Prevalence of Obstructive Sleep Apnea Among Veterans and Nonveterans

Author:

Goldstein Lizabeth A.12ORCID,Bernhard Paul A.3,Hoffmire Claire A.45,Schneiderman Aaron3,Maguen Shira12

Affiliation:

1. San Francisco VA Health Care System, San Francisco, CA, USA

2. Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California at San Francisco, San Francisco, CA, USA

3. Epidemiology Program, Health Outcomes of Military Exposures, US Department of Veterans Affairs, Washington, DC, USA

4. Rocky Mountain Mental Illness Research, Education, and Clinical Center, US Department of Veterans Affairs, Aurora, CO, USA

5. Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO, USA

Abstract

Purpose Understanding disease prevalence can inform treatment and resource needs across populations. This study aimed to identify the prevalence of sleep apnea (OSA) among veterans and nonveterans. Design The national Comparative Health Assessment Interview Study, cross-sectional survey using probability-based sampling frames. Setting Surveys completed by Internet or phone. Subjects 15,166 veterans (40% response rate) and 4,654 nonveterans (57% response rate). Measures Self-report of healthcare provider-based diagnosis of OSA. Analysis Calculation of prevalence of OSA using statistical weighting to allow for direct comparison between veterans and nonveterans. Secondary analyses evaluated OSA by deployment status among veterans and compared average age of OSA diagnosis and differences in OSA prevalence among veterans and nonveterans stratified by gender, marital status, race/ethnicity, and posttraumatic stress disorder diagnosis. Results OSA diagnosis was more than twice as prevalent among veterans (21%, 95% CI 20%-22%) than nonveterans (9%, 95% CI 8%-10%; aOR: 2.56, 95% CI 2.22-2.95, P < .001). Deployment was associated with higher odds of OSA among veterans (aOR: 1.64, 95% CI 1.43-18.7, P < 001.) Veterans were diagnosed with OSA on average 5 years earlier than nonveterans. Conclusion Veterans have a high prevalence rate of OSA, highlighting the importance of veterans’ access to treatment. OSA is likely underdiagnosed in nonveterans, particularly among racial/ethnic minoritized groups. Future research should investigate disparities in access to diagnostic testing for racial/ethnic minority nonveterans and/or risk factors for OSA among racial/ethnic minority veterans. The increased odds of OSA among those with PTSD highlights in the importance of early referral for OSA testing by providers as well as development of trauma-informed strategies to promote OSA treatment adherence. Limitations include a bias toward underestimation of true disease prevalence due to self-report of diagnosis.

Funder

United States Department of Veterans Affairs Research and Rehabilitation Service

Office of Patient Care Services, Department of Veterans Affairs

Publisher

SAGE Publications

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3