Research Section and Sleep Section, VA Northeast Ohio Healthcare System, Cleveland, OH, USA; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Division of Pulmonary, Critical Care & Sleep Medicine, Department of Medicine, University of Washington School of Medicine, UW Medicine Sleep Center, Harborview Medical Center, Box 359803, 325 Ninth Avenue, Seattle, WA 98104, USA.
Sleep Med Clin. 2022 Dec;17(4):543-550. doi: 10.1016/j.jsmc.2022.07.002. Epub 2022 Oct 9.
Although data are limited, studies suggest on average lower positive airway pressure use in Black, indigenous, and people of color (BIPOC) compared with Whites in most but not all studies. Most of these observational studies are certainly limited by confounding by socioeconomic status and other unmeasured factors that likely contribute to differences. The etiology of these observed disparities is likely multifactorial, due in part to financial limitations, differences in sleep opportunity, poor sleep quality due to environmental disruptions, and so forth. These disparities in sleep health are likely related to chronic inequities, including experiences of racism, neighborhood features, structural, and contextual factors. Dedicated studies focusing on understanding adherence in BIPOC are lacking. Further research is needed to understand determinants of PAP use in BIPOC subjects and identify feasible interventions to improve sleep health and reduce sleep apnea treatment disparities.
尽管数据有限，但研究表明，在大多数研究中，黑人、原住民和有色人种（BIPOC）的气道正压使用量平均低于白人，但并非所有研究都如此。这些观察性研究大多受到社会经济地位和其他未测量因素的混杂影响，这些因素可能导致了差异。这些观察到的差异的病因可能是多因素的，部分原因是经济限制、睡眠机会的差异、由于环境干扰导致的睡眠质量差等。这些睡眠健康方面的差异可能与慢性不平等有关，包括种族主义经历、社区特征、结构和背景因素。缺乏专门研究来了解 BIPOC 人群的依从性。需要进一步研究以了解 BIPOC 受试者使用 PAP 的决定因素，并确定可行的干预措施来改善睡眠健康和减少睡眠呼吸暂停治疗差距。
