Behavioral Health Program, Mental Health Care Line, Michael E. DeBakey VA Medical Center, Building 108-A Room 224, 2002 Holcombe Boulevard, Houston, TX 77030, USA; Psychology Division, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
Psychology Service, Bruce W. Carter Medical Center, Miami VA Healthcare system, Sleep Disorders Center, Room A212, 1201 NW 16th ST, Miami, FL 33125, USA; Neurology Service, Bruce W. Carter Medical Center, Miami VA Healthcare system, Sleep Disorders Center, Room A212, 1201 NW 16th ST, Miami, FL 33125, USA.
Sleep Med Clin. 2021 Mar;16(1):23-41. doi: 10.1016/j.jsmc.2020.10.003. Epub 2020 Dec 7.
Nonadherence with positive airway pressure (PAP) therapy impedes the effectiveness of treatment and increases risk of mortality. Disparities in PAP adherence as a function of socioeconomic status (SES) are not well understood. A literature search identified 16 original publications meeting inclusion criteria that described effects of SES factors on objective PAP adherence; 69% of these articles found evidence of lower adherence as a function of SES. This integrative review provides a structured summary of the findings, highlights factors that may contribute to disparities among adult PAP users, and identifies future directions to improve equity in the management of OSA.
不遵守气道正压（PAP）疗法会阻碍治疗效果，并增加死亡率。社会经济地位（SES）对 PAP 依从性的影响尚不清楚。文献检索确定了符合纳入标准的 16 篇原始出版物，这些出版物描述了 SES 因素对客观 PAP 依从性的影响；其中 69%的文章发现 SES 功能的依从性较低。本综合综述提供了研究结果的结构化总结，强调了可能导致成人 PAP 用户之间差异的因素，并确定了改善 OSA 管理公平性的未来方向。
