Molin1, Jefferson DeKloe1
1Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
概括
社会经济差异显著影响阻塞性睡眠呼吸暂停患者的持续正气道压力 (CPAP) 坚持. 贫困地区的个人使用CPAP的比例较低,这凸显了有针对性的支持的必要性.
科学领域:
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 社会经济因素显著影响健康结果,包括阻塞性睡眠呼吸暂停 (OSA).
- 区域贫困指数 (ADI) 使用多种健康决定因素量化社会经济劣势.
- 了解这些差异对于有效的OSA管理至关重要.
研究的目的:
- 调查通过ADI测量的社会经济地位与OSA患者的CPAP坚持之间的关联.
- 分析高中毕业证率所表明的社会脆弱性如何影响CPAP的坚持.
- 确定可能受益于加强治疗坚持支持的患者群体.
主要方法:
- 对536名成年OSA患者的回顾性分析,他们被处方CPAP (2022年10月至12月).
- 患者根据ADI和社会脆弱性指数 (SVI) 四分位数划分为组.
- 在30天,6个月和12个月的CPAP坚持和随访率的比较.
主要成果:
- 在最贫困地区 (最高的ADI) 的患者在所有时间点都表现出明显较低的CPAP坚持 (P < .05).
- 较低的高中毕业证率与CPAP遵守率降低相关 (P < .05).
- 较高的社会经济劣势与较差的治疗坚持有关.
结论:
- 社会经济差异明显影响OSA患者的CPAP坚持.
- 贫困人口和受教育程度较低的人群表现出较低的治疗坚持.
- 建议针对这些患者群体进行有针对性的干预和更密切的随访,以改善患者的坚持.
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