Evidence map›Paper›PMID 33124975›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021

Sleep apnea in women veterans: results of a national survey of VA health care users.

Jennifer L Martin, Gwendolyn Carlson, Monica Kelly, Constance H Fung, Yeonsu Song, Michael N Mitchell, Michelle R Zeidler, Karen R Josephson, M Safwan Badr, Ruoyan Zhu and 3 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Sleep research, quality and implementation priorities in the Veterans Health Administration: a white paper.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  3. Article
  4. Article
  5. Comorbidities and quality of life in Australian men and women with diagnosed and undiagnosed high-risk obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  6. Article
  7. Article
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

13 authors at 7 institutions in 1 country.

Jennifer L MartinGeriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Gwendolyn CarlsonDepartment of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Monica KellyGeriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Constance H FungGeriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Yeonsu SongGeriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Michael N MitchellGeriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Michelle R ZeidlerGeriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Karen R JosephsonGeriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
M Safwan BadrDepartment of Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan.
Ruoyan ZhuDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California.
Cathy A AlessiGeriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Donna L WashingtonDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California.
Elizabeth M YanoDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California.
University of California, Los Angeles · USVA Greater Los Angeles Healthcare System · USGeriatric Research Education and Clinical Center · USHealth Services Research & Development · USNeurobehavioral Systems · USUniversity of Arizona · USWayne State University · US

Funding

A Dyadic Telehealth Program to Support Alzheimer’s Disease Patients and Their Caregivers During COVID-19K23AG055668 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SONG, YEONSU · 2017 to 2022
$1.1M
Sleep health in special populationsK24HL143055 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTIN, JENNIFER L · 2018 to 2025
$898k
Improving Older Adults' Decision Making For Obstructive Sleep Apnea TreatmentK23AG045937 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FUNG, CONSTANCE · 2013 to 2017
$786k
HSR&D Research Career Scientist AwardIK6HX003160 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI MARTIN, JENNIFER L · 2020 to 2025
–
HSRD VA IK6 HX003160NHLBI NIH HHS K24 HL143055NIA NIH HHS K23 AG045937NIA NIH HHS K23 AG055668
6 · The paper itself

Abstract

STUDY

objectivesThe goals of this study were to estimate rates of undiagnosed, diagnosed, and treated sleep apnea in women veterans and to identify factors associated with diagnosis and treatment of sleep apnea in this population.

methodsA large nationwide postal survey was sent to a random sample of 4,000 women veterans who had received health care at a Veterans Health Administration (VA) facility in the previous 6 months. A total of 1,498 surveys were completed. Survey items used for the current analyses included: demographics; sleep apnea risk, diagnostic status, and treatment; symptoms of other sleep disorders (eg, insomnia); mental health symptoms; and comorbidities.

resultsAmong responders, 13% of women reported a prior sleep apnea diagnosis. Among women who reported a diagnosis of sleep apnea, 65% reported using positive airway pressure therapy. A sleep apnea diagnosis was associated with older age, higher BMI, non-Hispanic African American/Black racial/ethnic identity, being unemployed, other sleep disorder symptoms (eg, insomnia), depression and post-traumatic stress disorder symptoms, and multimorbidity. Among women without a sleep apnea diagnosis, 43% scored as "high risk" on the STOP (snoring, tiredness, observed apneas, blood pressure) questionnaire. High risk scores were associated with older age, higher BMI, African American/Black identity, other sleep disorder symptoms (eg, insomnia), mental health symptoms, and multimorbidity. Only BMI differed between women using vs not using positive airway pressure therapy.

conclusionsWomen veterans with diagnosed sleep apnea were commonly treated with positive airway pressure therapy, which is standard first-line treatment; however, many undiagnosed women were at high risk. Efforts to increase screening, diagnosis, and treatment of sleep apnea in women with comorbid mental and physical health conditions are needed.

Indexed as

Sleep Apnea SyndromesSleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticVeteransAgedDelivery of Health CareFemaleHumanspositive airway pressure therapysleep apneasleep disordered breathingveteranswomen

Identifiers

PMID33124975
PMCPMC7927345
OpenAlexW3097929474

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.