{"doi":"10.5664/jcsm.11238","title":"Ethnic/racial and sex disparities in obstructive sleep apnea among adolescents in southern California","abstract":null,"journal":"Journal of Clinical Sleep Medicine","year":2024,"id":639335,"datarank":0.45021886064375943,"base_score":2.302585092994046,"endowment":2.302585092994046,"self_citation_contribution":0.3453877639491069,"citation_network_contribution":0.1048310966946525,"self_endowment_contribution":0.3453877639491069,"citer_contribution":0.1048310966946525,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":9,"citers_with_citation_signal":5,"citers_with_endowment":5,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":969637,"name":"Julie Ryu","orcid":null,"position":1,"is_corresponding":false},{"id":1512892,"name":"Kelan Tantisira","orcid":null,"position":2,"is_corresponding":false},{"id":666736,"name":"Rakesh Bhattacharjee","orcid":"0000-0003-4882-5629","position":3,"is_corresponding":false},{"id":1660996,"name":"Jeremy Landeo-Gutierrez","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Ethnic/racial and sex disparities in obstructive sleep apnea among adolescents in southern California","abstract":"<h4>Study objectives</h4>Pediatric obstructive sleep apnea (OSA) is common; however, inclusion of adolescents and especially those of ethnic/racial minorities in research is scarce. We hypothesized that ethnic/racial minority adolescents undergoing polysomnography have higher prevalence and more severe OSA compared to those who are non-Hispanic (NH) White.<h4>Methods</h4>Retrospective review of 1,745 adolescents undergoing diagnostic polysomnography. Demographic characteristics, age, body mass index percentile, and polysomnography parameters were obtained. Descriptive statistics comparing race/ethnicity were analyzed. Linear regression of log-transformed obstructive apnea-hypopnea index, and logistic regression of moderate-severe OSA (obstructive apnea-hypopnea index ≥ 5 events/h) adjusting for covariates were analyzed.<h4>Results</h4>A total of 58.2% adolescents were Hispanic, 24.1% NH-White, 4.3% NH-Asian/Pacific Islander, 4.2% NH-Black/African American, and 6.6% NH-other. Compared to the NH-White group, the Hispanic group had higher obstructive apnea-hypopnea index and any level of OSA severity, the Black/African American group had higher any level of OSA, and the NH-Asian group had higher moderate-severe OSA. Multiple linear regression of log-obstructive apnea-hypopnea index identified a positive association with Hispanic ethnicity (β: 0.25, <i>P</i> value < .05). Compared to the NH-White group, the Hispanic and the Asian/Pacific Islander groups were 1.45 (95% confidence interval: 1.10, 1.93) and 1.81 (95% confidence interval: 1.05, 3.10) times more likely to have moderate-severe OSA, respectively, after adjusting for relevant covariates. Stratified analysis by sex identified an association only among males between Hispanic ethnicity (odds ratio: 1.85, 95% confidence interval: 1.27, 2.70) and Asian/Pacific Islander ethnicity (odds ratio: 2.62, 95% confidence interval: 1.35, 5.11) and moderate-severe OSA, compared to the NH-White group.<h4>Conclusions</h4>Among adolescents undergoing polysomnography evaluation, we identified OSA racial/ethnic and sex disparities in Hispanic and NH-Asian adolescents. Community level studies with adequate representation of these minority groups are needed to identify factors associated with the reported increased susceptibility.<h4>Citation</h4>Landeo-Gutierrez J, Ryu J, Tantisira K, Bhattacharjee R. Ethnic/racial and sex disparities in obstructive sleep apnea among adolescents in southern California. <i>J Clin Sleep Med</i>. 2024;20(10):1637-1645.","is_dataset_classified":null,"base_score":2.302585092994046,"endowment":2.302585092994046,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"38913342","pmcid":"PMC11446114","openalex_id":"https://openalex.org/W4399940589","authors":[],"funders":[{"funder_name":"NHLBI NIH HHS","grant_id":"OT2 HL161847","title":null},{"funder_name":"NIMHD NIH HHS","grant_id":"P50 MD017344","title":null}],"total_grants":2,"fwci":2.1512,"citation_percentile":0.87963077,"influential_citations":0,"citation_trend":[{"year":2024,"count":1},{"year":2025,"count":4},{"year":2026,"count":4}],"oa_status":"bronze","license":null,"oa_locations":[{"url":"https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.11238","host_type":"journal"},{"url":"https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.11238","host_type":"publisher"},{"url":"https://doi.org/10.5664/jcsm.11238","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/38913342","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11446114/","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11446114","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11446114/pdf/jcsm.11238.pdf","host_type":"repository"}],"fields_of_study":["Obstructive Sleep Apnea Research","Neuroscience of respiration and sleep","Sleep and related disorders","Adolescent","Female","Humans","Male","California","Ethnicity","Health Status Disparities","Polysomnography","Prevalence","Retrospective Studies","Severity of Illness Index","Sex Factors","Sleep Apnea, Obstructive","Racial Groups"],"mesh_terms":["Adolescent","California","Ethnicity","Female","Hispanic or Latino","Humans","Male","Retrospective Studies","Severity of Illness Index","Sex Factors","Prevalence","Polysomnography","Sleep Apnea, Obstructive","White People","Racial Groups","Health Status Disparities"],"keywords":["Obstructive sleep apnea","Medicine","Ethnic group","Sleep (system call)","Sleep apnea","Demography","Gerontology","Pediatrics","Internal medicine","Children","Adolescents","Health Disparities","polysomnography"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Gender equality"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"gen"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-07T00:03:09.588290Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}