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Sleep Disorders
Volume 2017 (2017), Article ID 2760650, 8 pages
https://doi.org/10.1155/2017/2760650
Research Article

CPAP Treatment Adherence in Women with Obstructive Sleep Apnea

1Jewish General Hospital, Montreal, QC, Canada
2McGill University, Montreal, QC, Canada
3Dawson College, Montreal, QC, Canada
4Université de Montréal, Montreal, QC, Canada
5Mount Sinai Hospital Centre, Montreal, QC, Canada
6OSR Medical, Montreal, QC, Canada
7St. Mary’s Hospital Centre, Montreal, QC, Canada

Correspondence should be addressed to E. Libman; ac.lligcm@nambil.ave

Received 15 November 2016; Accepted 29 January 2017; Published 2 March 2017

Academic Editor: Yuan-Yang Lai

Copyright © 2017 E. Libman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Untreated obstructive sleep apnea (OSA) has numerous negative health-related consequences. Continuous positive airway pressure (CPAP) is generally considered the treatment of choice for OSA, but rates of nonadherence are high. It is believed that OSA is more prevalent among men; therefore understanding how OSA presents among women is limited and treatment adherence has received little research attention. For this study, 29 women were recruited from primary care offices. They completed a questionnaire battery and underwent a night of nocturnal polysomnography (PSG) followed by a visit with a sleep specialist. Women diagnosed with OSA were prescribed CPAP; 2 years later CPAP adherence was evaluated. Results show that approximately half the sample was adherent. There were no significant differences between adherent and nonadherent women on OSA severity; however CPAP adherent women had worse nocturnal and daytime functioning scores at the time of diagnosis. Moreover, when the seven nocturnal and daytime variables were used as predictors in a discriminant analysis, they could predict 87% of adherent and 93% of the nonadherent women. The single most important predictor was nonrefreshing sleep. We discuss the implications of the findings for identifying women in primary care with potential OSA and offer suggestions for enhancing treatment adherence.