Comparison of the Incidences of Obstructive Sleep Apnea‐Hypopnea Syndrome in African‐Americans versus Caucasian‐Americans

Friedman, Michael; Bliznikas, Darius; Klein, Michaela; Duggal, Praveen; Somenek, M.; Joseph, Ninos J.

doi:10.1016/j.otohns.2005.12.011

Cited by 38 publications

(30 citation statements)

References 13 publications

(19 reference statements)

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“…Epidemiologic evidence shows that individuals of black race/ethnicity are three times as likely as those of white race/ethnicity to meet criteria for obstructive sleep apnea. [38][39][40] Individuals with obstructive sleep apnea, a condition that causes significant nocturnal sleep disturbances and excessive daytime sleepiness, have shown worse functional capacity than healthy controls. 41,42 Among 5,301 African American adults, a recent report from Jackson Heart study showed an independent association between sleep disordered breathing symptoms and sleep duration.…”

Section: Discussionmentioning

confidence: 99%

Sleep Duration and Reported Functional Capacity among Black and White US Adults

Brimah

Oulds

Olafiranye

et al. 2013

Journal of Clinical Sleep Medicine

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Section: Discussionmentioning

confidence: 99%

Sleep Duration and Reported Functional Capacity among Black and White US Adults

Brimah

Oulds

Olafiranye

et al. 2013

Journal of Clinical Sleep Medicine

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“…[11][12][13] In either case, the low referral rate is particularly salient, as many non-Hispanic blacks, a high-risk group, may be less likely to be screened. 14 The foregoing evidence highlights the importance of OSA knowledge among providers, as OSA knowledge may be instrumental in evaluation and treatment of this condition. The purpose of this study was to assess knowledge and attitudes toward OSA among community physicians.…”

mentioning

confidence: 99%

Factors Associated with Referrals for Obstructive Sleep Apnea Evaluation among Community Physicians

Williams¹,

Nunes

Zizi³

et al. 2015

Journal of Clinical Sleep Medicine

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Study Objectives: This study assessed knowledge and attitudes toward obstructive sleep apnea (OSA) among community physicians and explored factors that are associated with referrals for OSA evaluation. Methods: Medical students and residents collected data from a convenience sample of 105 physicians practicing at communitybased clinics in a large metropolitan area. Average age was 48 ± 14 years; 68% were male, 70% black, 24% white, and 6% identifi ed as "other." Physicians completed the Obstructive Sleep Apnea Knowledge and Attitudes questionnaire. Results: The average year in physician practice was 18 ± 19 years. Of the sample, 90% reported providing care to black patients. The overall OSA referral rate made by physicians was 75%. OSA knowledge and attitudes scores ranged from 5 to 18 (mean = 14 ± 2) and from 7 to 20 (mean = 13 ± 3), respectively. OSA knowledge was associated with white race/ ethnicity (r p = 0.26, p < 0.05), fewer years in practice (r p = -0.38, p < 0.01), patients inquiring about OSA (r p = 0.31, p < 0.01), and number of OSA referrals made for OSA evaluation (r p = 0.30, p < 0.01). Positive attitude toward OSA was associated with patients inquiring about OSA (r p = 0.20, p < 0.05). Adjusting for OSA knowledge and attitudes showed that physicians whose patients inquired about OSA were nearly 10 times as likely to make a referral for OSA evaluation (OR = 9.38, 95% CI: 2.32-38.01, p < 0.01). Conclusion: Independent of physicians' knowledge and attitudes toward obstructive sleep apnea, the likelihood of making a referral for obstructive sleep apnea evaluation was infl uenced by whether patients inquired about the condition.

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“…Comparatively, estimates of daytime sleepiness in Sweden, France, and in the UK were 16%, 20%, and 15%, respectively [39,42,43]. Of particular interest is the observation that rates of daytime sleepiness among Caribbean-born blacks in our study were also higher than that generally observed for blacks (19%) [44], who typically experience more severe daytime sleepiness than do age-matched whites [18,34,35]. These findings support the notion that blacks in America do not constitute a homogenous group regarding snoring and daytime sleepiness, two of the most frequent symptoms of OSA.…”

Section: Discussionmentioning

confidence: 42%

“…Epidemiologic and clinical studies have shown that generally blacks are characterized by more severe sleep apnea compared with their white counterparts [18,[32][33][34][35]. Our study is the first to examine symptoms of OSA among Caribbean men and women residing in Brooklyn, NY.…”

Section: Discussionmentioning

confidence: 98%

Symptoms of obstructive sleep apnea in a Caribbean sample

et al. 2008

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Obstructive sleep apnea (OSA) is a prevalent sleep disorder that disproportionately affects blacks. While clinical and epidemiologic data indicate intraethnic differences in several medical diseases, little is known about whether OSA symptoms differ within the black ethnic group. We estimated the rate of OSA symptoms in a community-based sample of Caribbean-born black men and women. We also ascertained which sociodemographic and/or medical factors were associated with OSA risk. A total of 554 patients (mean age = 48.17 +/- 16.75 years) participated in the study; 55% were women. Data were collected in four primary-care clinics in Brooklyn, NY. A health educator explained the purpose of the study to interested patients and assisted consenting participants in completing questionnaires, which required 15 min to complete. Participants reporting habitual snoring, excessive daytime sleepiness, and sleep fragmentation were considered at high OSA risk. The rate of OSA symptoms was: snoring (45%), excessive daytime sleepiness (33%), and difficulty maintaining sleep (34%). Many reported falling asleep while watching television (47%) or while driving (14%). Based on logistic regression analysis, a history of heart disease was the most important predictor of the likelihood of expressing OSA symptoms, with a corresponding multivariate-adjusted odds ratio of 11 (95% confidence interval = 3.03-40.63). Findings suggest the need to investigate whether Caribbean-born blacks are at greater risk for developing OSA than African Americans and whites. Caribbean-born blacks with a history of heart disease should be a prime target for interventions that promote adequate screening and timely OSA diagnosis.

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Comparison of the Incidences of Obstructive Sleep Apnea‐Hypopnea Syndrome in African‐Americans versus Caucasian‐Americans

Abstract: B-3b.

Cited by 38 publications

References 13 publications

Sleep Duration and Reported Functional Capacity among Black and White US Adults

Sleep Duration and Reported Functional Capacity among Black and White US Adults

Factors Associated with Referrals for Obstructive Sleep Apnea Evaluation among Community Physicians

Symptoms of obstructive sleep apnea in a Caribbean sample

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