Sleep disorders in aboriginal and torres strait islander people and residents of regional and remote Australia

Cindy E. Woods, Karen McPherson, Erik Tikoft, Kim Usher, Fariborz Hosseini, Janine Ferns, Hubertus Jersmann, Ral Antic, Graeme Paul Maguire

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)

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 selfefficacy, 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.

Original languageEnglish
Pages (from-to)1263-1271
Number of pages9
JournalJournal of Clinical Sleep Medicine
Volume11
Issue number11
DOIs
Publication statusPublished - 2015
Externally publishedYes

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