|Type de Publication
||Influence of marital status and employment status on long-term adherence with continuous positive airway pressure in sleep apnea patients
||Gagnadoux F. | Le Vaillant M. | Goupil F. | Pigeanne T. | Chollet S. | Masson P. | Humeau M. P. | Bizieux-Thaminy A. | Meslier N. | IRSR sleep cohort group
||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.
|Electronic resource num