需要进行社会和环境决定因素健康研究，以了解和干预阻塞性睡眠呼吸暂停的种族/民族差异。
The Need for Social and Environmental Determinants of Health Research to Understand and Intervene on Racial/Ethnic Disparities in Obstructive Sleep Apnea.
机构信息
Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, CNR Room 3025, Atlanta, GA 30322, USA.
Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, CNR Room 3025, Atlanta, GA 30322, USA.
出版信息
Clin Chest Med. 2022 Jun;43(2):199-216. doi: 10.1016/j.ccm.2022.02.002.
Abstract
Obstructive sleep apnea (OSA), a sleep-disordered breathing (SDB) disorder, affects at least 25 million adults in the United States and is associated with increased risk for hypertension, diabetes, and cardiovascular disease (CVD). Racial/ethnic minorities have a disproportionate burden of OSA along with the health sequelae associated with this condition. Despite supporting evidence of racial/ethnic disparities, few studies have investigated SDB including OSA among minoritized racial/ethnic groups. In this scoping review of the literature, the authors summarize current findings related to racial/ethnic disparities in OSA, identified social and environmental determinants of health, treatment inequities, and promising evidence-based interventions and conclude with future research directions.
摘要
阻塞性睡眠呼吸暂停（OSA）是一种睡眠呼吸障碍（SDB）疾病，影响了美国至少 2500 万成年人，并且与高血压、糖尿病和心血管疾病（CVD）的风险增加有关。少数族裔承受着 OSA 以及与这种疾病相关的健康后果不成比例的负担。尽管有支持种族/族裔差异的证据，但很少有研究调查包括少数族裔群体在内的 SDB。在对文献的范围审查中，作者总结了与 OSA 中的种族/族裔差异相关的现有发现、确定了健康的社会和环境决定因素、治疗不平等以及有前途的基于证据的干预措施，并得出了未来的研究方向。
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3
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Sleep Med Rev. 2021 Apr;56:101455. doi: 10.1016/j.smrv.2021.101455. Epub 2021 Feb 9.
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