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https://hdl.handle.net/2440/87268
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dc.contributor.author | Li, J. | - |
dc.contributor.author | Appleton, S. | - |
dc.contributor.author | Wittert, G. | - |
dc.contributor.author | Vakulin, A. | - |
dc.contributor.author | McEvoy, R. | - |
dc.contributor.author | Antic, N. | - |
dc.contributor.author | Adams, R. | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | Sleep, 2014; 37(3):570-578B | - |
dc.identifier.issn | 0161-8105 | - |
dc.identifier.issn | 1550-9109 | - |
dc.identifier.uri | http://hdl.handle.net/2440/87268 | - |
dc.description.abstract | STUDY OBJECTIVES: To examine the relationship between functional health literacy (FHL) and obstructive sleep apnea (OSA), its diagnosis, related risk factors, and comorbidities. DESIGN: Population cohort study. SETTING: Adelaide, South Australia, 2011-12. PARTICIPANTS: 1,021 Men Androgen Inflammation Lifestyle Environment and Stress Study participants aged ≥ 40 years, of whom 627 were identified with OSA by self-report (n = 184 previously diagnosed) or with in-home polysomnography in 837 randomly selected participants without self-reported OSA (n = 443 previously undiagnosed). INTERVENTIONS: The Newest Vital Sign assessed FHL in 88% of participants. Full in-home unattended polysomnography (Embletta X100) was scored by 2007 AASM (alternative) criteria. MEASUREMENTS AND RESULTS: FHL was adequate in 75.3% (n = 122) of previously diagnosed and 68.3% (n = 261) of previously undiagnosed OSA. Not having a previous diagnosis was independently associated with inadequate FHL (odds ratio [OR]:2.84, 95% confidence interval [CI]:1.25-6.45) and workforce participation (OR = 2.04, 95% CI = 1.01-4.00), and inversely associated with previous snoring (OR = 0.48, 95% CI = 0.29-0.81), obesity (OR = 0.35, 95% CI = 0.15-0.81), and cardiovascular disease (OR = 0.45, 95% CI = 0.24-0.85). In polysomnography participants, inadequate FHL was independently associated with previously undiagnosed OSA (OR = 2.43, 95% CI = 1.40-4.20). In undiagnosed men, less than adequate FHL was independently associated with sedentary lifestyle (OR = 2.42, 95% CI = 1.36-4.29), and depression (OR = 2.50, 95% CI = 1.23-5.09) and inadequate FHL was associated with current smoking (OR = 2.87, 95% CI = 1.21-6.84). The depression association was attenuated after additional adjustment for comorbidities and general health (OR = 2.04, 95% CI = 0.93-4.49, P = 0.076). In previously diagnosed OSA, less than adequate FHL was independently associated with cardiovascular disease (OR = 2.76, 95% CI = 1.09-7.01). CONCLUSIONS: Limited functional health literacy was independently associated with obstructive sleep apnea (OSA), OSA diagnosis, lifestyle factors and comorbidities, highlighting the importance of developing and promoting national disease-specific health literacy policies. | - |
dc.description.statementofresponsibility | Joule J. Li, Sarah L. Appleton, Gary A. Wittert, Andrew Vakulin, R. Douglas McEvoy, Nick A. Antic, Robert J. Adams | - |
dc.language.iso | en | - |
dc.publisher | Associated Professional Sleep Societies | - |
dc.rights | Copyright status unknown | - |
dc.source.uri | http://dx.doi.org/10.5665/sleep.3500 | - |
dc.subject | Humans | - |
dc.subject | Sleep Apnea, Obstructive | - |
dc.subject | Cardiovascular Diseases | - |
dc.subject | Obesity | - |
dc.subject | Snoring | - |
dc.subject | Polysomnography | - |
dc.subject | Odds Ratio | - |
dc.subject | Risk Factors | - |
dc.subject | Cohort Studies | - |
dc.subject | Smoking | - |
dc.subject | Life Style | - |
dc.subject | Comorbidity | - |
dc.subject | Aged | - |
dc.subject | Middle Aged | - |
dc.subject | South Australia | - |
dc.subject | Male | - |
dc.subject | Health Literacy | - |
dc.subject | Self Report | - |
dc.title | The relationship between functional health literacy and obstructive sleep apnea and its related risk factors and comorbidities in a population cohort of men | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.5665/sleep.3500 | - |
dc.relation.grant | http://purl.org/au-research/grants/nhmrc/627227 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Li, J. [0000-0002-9776-6074] | - |
dc.identifier.orcid | Appleton, S. [0000-0001-7292-9714] | - |
dc.identifier.orcid | Wittert, G. [0000-0001-6818-6065] | - |
dc.identifier.orcid | McEvoy, R. [0000-0002-5759-0094] | - |
dc.identifier.orcid | Adams, R. [0000-0002-7572-0796] | - |
Appears in Collections: | Aurora harvest 7 Medicine publications |
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