Factors affecting consultation and intervention for sleep disordered breathing

Authors

  • Tyler J. Ostrowski Department of Otolaryngology, Albany Medical Center, Albany, New York, United States of America
  • John F. Mills Department of Otolaryngology, University of Tampa Morsani, Tampa, Florida State, United States of America
  • Richa S. Nathan Department of Otolaryngology, Albany Medical Center, Albany, New York, United States of America
  • Tam Ramsey Department of Otolaryngology, Albany Medical Center, Albany, New York, United States of America
  • Melissa Mortensen Department of Otolaryngology, Albany Medical Center, Albany, New York, United States of America

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20261493

Keywords:

Sleep-disordered breathing, Sleep medicine, Sleep surgery, Public interest

Abstract

Background: This study was to investigate the general public’s treatment preferences for sleep disordered breathing.

Methods: Anonymous online questionnaire distributed using Amazon Mechanical Turk and the Functional Outcomes of Sleep Questionnaire (FOSQ-10) responses were collected. The surveys of the respondents who met inclusion criteria were assessed in data analysis portion of the study. Descriptive statistics, paired t-tests, and Pearson’s chi-squared tests were used to analyze data. This was a survey-based study conducted from October 2014 through June 2024.

Results: Of 3,259 participants, 931 (28.6%) are formally diagnosed with sleep disordered breathing (SDB). 891 (95.7%) sought intervention; 40 (4.3%) did not. Nasal appliance (50.8%), oral appliance (38.8%), and continuous positive airway pressure (CPAP) (32.8%) were the three most preferred treatment modalities. Respondents who have romantic partners who complain of their symptoms were more likely to seek otolaryngology consult (p=0.0001) and surgical intervention (p=0.0087). Most respondents with formal diagnosis had seen an otolaryngologist and done research on their condition.

Conclusions: This study describes the public’s preferences related to sleep disorders and the factors that dictate these preferences. Factors that influence this desire to pursue treatment include sex assigned at birth, marital status, and romantic partners who complain of symptoms.  Understanding these can help us better identify, understand, educate, intervene and improve the quality of life and health outcomes for patients.

References

Colten HR, Altevogt BM. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. Washington (DC): National Academies Press. 2006.

Shaw R, McKenzie S, Taylor TN, Olafiranye O, Boutin-Foster C, Ogedegbe G, et al. Beliefs and attitudes toward obstructive sleep apnea evaluation and treatment among Blacks. J Natl Med Assoc. 2012;104(12):510-9.

Lin J, Suurna MV. Sleep apnea and sleep-disordered breathing. Otolaryngol Clin North Am. 2018;51(4):827-33.

Devaraj NK. Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians. Sleep Breath. 2020;24(4):1581-90.

Yoshihisa A, Takeishi Y. Sleep disordered breathing and cardiovascular diseases. J Atheroscler Thromb. 2019;26(4):315-27.

Lichtblau M, Bratton D, Giroud P, Weiler T, Bloch KE, Brack T. Risk of sleepiness-related accidents in Switzerland: Results of an online sleep apnea risk questionnaire and awareness campaigns. Front Med (Lausanne). 2017;4:34.

Watach AJ, Radcliffe J, Xanthopoulos MS, Novick MB, Sawyer AM. Executive function impairments in adolescents with obesity and obstructive sleep apnea syndrome. Biol Res Nurs. 2019;21(4):377-83.

Yamagishi K, Ohira T, Nakano H, Bielinski SJ, Sakurai S, Imano H. Cross-cultural comparison of sleep-disordered breathing prevalence among Americans and Japanese. Eur Respir J. 2010;36(2):379-384.

Alshehri AM, Alshehri MS, Alamri OM, Alshehri FS, Alshahrani MM, Alflan MA, et al. Knowledge, awareness, and attitudes toward obstructive sleep apnea among the population of the Asir region of Saudi Arabia in 2019. Cureus. 2020;12(3):e7254.

Sia CH, Hong Y, Tan LWL, Van Dam RM, Lee CH, Tan A. Awareness and knowledge of obstructive sleep apnea among the general population. Sleep Med. 2017;36:10-7.

Arous F, Boivin JM, Chaouat A, Rumeau C, Jankowski R, Nguyen DT. Awareness of obstructive sleep apnea-hypopnea syndrome among the general population of the Lorraine region of France. Eur Ann Otorhinolaryngol Head Neck Dis. 2017;134(5):303-8.

Lee J, Ban WH, Park HK, Kim MJ, Lee SY, Choi DW, et al. Accuracy and reliability of internet resources providing information on obstructive sleep apnea. J Clin Sleep Med. 2018;14(10):1717-23.

Weaver TE, Laizner AM, Evans LK, Maislin G, Pack AI, Hoffman D, et al. An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep. 1997;20(10):835-43.

Chasens ER, Ratcliffe SJ, Weaver TE. Development of the FOSQ-10: a short version of the Functional Outcomes of Sleep Questionnaire. Sleep. 2009;32(7):915-9.

Williams NJ, Nunes JV, Zizi F, Jean-Louis G, McFarlane SI, Ogedegbe G. Factors associated with referrals for obstructive sleep apnea evaluation among community physicians. J Clin Sleep Med. 2015;11(1):23-6.

Abdelhamid M. The role of health concerns in phishing susceptibility: a survey design study. J Med Internet Res. 2020;22(5):e17358.

Strickland JC, Stoops WW. The use of crowdsourcing in addiction science research: Amazon Mechanical Turk. Exp Clin Psychopharmacol. 2019;27(1):1-18.

Arditte KA, Çek D, Shaw AM, Timpano KR. The importance of assessing clinical phenomena in Mechanical Turk research. Psychol Assess. 2016;28(6):684-91.

Patil SP, Ayappa IA, Caples SM, Kimoff RJ, Patel SR, Harrod CG. Treatment of adult obstructive sleep apnea with positive airway pressure: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. J Clin Sleep Med. 2019;15(2):301-34.

Liu T, Li W, Zhou H, Wang Z. Verifying the relative efficacy between continuous positive airway pressure therapy and its alternatives for obstructive sleep apnea: a network meta-analysis. Front Neurol. 2017;8:186.

Jehan S, Zizi F, Pandi-Perumal SR, Wall S, Auguste E, Myers AK, et al. Obstructive sleep apnea and obesity: implications for public health. Sleep Med Disord. 2017;1(3):1-7.

Yaggi HK, Mohsenin V. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am J Respir Crit Care Med. 2001;163(1):19-25.

Saber KM, Lam DJ, Sli S. Sleep apnea and sleep disorders. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia: Elsevier. 2021.

Desalu OO, Onyedum CC, Sanya EO, Fawibe AE, Salami AK, Abdur-Rahman LO. Prevalence, awareness and reporting of symptoms of obstructive sleep apnoea among hospitalized adult patients in Nigeria: a multicenter study. Ethiop J Health Sci. 2016;26(4):321-30.

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Published

2026-05-25

How to Cite

Ostrowski, T. J., Mills, J. F., Nathan, R. S., Ramsey, T., & Mortensen, M. (2026). Factors affecting consultation and intervention for sleep disordered breathing . International Journal of Otorhinolaryngology and Head and Neck Surgery, 12(3), 320–326. https://doi.org/10.18203/issn.2454-5929.ijohns20261493

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Section

Original Research Articles