TY - JOUR
T1 - Adherence to positive airway pressure treatment among minority populations in the US
T2 - A scoping review
AU - Wallace, Douglas M.
AU - Williams, Natasha J.
AU - Sawyer, Amy M.
AU - Jean-Louis, Girardin
AU - Aloia, Mark S.
AU - Vieira, Dorice L.
AU - Wohlgemuth, William K.
N1 - Funding Information:
Dr. Williams was supported by K23HL125939 from NHLBI. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States Government.
Funding Information:
Dr. Williams was supported by K23HL125939 from NHLBI . The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States Government. Appendix A
Publisher Copyright:
© 2017
PY - 2018/4
Y1 - 2018/4
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85020770276&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85020770276&partnerID=8YFLogxK
U2 - 10.1016/j.smrv.2017.04.002
DO - 10.1016/j.smrv.2017.04.002
M3 - Review article
C2 - 28625480
AN - SCOPUS:85020770276
SN - 1087-0792
VL - 38
SP - 56
EP - 69
JO - Sleep Medicine Reviews
JF - Sleep Medicine Reviews
ER -