Socioeconomic factors and adherence to Continuous Positive Airway Pressure - a population-based cohort study

• Background: Poor adherence to continuous positive airway pressure (CPAP) treatment in patients with obstructive sleep apnea (OSA) is a major clinical problem. The aim of this study was to evaluate the association between socioeconomic factors and adherence to CPAP.Methods: A population-based cohort study on patients with OSA on CPAP reported to the Swedish quality registry Swedevox between 2010 and 2018, cross-linked with demographic data from Statistics Sweden. Independent factors for CPAP adherence were analyzed using multivariable linear regression.Results: Follow-up after 1.3±0.8 year (n=20,521, 70.7% men, age 57.8±12.2 years, body mass index 32.0±6.1 kg/m2, apnea-hypopnea index 36.9±22.1). Socio-economic factors associated with lower CPAP adherence were A) Civil status: Being unmarried (-20.2 minutes [95% confidence interval] -26.0 to -14.59), divorced (-26.1 min; (-32.2- -20.1) or widow/widower (-20.3 min;-31.1- -9.5) compared with being married; B) Education level: Highest educational level primary school (-14.6 min; -21.0- -8.1) or secondary school (-11.0 min;-16.3- -5.9) compared with tertiary education; C) Annual household income: (-2.3 min; -1.0- -3.5) per 10,000 € decrease; D) Country of birth: Being born in Sweden with two foreign parents (-23.5 min; -38.3- -8.6) and being born abroad (-27.9 min; -34.9- -20.9) compared to being born in Sweden by two native parents.Conclusion: Civil status, educational level, household income and foreign background are strong predictors for adherence to CPAP therapy in patients with OSA. To promote adherence, socioeconomic factors should be taken into account when treating patients with OSA.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)

Nyckelord

Apnoea / Hypopnea

Adherence

Publikations- och innehållstyp

vet (ämneskategori)

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