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Influence of Marital Status and Employment Status on Long-Term Adherence with Continuous Positive Airway Pressure in Sleep Apnea Patients

Author

Listed:
  • Frédéric Gagnadoux
  • Marc Le Vaillant
  • François Goupil
  • Thierry Pigeanne
  • Sylvaine Chollet
  • Philippe Masson
  • Marie-Pierre Humeau
  • Acya Bizieux-Thaminy
  • Nicole Meslier
  • the IRSR sleep cohort group

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. Methods and Principal Findings: Among 1,141 patients in whom CPAP had been prescribed for an average of 504±251 days (range: 91 to 1035), 674 (59%) were adherent with a mean daily use of CPAP≥4 h (mean: 6.42±1.35 h). Stepwise regression analysis identified 4 independent factors of CPAP adherence including apnea-hypopnea index (AHI) (OR: 1.549, 95%CI 1.163 to 2.062 for AHI≥30 vs. AHI

Suggested Citation

  • Frédéric Gagnadoux & Marc Le Vaillant & François Goupil & Thierry Pigeanne & Sylvaine Chollet & Philippe Masson & Marie-Pierre Humeau & Acya Bizieux-Thaminy & Nicole Meslier & the IRSR sleep cohort gr, 2011. "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, vol. 6(8), pages 1-7, August.
    • Handle: RePEc:plo:pone00:0022503
    DOI: 10.1371/journal.pone.0022503
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    Citations

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    Cited by:

    1. Marion Fleury & Marc Le Vaillant & Nathalie Pelletier-Fleury & IRSR sleep cohort group, 2015. "Socio-Economic Status: A Barrier to Access to Mandibular Advancement Device Therapy for Patients with Obstructive Sleep Apnea Syndrome in France," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-11, September.
    2. Thibaut Gentina & Sébastien Bailly & François Jounieaux & Christophe Verkindre & Pierre-Marie Broussier & Dominique Guffroy & Arnaud Prigent & Jean-Jacques Gres & Jamal Kabbani & Laurent Kedziora & Re, 2019. "Marital quality, partner's engagement and continuous positive airway pressure adherence in obstructive sleep apnea," Post-Print hal-02996105, HAL.
    3. Jean Christian Borel & Renaud Tamisier & Sonia Dias-Domingos & Marc Sapene & Francis Martin & Bruno Stach & Yves Grillet & Jean François Muir & Patrick Levy & Frederic Series & Jean-Louis Pepin & on b, 2013. "Type of Mask May Impact on Continuous Positive Airway Pressure Adherence in Apneic Patients," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-8, May.
    4. Pierre Philip & Stéphanie Bioulac & Elemarije Altena & Charles M Morin & Imad Ghorayeb & Olivier Coste & Pierre-Jean Monteyrol & Jean-Arthur Micoulaud-Franchi, 2018. "Specific insomnia symptoms and self-efficacy explain CPAP compliance in a sample of OSAS patients," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-13, April.

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