title: Beliefs and attitudes toward obstructive sleep apnea evaluation and treatment among blacks.
abstract: OBJECTIVE
  Although blacks are at higher risk for obstructive sleep apnea (OSA), they are not as likely as their white counterparts to receive OSA evaluation and treatment. This study assessed knowledge, beliefs, and attitudes towards OSA evaluation and treatment among blacks residing in Brooklyn, New York.
  
  
  METHODS
  Five focus groups involving 39 black men and women (aged > or =18 years) were conducted at State University of New York (SUNY) Downstate Medical Center in Brooklyn to ascertain barriers preventing or delaying OSA evaluation and treatment.
  
  
  RESULTS
  Misconceptions about sleep apnea were a common theme that emerged from participants' responses. Obstructive sleep apnea was often viewed as a type of insomnia, an age-related phenomenon, and as being caused by certain bedtime activities. The major theme that emerged about barriers to OSA evaluation was unfamiliarity with the study environment. Barriers were categorized as: problems sleeping in a strange and unfamiliar environment, unfamiliarity with the study protocol, and fear of being watched while sleeping. Barriers to continuous positive airway pressure (CPAP) treatment adoption were related to the confining nature of the device, discomfort of wearing a mask while they slept, and concerns about their partner's perceptions of treatment.
  
  
  CONCLUSIONS
  Results of this study suggest potential avenues for interventions to increase adherence to recommended evaluation and treatment of OSA. Potential strategies include reducing misconceptions about OSA, increasing awareness of OSA in vulnerable communities, familiarizing patients and their partners with laboratory procedures used to diagnose and treat OSA. We propose that these strategies should be used to inform the development of culturally and linguistically tailored sleep apnea interventions to increase awareness of OSA among blacks who are at risk for OSA and associated comorbidities.
authors.affiliation: Brooklyn Health Disparities Center, Department of Medicine, SUNY Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203, USA. raphael.shaw@downstate.edu
authors.forename: Raphael
authors.initials: R
authors.lastname: Shaw
authors.forename: Sharon
authors.initials: S
authors.lastname: McKenzie
authors.forename: Tonya
authors.initials: T
authors.lastname: Taylor
authors.forename: Oladipupo
authors.initials: O
authors.lastname: Olafiranye
authors.forename: Carla
authors.initials: C
authors.lastname: Boutin-Foster
authors.forename: Gbenga
authors.initials: G
authors.lastname: Ogedegbe
authors.forename: Girardin
authors.initials: G
authors.lastname: Jean-Louis
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000208:ethnology / Q000628:therapy*
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