Keywords
Parental Experiences with Obstructive Sleep Apnea
Pediatric OSA
Racial Differences in Obstructive Sleep Apnea
OSA Detection in Children
OSA Detection in Children and Parental Experiences
Pediatric Sleep Health
Adult OSA
Racial Disparities and Pediatric OSA
Implicit Bias and Pediatric OSA
OSA Diagnosis
OSA treatment
OSA detection
Parental experiences
How to Cite
Abstract
Aim
The purpose of this literature review is to compile an up-to-date overview of the academic literature on the parental detection of OSA in children and its subsequent diagnosis and treatment. The existing literature serves as evidence for this phenomenon, which is explored using the social ecological model as a framework for inquiry.
Methodology
A literature search was performed using PubMed and Google Scholar between July and August 2020 and July 2022 to assess the various factors affecting parental detection of obstructive sleep apnea in their children. Different combinations of keywords such as “health disparities”, “racial disparities”, “racial differences”, “implicit bias”, “pediatric OSA”, “adult OSA”, “pediatric obstructive sleep apnea”, “pediatric sleep health”, “OSA treatment”, “OSA diagnosis”, “OSA detection” and “parental experiences” were used to find relevant studies and reviews.
Results
OSA knowledge is important for detection by parents, family members, and teachers who are constantly around children. They are the main interpersonal supports that detect OSA and prevent delay in detection. The community support roles are health care providers and specialists that can monitor the progression of OSA and ensure adequate treatment. Additionally, the access of children to care can act as a barrier of OSA treatment.
Conclusions
Black children experience pediatric OSA severity more than their white counterparts based on the factors outlined in the socio-ecological framework.
References
Hall, W. J., Chapman, M. V., Lee, K. M., Merino, Y. M., Thomas, T. W., Payne, B. K., Eng, E., Day, S. H., & Coyne-Beasley, T. (2015). Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: A systematic review. American Journal of Public Health, 105(12), e60–e76.
Honaker, S. M., Gopalkrishnan, A., Brann, M., Wiehe, S., Clark, A. A., & Chung, A. (2022). “It made all the difference”: A qualitative study of parental experiences with pediatric obstructive sleep apnea detection. Journal of Clinical Sleep Medicine, jcsm-10024.
Spilsbury, J. C., Storfer-Isser, A., Kirchner, H. L., Nelson, L., Rosen, C. L., Drotar, D., & Redline, S. (2006). Neighborhood disadvantage as a risk factor for pediatric obstructive sleep apnea. The Journal of Pediatrics, 149(3), 342–347.
Ursache, A., Robbins, R., Chung, A., Dawson‐McClure, S., Kamboukos, D., Calzada, E. J., Jean‐Louis, G., & Brotman, L. M. (2021). Sleep, classroom behavior, and achievement among children of color in historically disinvested neighborhoods. Child Development, 92(5), 1932–1950.
Williams, N., Grant, A., Bubu, O., Chung, A., & Wallace, D. (2022). 0791 Perceived racial discrimination predicts poor PAP adherence: A pilot study. Sleep, 45(Supplement_1), A343–A344. https://doi.org/10.1093/sleep/zsac079.787
Williamson, A. A., Johnson, T. J., & Tapia, I. E. (2022). Health disparities in pediatric sleep-disordered breathing. Paediatric Respiratory Reviews. https://doi.org/10.1016/j.prrv.2022.01.005
Xanthopoulos, M. S., Williamson, A. A., & Tapia, I. E. (2021). Positive airway pressure for the treatment of the childhood obstructive sleep apnea syndrome. Pediatric Pulmonology.
Alsubie, H. S., & BaHammam, A. S. (2017). Obstructive Sleep Apnoea: Children are not little Adults. Paediatr Respir Rev, 21, 72-79. doi:10.1016/j.prrv.2016.02.003
Capdevila, O. S., Kheirandish-Gozal, L., Dayyat, E., & Gozal, D. (2008). Pediatric obstructive sleep apnea: complications, management, and long-term outcomes. Proceedings of the American Thoracic Society, 5(2), 274-282. doi:10.1513/pats.200708-138MG
Chang, S. J., & Chae, K. Y. (2010). Obstructive sleep apnea syndrome in children: Epidemiology, pathophysiology, diagnosis and sequelae. Korean journal of pediatrics, 53(10), 863-871. doi:10.3345/kjp.2010.53.10.863
Cherrez Ojeda, I., Jeffe, D. B., Guerrero, T., Mantilla, R., Santoro, I., Gabino, G., . . . Cherrez, A. (2013). Attitudes and knowledge about obstructive sleep apnea among Latin American primary care physicians. Sleep Medicine, 14(10), 973-977. doi:(Ursache et al., 2021)
Dudley, K. A., & Patel, S. R. (2016). Disparities and genetic risk factors in obstructive sleep apnea. Sleep Medicine, 18, 96-102. doi:10.1016/j.sleep.2015.01.015
Fuller-Rowell, T. E., Curtis, D. S., El-Sheikh, M., Chae, D. H., Boylan, J. M., & Ryff, C. D. (2016). Racial disparities in sleep: the role of neighborhood disadvantage. Sleep Med, 27-28, 1-8. doi:10.1016/j.sleep.2016.10.008
Huang, Y. S., & Guilleminault, C. Pediatric Obstructive Sleep Apnea: Where Do We Stand?
Kendzerska, T., Gershon, A. S., Tomlinson, G., & Leung, R. S. (2016). The Effect of Patient Neighborhood Income Level on the Purchase of Continuous Positive Airway Pressure Treatment among Patients with Sleep Apnea. Ann Am Thorac Soc, 13(1), 93-100. doi:10.1513/AnnalsATS.201505-294OC
Luyster, F. S., Dunbar-Jacob, J., Aloia, M. S., Martire, L. M., Buysse, D. J., & Strollo, P. J. (2016). Patient and Partner Experiences With Obstructive Sleep Apnea and CPAP Treatment: A Qualitative Analysis. Behav Sleep Med, 14(1), 67-84. doi:10.1080/15402002.2014.946597
Marcus, C. L., Brooks, L. J., Draper, K. A., Gozal, D., Halbower, A. C., Jones, J., . . . Shiffman, R. N. (2012). Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome. Pediatrics, 130(3), 576. doi:10.1542/peds.2012-1671
Spilsbury, J. C., Storfer-Isser, A., Kirchner, H. L., Nelson, L., Rosen, C. L., Drotar, D., & Redline, S. (2006). Neighborhood disadvantage as a risk factor for pediatric obstructive sleep apnea. J Pediatr, 149(3), 342-347. doi:10.1016/j.jpeds.2006.04.061
Strocker, A. M., & Shapiro, N. L. (2007). Parental understanding and attitudes of pediatric obstructive sleep apnea and adenotonsillectomy. International Journal of Pediatric Otorhinolaryngology, 71(11), 1709-1715. doi:https://doi.org/10.1016/j.ijporl.2007.07.016
Tamay, Z., Akcay, A., Kilic, G., Suleyman, A., Ones, U., & Guler, N. (2006). Are physicians aware of obstructive sleep apnea in children? Sleep Medicine, 7(7), 580-584. doi:https://doi.org/10.1016/j.sleep.2006.04.004
Xie, D. X., Wang, R. Y., Penn, E. B., Chinnadurai, S., Shannon, C. N., & Wootten, C. T. (2018). Understanding sociodemographic factors related to health outcomes in pediatric obstructive sleep apnea. Int J Pediatr Otorhinolaryngol, 111, 138-141. doi:10.1016/j.ijporl.2018.05.030
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Copyright (c) 2022 Leone Farquharson, Alicia Chung, Sarah Honaker