ArticleAnnals of medicine2022
Factors influencing patient delay in individuals with obstructive sleep apnoea: a study based on an integrated model.
Article in Annals of medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 13 citations in OpenAlex.
- Determinants of patient delay and its association with quality of life among young women with breast cancer in China: A cross-sectional study.Asia-Pacific journal of oncology nursing · 2026Article
- From retrospective to prospective design: a short communication on why the methodological paradigm for qualitative research on delayed medical consultation in obstructive sleep apnea may need to be reconstructed.Sleep & breathing = Schlaf & Atmung · 2026Review
- Knowledge, attitudes, and practices toward obstructive sleep apnea among high-risk populations.BMC public health · 2026Article
- Perceived risk, symptoms and help-seeking behaviour for obstructive sleep apnoea among undergraduate medical students: a qualitative study.Frontiers in public health · 2026Article
- Value of an automated machine learning model with post-hoc explanation for predicting healthcare-seeking delays among residents in Tibetan regions.Frontiers in public health · 2026Article
- Exploring the treatment journey of obstructive sleep apnoea: a scoping review on the perspectives of Chinese patients.Journal of thoracic disease · 2025Review
- The Relationship Between Education Level and the Prevalence and Medical Behavior of Sleep-Disordered Breathing: A Population-Based Cross-Sectional Study.Nature and science of sleep · 2025Article
- The link between fear of disease progression and health promotion behaviors in patients with obstructive sleep apnea hypoventilation syndrome (OSAHS): the mediating role of social support.BMC psychology · 2024Article
- Prioritising Polysomnography in Children with Suspected Obstructive Sleep Apnoea: Key Roles of Symptom Onset and Sleep Questionnaire Scores.Children (Basel, Switzerland) · 2024Article
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10 authors at 4 institutions in 1 country.
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Abstract
backgroundObstructive sleep apnoea (OSA) is the most common sleep-related breathing disorder, yet it remains undiagnosed in a large proportion of adults.
objectiveThis study aims to investigate the status of patient delay and provider delay in OSA patients and examine related factors affecting patient delay in OSA individuals in China.
methodsA cross-sectional design was conducted on a sample of 309 OSA patients (aged from 18 to 76, median age of 47 years, 84.8% male) in Northeast China. Participants were required to complete the sociodemographic questionnaire, the symptom characteristics questionnaire, the help-seeking attitude scale (HSAS), the social support rating scale and the chronic disease self-efficacy scales (CDSES) to test the hypothesis. Binary logistic regression analysis was conducted to explore factors that account for the patient delay.
resultsThe median patient delay among OAS patients in this study was 22 months, the median provider delay was one month, and the median total delay was 26 months. As shown by multivariate analysis results, patients who have snored for over 6 years (OR = 3.377, 95%CI: 1.175-9.702) were more likely to experience prolonged patient delays. Per capita monthly family income above 3000 RMB (OR = 0.172, 95%CI: 0.052-0.571), taking up residence in cities or towns (OR = 0.484, 95%CI: 0.248-0.946), higher self-recognition of the disease (OR = 0.793, 95%CI: 0.647-0.972), higher objective support (OR = 0.825, 95%CI: 0.739-0.921) and stronger self-efficacy (OR = 0.674, 95%CI: 0.525-0.867) were significantly associated with shorter patient delays.
conclusionPatient delay is common in Chinese OSA patients. The upstream factors affecting the patient delay in individuals with OSA include income, place of residence, and objective support; midstream factors include self-recognition of the disease and self-efficacy; downstream factors include years of snoring.KEY MESSAGESDespite being a high-prevalence disease, many obstructive sleep apnoea (OSA) patients are not clearly diagnosed and treated.The factors affecting the delay in seeking medical treatment in individuals with OSA included income, place of residence, objective support, self-recognition of the disease, self-efficacy and years of snoring.Investigations into OSA patients' care-seeking behaviours can better reflect the secondary prevention of OSA, and it is crucial to pay attention to the delayed phase of patients.
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