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Review
. 2021 Mar;16(1):23-41.
doi: 10.1016/j.jsmc.2020.10.003. Epub 2020 Dec 7.

Socioeconomic Disparities in Positive Airway Pressure Adherence: An Integrative Review

Earl Charles Crew  1 , William K Wohlgemuth  2 , Amy M Sawyer  3 , Natasha J Williams  4 , Douglas M Wallace  5
Affiliations
Review

Socioeconomic Disparities in Positive Airway Pressure Adherence: An Integrative Review

Earl Charles Crew et al. Sleep Med Clin. 2021 Mar.

Abstract

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.

Keywords: Adherence; Compliance; Positive airway pressure; Sleep; Sleep apnea; Socioeconomic disparities; Socioeconomic status.

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Conflict of interest statement

Disclosure The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government. Dr A.M. Sawyer has received grant funding from the National Institutes of Health, American Lung Association and American Nurses Foundation and currently is in receipt of grant support from VA HSR&D. Dr N.J. Williams was supported by the National Heart, Lung, and Blood InstituteK23HL125939. The authors have nothing else to disclose.

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