1186 HEALTH INSURANCE STATUS IN SUBJECTS WITH SLEEP DISORDERED BREATHING

1186 HEALTH INSURANCE STATUS IN SUBJECTS WITH SLEEP DISORDERED BREATHING

Abstract Introduction: Study Objective: To evaluate health insurance status in subjects with sleep disordered breathing. Methods: Design: Cross-sectional. Setting: Population-based research. Participants: Nationally representative sample of 2005–2006 and 2007–2008 National Health and Nutrition Exami...

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Veröffentlicht in:Sleep (New York, N.Y.) N.Y.), 2017-04, Vol.40 (suppl_1), p.A442-A443
Hauptverfasser: Abbasi, AA, Olarewaju, A, Pusalavidyasagar, S
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Health insurance
Sleep apnea
Sleep disorders
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container_title Sleep (New York, N.Y.)
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creator Abbasi, AA
Olarewaju, A
Pusalavidyasagar, S
description Abstract Introduction: Study Objective: To evaluate health insurance status in subjects with sleep disordered breathing. Methods: Design: Cross-sectional. Setting: Population-based research. Participants: Nationally representative sample of 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey participants (n= 11,329 adults). Intervention: None. Results: A total of 11,329 subjects, who after weighting, were representative of 175,247,251 U.S. non-institutionalized population. Obstructive sleep apnea (OSA) risk score was calculated by using the modified STOP-Bang questionnaire. This score consisted of 7 variables excluding neck circumference since NHANES physical examination did not include this measurement. The estimated range for OSA risk score was from 0 to 7. Subjects who scored ≤3 were classified as low risk OSA group, and >3 as high risk OSA group. There were 83.4% subjects in low risk OSA and 16.6% in high risk OSA. Subjects in low risk group were younger compared to high risk group (mean age 42.7 years SE 0.45 vs. 57.3 years SE 0.57, p value
doi_str_mv 10.1093/sleepj/zsx050.1185
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Methods: Design: Cross-sectional. Setting: Population-based research. Participants: Nationally representative sample of 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey participants (n= 11,329 adults). Intervention: None. Results: A total of 11,329 subjects, who after weighting, were representative of 175,247,251 U.S. non-institutionalized population. Obstructive sleep apnea (OSA) risk score was calculated by using the modified STOP-Bang questionnaire. This score consisted of 7 variables excluding neck circumference since NHANES physical examination did not include this measurement. The estimated range for OSA risk score was from 0 to 7. Subjects who scored ≤3 were classified as low risk OSA group, and &gt;3 as high risk OSA group. There were 83.4% subjects in low risk OSA and 16.6% in high risk OSA. Subjects in low risk group were younger compared to high risk group (mean age 42.7 years SE 0.45 vs. 57.3 years SE 0.57, p value &lt;0.0005). There were 44.8% males in low risk OSA group compared to 71.4% males in high risk OSA group. Body mass index was significantly higher in subjects in high risk OSA group compared to low risk OSA group (mean 33.4 kg/m2 SE 0.25 vs. 27.4 kg/m2 SE 0.12, p-value &lt;0.001). 18.9% of all subjects were not covered by health insurance. 20.3% of subjects in low risk OSA group and 12% of high risk group were without health insurance. Of the subjects with health insurance 65.6% had private insurance. Medicare and Medicaid covered 15.2% and 4.7% of total subjects respectively. Conclusion: Undiagnosed OSA is a major health problem. A significant percentage of subjects with sleep disordered breathing are without health insurance. Understanding of factors contributing to access to health care is important for timely diagnosis and treatment of sleep apnea. Support (If Any): CDC for NHANES Data.</description><identifier>ISSN: 0161-8105</identifier><identifier>EISSN: 1550-9109</identifier><identifier>DOI: 10.1093/sleepj/zsx050.1185</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Health insurance ; Sleep apnea ; Sleep disorders</subject><ispartof>Sleep (New York, N.Y.), 2017-04, Vol.40 (suppl_1), p.A442-A443</ispartof><rights>Sleep Research Society 2017. Published by Oxford University Press [on behalf of the Sleep Research Society]. All rights reserved. For permissions, please email: journals.permissions@oup.com 2017</rights><rights>Sleep Research Society 2017. Published by Oxford University Press [on behalf of the Sleep Research Society]. All rights reserved. For permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids></links><search><creatorcontrib>Abbasi, AA</creatorcontrib><creatorcontrib>Olarewaju, A</creatorcontrib><creatorcontrib>Pusalavidyasagar, S</creatorcontrib><title>1186 HEALTH INSURANCE STATUS IN SUBJECTS WITH SLEEP DISORDERED BREATHING</title><title>Sleep (New York, N.Y.)</title><description>Abstract Introduction: Study Objective: To evaluate health insurance status in subjects with sleep disordered breathing. Methods: Design: Cross-sectional. Setting: Population-based research. Participants: Nationally representative sample of 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey participants (n= 11,329 adults). Intervention: None. Results: A total of 11,329 subjects, who after weighting, were representative of 175,247,251 U.S. non-institutionalized population. Obstructive sleep apnea (OSA) risk score was calculated by using the modified STOP-Bang questionnaire. This score consisted of 7 variables excluding neck circumference since NHANES physical examination did not include this measurement. The estimated range for OSA risk score was from 0 to 7. Subjects who scored ≤3 were classified as low risk OSA group, and &gt;3 as high risk OSA group. There were 83.4% subjects in low risk OSA and 16.6% in high risk OSA. Subjects in low risk group were younger compared to high risk group (mean age 42.7 years SE 0.45 vs. 57.3 years SE 0.57, p value &lt;0.0005). There were 44.8% males in low risk OSA group compared to 71.4% males in high risk OSA group. Body mass index was significantly higher in subjects in high risk OSA group compared to low risk OSA group (mean 33.4 kg/m2 SE 0.25 vs. 27.4 kg/m2 SE 0.12, p-value &lt;0.001). 18.9% of all subjects were not covered by health insurance. 20.3% of subjects in low risk OSA group and 12% of high risk group were without health insurance. Of the subjects with health insurance 65.6% had private insurance. Medicare and Medicaid covered 15.2% and 4.7% of total subjects respectively. Conclusion: Undiagnosed OSA is a major health problem. A significant percentage of subjects with sleep disordered breathing are without health insurance. Understanding of factors contributing to access to health care is important for timely diagnosis and treatment of sleep apnea. 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Olarewaju, A ; Pusalavidyasagar, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1535-fdfd2b81cfcdfc615014ab68888c3b6e3125a01f9f8af26e9d74221838d50a853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Health insurance</topic><topic>Sleep apnea</topic><topic>Sleep disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abbasi, AA</creatorcontrib><creatorcontrib>Olarewaju, A</creatorcontrib><creatorcontrib>Pusalavidyasagar, S</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Sleep (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abbasi, AA</au><au>Olarewaju, A</au><au>Pusalavidyasagar, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>1186 HEALTH INSURANCE STATUS IN SUBJECTS WITH SLEEP DISORDERED BREATHING</atitle><jtitle>Sleep (New York, N.Y.)</jtitle><date>2017-04-28</date><risdate>2017</risdate><volume>40</volume><issue>suppl_1</issue><spage>A442</spage><epage>A443</epage><pages>A442-A443</pages><issn>0161-8105</issn><eissn>1550-9109</eissn><abstract>Abstract Introduction: Study Objective: To evaluate health insurance status in subjects with sleep disordered breathing. Methods: Design: Cross-sectional. Setting: Population-based research. Participants: Nationally representative sample of 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey participants (n= 11,329 adults). Intervention: None. Results: A total of 11,329 subjects, who after weighting, were representative of 175,247,251 U.S. non-institutionalized population. Obstructive sleep apnea (OSA) risk score was calculated by using the modified STOP-Bang questionnaire. This score consisted of 7 variables excluding neck circumference since NHANES physical examination did not include this measurement. The estimated range for OSA risk score was from 0 to 7. Subjects who scored ≤3 were classified as low risk OSA group, and &gt;3 as high risk OSA group. There were 83.4% subjects in low risk OSA and 16.6% in high risk OSA. Subjects in low risk group were younger compared to high risk group (mean age 42.7 years SE 0.45 vs. 57.3 years SE 0.57, p value &lt;0.0005). There were 44.8% males in low risk OSA group compared to 71.4% males in high risk OSA group. Body mass index was significantly higher in subjects in high risk OSA group compared to low risk OSA group (mean 33.4 kg/m2 SE 0.25 vs. 27.4 kg/m2 SE 0.12, p-value &lt;0.001). 18.9% of all subjects were not covered by health insurance. 20.3% of subjects in low risk OSA group and 12% of high risk group were without health insurance. Of the subjects with health insurance 65.6% had private insurance. Medicare and Medicaid covered 15.2% and 4.7% of total subjects respectively. Conclusion: Undiagnosed OSA is a major health problem. A significant percentage of subjects with sleep disordered breathing are without health insurance. Understanding of factors contributing to access to health care is important for timely diagnosis and treatment of sleep apnea. Support (If Any): CDC for NHANES Data.</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/sleepj/zsx050.1185</doi><oa>free_for_read</oa></addata></record>
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subjects Health insurance
Sleep apnea
Sleep disorders
title 1186 HEALTH INSURANCE STATUS IN SUBJECTS WITH SLEEP DISORDERED BREATHING
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