Lenze Nicholas R, Kazemi Ruby J, Ikeda Allison K, Vijayakumar Punithavathy, Goldstein Cathy A, Stanley Jeffrey J, Brenner Michael J, Hoff Paul T
Department of Otolaryngology - Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan.
Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, Washington.
J Clin Sleep Med. 2025 Feb 1;21(2):345-353. doi: 10.5664/jcsm.11418.
To characterize public practices and perspectives on the use of consumer sleep technology (CST) and evaluate perspectives on using CST as a screening tool for obstructive sleep apnea.
We designed a survey instrument incorporating content from validated instruments (STOP-Bang and the Epworth Sleepiness Scale) and hypothesis-generated questions. Survey development involved multidisciplinary collaboration among 3 board-certified sleep medicine experts, researchers, and consumers. The survey was disseminated across a national sample of adults living in the United States via an online platform.
Among 897 respondents, the mean (standard deviation) age was 47.5 (16.9) years; 73.1% were female, 81.8% were White, and 505 respondents (56.3%) reported having tracked sleep using CST. Factors associated with decreased odds of CST use included household income < $30,000 (odds ratio [OR] 0.47, 95% confidence interval [CI] 0.28-0.79; = .004), Medicaid insurance (OR 0.43, 95% CI 0.26-0.69; = .001), Medicare insurance (OR 0.59, 95% CI 0.41-0.84; = .004), and lack of a primary care physician (OR 0.55, 95% CI 0.33-0.91; = .021). Most respondents (91.1%) agreed or strongly agreed that screening for obstructive sleep apnea would be a useful feature of CST, but respondents reporting an education of high school diploma or less (OR 0.48, 95% CI 0.29-0.79; = .004) were less likely to agree with this statement.
Attitudes toward and use of CST differed based on demographic and socioeconomic factors. Further study is needed to understand and address barriers to CST adoption and to characterize implications for equitable access to care for sleep disorders.
Lenze NR, Kazemi RJ, Ikeda AK, et al. Public engagement with consumer sleep technology for obstructive sleep apnea screening: implications for equity, access, and practice. . 2025;21(2):345-353.
描述公众对使用消费者睡眠技术（CST）的实践和看法，并评估将CST用作阻塞性睡眠呼吸暂停筛查工具的观点。
我们设计了一种调查问卷，纳入了经过验证的工具（STOP-Bang和爱泼华嗜睡量表）中的内容以及根据假设提出的问题。调查问卷的开发涉及3名获得委员会认证的睡眠医学专家、研究人员和消费者的多学科合作。该调查问卷通过在线平台在美国全国范围内的成年人群体中进行发放。
在897名受访者中，平均（标准差）年龄为47.5（16.9）岁；73.1%为女性，81.8%为白人，505名受访者（56.3%）报告使用CST追踪睡眠。与CST使用几率降低相关的因素包括家庭收入低于30,000美元（优势比[OR]0.47，95%置信区间[CI]0.28 - 0.79；P = 0.004）、医疗补助保险（OR 0.43，95% CI 0.26 - 0.69；P = 0.001）、医疗保险（OR 0.59，95% CI 0.41 - 0.84；P = 0.004）以及没有初级保健医生（OR 0.55，95% CI 0.33 - 0.91；P = 0.021）。大多数受访者（91.1%）同意或强烈同意阻塞性睡眠呼吸暂停筛查将是CST的一个有用功能，但报告学历为高中文凭或更低的受访者（OR 0.48，95% CI 0.29 - 0.79；P = 0.004）不太可能同意这一说法。
对CST的态度和使用因人口统计学和社会经济因素而异。需要进一步研究以了解和解决采用CST的障碍，并描述其对公平获得睡眠障碍护理的影响。
Lenze NR, Kazemi RJ, Ikeda AK,等。公众参与使用消费者睡眠技术进行阻塞性睡眠呼吸暂停筛查：对公平性、可及性和实践的影响。……2025；21(2):345 - 353。
