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Title: Sleep Disorders in Aboriginal and Torres Strait Islander People and Residents of Regional and Remote Australia
Contributor(s): Woods, Cindy  (author)orcid ; McPherson, Karen (author); Tikoft, Erik (author); Usher, Kim  (author)orcid ; Hosseini, Fariborz (author); Ferns, Janine (author); Jersmann, Hubertus (author); Antic, Ral (author); Maguire, Graeme Paul (author)
Publication Date: 2015
Open Access: Yes
DOI: 10.5664/jcsm.5182Open Access Link
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Open Access Link: Access Link
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.
Publication Type: Journal Article
Source of Publication: Journal of Clinical Sleep Medicine, 11(11), p. 1263-1271
Publisher: American Academy of Sleep Medicine
Place of Publication: United States of America
ISSN: 1550-9397
Fields of Research (FoR) 2008: 111005 Mental Health Nursing
111099 Nursing not elsewhere classified
Fields of Research (FoR) 2020: 420403 Psychosocial aspects of childbirth and perinatal mental health
420599 Nursing not elsewhere classified
Socio-Economic Objective (SEO) 2008: 920302 Aboriginal and Torres Strait Islander Health - Health Status and Outcomes
920399 Indigenous Health not elsewhere classified
920210 Nursing
Socio-Economic Objective (SEO) 2020: 210302 Aboriginal and Torres Strait Islander health status and outcomes
200307 Nursing
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article

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