儿童睡眠呼吸障碍的健康差异。
Health disparities in pediatric sleep-disordered breathing.
机构信息
Sleep Center, Division of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Emergency Medicine, University of California, Davis, Sacramento, CA, USA.
出版信息
Paediatr Respir Rev. 2023 Mar;45:2-7. doi: 10.1016/j.prrv.2022.01.005. Epub 2022 Jan 28.
Abstract
Sleep-disordered breathing reflects a continuum of overnight breathing difficulties, ranging from mild snoring to obstructive sleep apnea syndrome. Sleep-disordered breathing in childhood is associated with significant adverse outcomes in multiple domains of functioning. This review summarizes the evidence of well-described ethnic, racial, and socioeconomic disparities in pediatric sleep-disordered breathing, from its prevalence to its treatment-related outcomes. Research on potential socio-ecological contributors to these disparities is also reviewed. Critical future research directions include the development of interventions that address the modifiable social and environmental determinants of these health disparities.
摘要
睡眠呼吸障碍反映了夜间呼吸困难的连续谱，从轻度打鼾到阻塞性睡眠呼吸暂停综合征不等。儿童睡眠呼吸障碍与多个功能领域的显著不良后果相关。本综述总结了已充分描述的儿童睡眠呼吸障碍的种族、民族和社会经济差异的证据，从其患病率到其与治疗相关的结果。还回顾了对这些差异的潜在社会生态因素的研究。未来的关键研究方向包括开发干预措施，以解决这些健康差异的可改变的社会和环境决定因素。
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