Evidence map›Paper›PMID 23560353›Full record

ArticleJournal of the National Medical Association

Beliefs and attitudes toward obstructive sleep apnea evaluation and treatment among blacks.

Raphael Shaw, Sharon McKenzie, Tonya Taylor, Oladipupo Olafiranye, Carla Boutin-Foster, Gbenga Ogedegbe, Girardin Jean-Louis

Abstract read
In one paragraph

Article in Journal of the National Medical Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
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  3. Tailored Approach to Sleep Health Education (TASHE): a randomized controlled trial of a web-based application.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
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  5. Home-based diagnosis of obstructive sleep apnea in an urban population.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2014
    Trial
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  7. Generative AI vs web search for patient education: a comparative evaluation of OSA information quality.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  8. Review
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  17. Disparities in sleep duration among American children: effects of race and ethnicity, income, age, and sex.Proceedings of the National Academy of Sciences of the United States of America · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Raphael ShawBrooklyn Health Disparities Center, Department of Medicine, SUNY Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203, USA. raphael.shaw@downstate.edu
Sharon McKenzie
Tonya Taylor
Oladipupo Olafiranye
Carla Boutin-Foster
Gbenga Ogedegbe
Girardin Jean-Louis
SUNY Downstate Health Sciences University · USCornell University · USKean University · USNYU Langone Health · US

Funding

Trial Using Motivational Interviewing Positive Affect and Self-Affirmation in HyP60MD003421 · NIMHD · WEILL MEDICAL COLL OF CORNELL UNIV · PI OGEDEGBE, OLUGBENGA G. · 2009 to 2013
$8.9M
Promoting Academic Workforce Development in Behavioral Medicine and Sleep Disorders ResearchR25HL105444 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Girardin Jean-Louis, Tatjana Rundek · 2010 to 2026
$5.8M
RESEARCH TRAINING/EDUCATION COREP20MD006875 · NIMHD · SUNY DOWNSTATE MEDICAL CENTER · PI BROWNE, RUTH C, FRASER, MARILYN · 2012 to 2016
$5.3M
Chronic Moderate Sleep Restriction in Older Long and Older Average SleepersR01HL095799 · NHLBI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI IRWIN, MICHAEL R, JEAN-LOUIS, GIRARDIN · 2011 to 2015
$3.8M
Promoting Adherence to Sleep Apnea Treatment among Blacks with Metabolic SyndromeR01MD004113 · NIMHD · SUNY DOWNSTATE MEDICAL CENTER · PI JEAN-LOUIS, GIRARDIN · 2009 to 2012
$1.7M
NHLBI NIH HHS R01 HL095799NHLBI NIH HHS R01HL095799NHLBI NIH HHS R25 HL105444NHLBI NIH HHS R25HL105444NIMHD NIH HHS P20 MD006875NIMHD NIH HHS P20MD006875NIMHD NIH HHS P60 MD003421NIMHD NIH HHS R01 MD004113NIMHD NIH HHS R01MD004113
6 · The paper itself

Abstract

objectiveAlthough 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.

methodsFive 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.

resultsMisconceptions 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.

conclusionResults 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.

Indexed as

AdultAgedBlack or African AmericanFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedSleep Apnea, Obstructive

Identifiers

PMID23560353
PMCPMC3740354
OpenAlexW104111355

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.