0582 High Rate of OSA among Blacks Using Home-Based WatchPAT Recordings

Kalinowskisi, J; Seixas, Azizi; Chung, Alicia; Chery, K; Richards, S; Chung, Debbie; Jean-Louis, Girardin

doi:10.1093/sleep/zsy061.581

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“…Discrepancies between epidemiological and community-based estimates of sleep health as well as estimates of diagnosed and undiagnosed sleep disorders like sleep apnea among vulnerable subgroups highlight the limitation of crude sampling methods and the need for community-based sampling approaches to estimate sleep health problems. For example, in epidemiological data, the prevalence of OSA among Blacks is 24% [6,26]; however, in several community-based samples in New York City, 31-87% of Blacks were at moderate-high OSA risk [23,27]. The discrepancy between how many Blacks are at risk for sleep apnea versus those with a physician diagnosis (only 5% of those at risk) highlights another poorly estimated sleep health burden.…”

Section: Epidemiological and Community-based Estimates Of Sleep And Sleep-related Cvd Among Subgroupsmentioning

confidence: 99%

Benefits of Community-Based Approaches in Assessing and Addressing Sleep Health and Sleep-Related Cardiovascular Disease Risk: a Precision and Personalized Population Health Approach

et al. 2020

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Purpose of Review In this current review, we describe the benefits of community-based and "precision and personalized population health" (P3H) approaches to assessing and addressing sleep health problems and sleep-related cardiovascular diseases (CVD) among vulnerable populations such as racial/ethnic minorities, the elderly, and the socioeconomically disadvantaged. Recent Findings Very few sleep health programs utilize a community-based or P3H approach, which may account for low estimates of sleep health problems, related CVD outcomes, and inadequate healthcare infrastructure to address sleep-related health outcomes at the community and population level. We describe community-based and P3H approaches and programs as solutions to accurately capture estimates of sleep health and reduce burden of sleep health problems and corollary CVD outcomes at the level of the community and population. Specifically, we describe seven critical steps needed to successfully implement a community-based and P3H approach to address sleep health problems. Summary Community-based and P3H approaches are effective strategies to assessing and addressing sleep health problems and related health conditions. KeywordsSleep . Sleep health . Community . Personalized . Health disparities . Cardiovascular disease This article is part of the Topical Collection on Sleep and Hypertension

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