Impact of socioeconomic disparities on CPAP adherence.

Authors

• Samuel R Shing
• Nicole Molin
• Jefferson DeKloe
• Natalie M Perlov
• Erin W Creighton
• Maurits S Boon
• Colin T Huntley
• Ritu G Grewal

Publication/Presentation Date

12-1-2025

Abstract

STUDY OBJECTIVES: Socioeconomic disparities are known to have a significant impact on health outcomes including those related to obstructive sleep apnea. More recently, a metric known as area deprivation index (ADI), which combines 17 social determinants of health, has been used to better quantify this impact. We aim to examine the relationship between socioeconomic disparities and continuous positive airway pressure (CPAP) adherence among adults with obstructive sleep apnea using ADI.

METHODS: A retrospective study of patients with diagnosis of obstructive sleep apnea and prescribed CPAP from October-December 2022 was performed. Patients were divided into more- or less-socioeconomically disadvantaged groups based on ADI, as well as social vulnerability index, which captures high school diploma rates. Thirty-day, 6-month, and 12-month CPAP adherence and follow-up rates were collected and compared across ADI/social vulnerability index quartiles.

RESULTS: A total of 536 patients met inclusion criteria. Patients from the most deprived areas (highest ADI) had significantly lower CPAP adherence than those from least deprived areas at all timepoints (

CONCLUSIONS: Socioeconomic disparities appear to have a significant impact on CPAP adherence. People from areas that are more deprived and with lower high school diploma rates have lower therapy adherence rates. Patients within these groups may benefit from additional resources and/or closer follow up to improve adherence with treatment.

CITATION: Shing SR, Molin N, DeKloe J, et al. Impact of socioeconomic disparities on CPAP adherence.

Volume

21

Issue

12

First Page

2091

Last Page

2099

ISSN

1550-9397

Published In/Presented At

Shing, S. R., Molin, N., DeKloe, J., Perlov, N. M., Creighton, E. W., Boon, M. S., Huntley, C. T., & Grewal, R. G. (2025). Impact of socioeconomic disparities on CPAP adherence. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 21(12), 2091–2099. https://doi.org/10.5664/jcsm.11874

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

40963296

Department(s)

Administration and Leadership

Document Type

Article