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Influence of marital status and employment status on long-term adherence with continuous positive airway pressure in sleep apnea patients

Abstract : Background : Long-term adherence is a major issue in patients receiving home continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea-hypopnea syndrome (OSAHS). In a multicenter prospective cohort (the Institut de Recherche en Santé Respiratoire des Pays de la Loire [IRSR] sleep cohort) of consecutive OSAHS patients in whom CPAP had been prescribed for at least 90 days, we studied the impact on long-term treatment adherence of socioeconomic factors, patients and disease characteristics prior to CPAP initiation. CONCLUSIONS: Marital status and employment status are independent factors of CPAP adherence in addition to BMI and disease severity. Patients living alone and/or working patients are at greater risk of non-adherence, whereas adherence is higher in married and retired patients. These findings suggest that the social context of daily life should be taken into account in risk screening for CPAP non-adherence. Future interventional studies targeting at-risk patients should be designed to address social motivating factors and work-related barriers to CPAP adherence.
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https://hal-cnrs.archives-ouvertes.fr/hal-03478140
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Submitted on : Monday, December 13, 2021 - 6:42:31 PM
Last modification on : Tuesday, June 14, 2022 - 11:22:35 AM

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F Gagnadoux, Marc Le Vaillant, F Goupil, T Pigeanne, S Chollet, et al.. Influence of marital status and employment status on long-term adherence with continuous positive airway pressure in sleep apnea patients. PLoS ONE, Public Library of Science, 2011, 6 (8), pp.e22503. ⟨10.1371/journal.pone.0022503⟩. ⟨hal-03478140⟩

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