Evidence map›Paper›PMID 30192958›Full record

ArticleSleep2018

Prevalence and correlates of obstructive sleep apnea among African Americans: the Jackson Heart Sleep Study.

Dayna A Johnson, Na Guo, Michael Rueschman, Rui Wang, James G Wilson, Susan Redline

Open access · bronzeAbstract read
In one paragraph

Article in Sleep, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

77 citing papers in PubMed, 1 synthesis or guideline pooled it, 119 citations in OpenAlex.

  1. Racial and Ethnic Disparities in the Diagnosis and Treatment of Obstructive Sleep Apnea: A Systematic Review.International journal of environmental research and public health · 2026
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  17. Snoring and its Associated Comorbidities.Sleep science (Sao Paulo, Brazil) · 2025
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17 more citing papers are in PubMed but not listed here.

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

6 authors at 3 institutions in 1 country.

Dayna A JohnsonDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
Na GuoDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
Michael RueschmanDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
Rui WangDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
James G WilsonDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS.
Susan RedlineDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA.
Brigham and Women's Hospital · USHarvard University · USUniversity of Mississippi Medical Center · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Tracking and Evaluation CoreU54GM115428 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI HALL, JOHN E · 2016 to 2025
$38.2M
TRAINING IN SLEEP, CIRCADIAN &RESPIRATORY NEUROBIOLOGYT32HL007901 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI Charles A Czeisler · 1998 to 2026
$18.5M
Phenotypic and Molecular Signatures for Sleep Apnea and Related MorbiditiesR35HL135818 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI REDLINE, SUSAN S. · 2017 to 2023
$7.2M
Sleep-Disordered Breathing and Risk for CVD and Stroke in the Jackson Heart StudyR01HL110068 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI REDLINE, SUSAN S., WILSON, JAMES GRAHAM · 2012 to 2015
$2.9M
A Mixed Methods Approach for Developing Culturally and Ecologically Appropriate Interventions for Improving Sleep Health in a Community-Based Sample of African Americans.K01HL138211 · NHLBI · EMORY UNIVERSITY · PI JOHNSON, DAYNA · 2017 to 2021
$859k
NCATS NIH HHS UL1 TR001102NHLBI NIH HHS HHSN268201300046CNHLBI NIH HHS HHSN268201300047CNHLBI NIH HHS HHSN268201300048CNHLBI NIH HHS HHSN268201300049CNHLBI NIH HHS HHSN268201300050CNHLBI NIH HHS K01 HL138211NHLBI NIH HHS R01 HL110068NHLBI NIH HHS R35 HL135818NHLBI NIH HHS T32 HL007901NIGMS NIH HHS U54 GM115428
6 · The paper itself

Abstract

Study Objectives: African Americans have been under-represented in obstructive sleep apnea (OSA) research. This study determined the prevalence and correlates of OSA overall and by sex among African Americans in the Jackson Heart Sleep Study. Methods: Participants (N = 852) underwent a type 3 in-home sleep apnea study, 7 day wrist actigraphy and completed standardized measurements and questionnaires. OSA was defined as an apnea-hypopnea index (AHI) of ≥15, where hypopneas were defined as ≥ 4% associated desaturation. Physician diagnosis of OSA was self-reported. Logistic regression models were fit to determine the associations of demographics, socioeconomic status, sleep symptoms, actigraphy-based sleep, body mass index (BMI), and comorbidities with OSA. Results: Average age was 63.1 (standard deviation = 10.7), 66% were female, and mean BMI was 32.0 (6.9) kg/m2. Approximately 24% had an AHI ≥ 15; of those, 5% had a physician diagnosis of OSA. Prevalence of OSA increased across BMI categories, but not age groups. Men had a 12% higher prevalence of OSA compared with women, p < 0.01. Older age, male sex, higher BMI, larger neck circumference, and report of habitual snoring were independently associated with higher odds of OSA, all p < 0.05. Associations between sleep symptoms and OSA were similar for men and women. Sleepiness and waist circumference were not associated with OSA. Conclusions: There was a high prevalence of objectively measured but undiagnosed OSA in this sample of African Americans. Snoring, BMI, and neck circumference were important markers of OSA for men and women. Our results suggest that screening tools that incorporate information on sleepiness and waist circumference may be suboptimal in this population.

Indexed as

ActigraphyAgedAge FactorsAnthropometryBlack or African AmericanBody Mass IndexFemaleHumansMaleMiddle AgedNeckPolysomnographyPrevalenceSex FactorsSleepSleep Apnea, Obstructive

Identifiers

PMID30192958
PMCPMC6187109
OpenAlexW2891424765

What OpenQuestion holds

Textmetadata
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.