Sleep disorders in Aboriginal and Torres Strait Islander people and residents of regional and remote Australia

Woods, Cindy E., McPherson, Karen, Tikoft, Erik, Usher, Kim, Hosseini, Fariborz, Ferns, Janine, Jersmann, Hubertus, Antic, Ral, and Maguire, Graeme Paul (2015) Sleep disorders in Aboriginal and Torres Strait Islander people and residents of regional and remote Australia. Journal of Clinical Sleep Medicine, 11 (11). pp. 1263-1271.

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DOI: 10.5664/jcsm.5182

View at Publisher Website: http://dx.doi.org/10.5664/jcsm.5182

Abstract

Study Objectives: To compare the use of sleep diagnostic tests, the risks, and cofactors, and outcomes of the care of Indigenous and non-indigenous Australian adults in regional and remote Australia in whom sleep related breathing disorders have been diagnosed.

Methods: A retrospective cohort study of 200 adults; 100 Aboriginal and Torres Strait Islander and 100 non-indigenous adults with a confirmed sleep related breathing disorder diagnosed prior to September 2011 at Alice Springs Hospital and Cairns Hospital, Australia.

Results: Results showed overall Indigenous Australians were 1.8 times more likely to have a positive diagnostic sleep study performed compared with non-indigenous patients, 1.6 times less likely in central Australia and 3.4 times more likely in far north Queensland. All regional and remote residents accessed diagnostic sleep studies at a rate less than Australia overall (31/100,000/y (95% confidence interval, 21-44) compared with 575/100,000/y).

Conclusion: The barriers to diagnosis and ongoing care are likely to relate to remote residence, lower health self-efficacy, the complex nature of the treatment tool, and environmental factors such as electricity and sleeping area. Indigeneity, remote residence, environmental factors, and low awareness of sleep health are likely to affect service accessibility and rate of use and capacity to enhance patient and family education and support following a diagnosis. A greater understanding of enablers and barriers to care and evaluation of interventions to address these are required.


Item ID:	41080
Item Type:	Article (Research - C1)
ISSN:	1550-9397
Keywords:	Australia; Indigenous population; obstructive sleep apnoea; polysomnography; sleep
Related URLs:	Publisher
Additional Information:	Freely avialable from PMC following a 6-month embargo period.
Funders:	James Cook University, National Health and Medical Research Council of Australia (NHMRC), Margaret Ross Chair in Indigenous Health
Date Deposited:	09 Dec 2015 00:23
FoR Codes:	11 MEDICAL AND HEALTH SCIENCES > 1102 Cardiovascular Medicine and Haematology > 110203 Respiratory Diseases @ 50% 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 50%
SEO Codes:	92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920115 Respiratory System and Diseases (incl. Asthma) @ 50% 92 HEALTH > 9203 Indigenous Health > 920302 Aboriginal and Torres Strait Islander Health - Health Status and Outcomes @ 50%
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