Priority 6 from the Obstructive Sleep Apnea (Saskatchewan,Canada) PSP

UNCERTAINTY:  How can obstructive sleep apnea (OSA) services to Indigenous peoples be improved? (JLA PSP Priority 6)
Overall ranking 6
JLA question ID 0118/6
Explanatory note Indigneous people in high-income countries often experience poorer health and poorer access to health care services than non-Indigenous persons. In the few studies that have looked at rates of Obstructive Sleep Apnea in Indigenous populations, they appear more at risk for have Obstructive Sleep Apnea. Long travel distances, high costs of treatment adn travel, cultural barriers such as mistrust of the health care system and other social determinants of health may be factors. 
Evidence

Systematic review - Cui A, Jin XG, Zhai K, Tong ZH, Shi HZ. Diagnostic values of soluble mesothelin-related peptides for malignant pleural mesothelioma: updated meta-analysis. BMJ Open. 2014 Feb 24;4(2):e004145. doi: 10.1136/bmjopen-2013-004145
Health Research Classification System category Respiratory
Extra information provided by this PSP
Original uncertainty examples How do we improve access for indigenous peoples and those living in rural communities? ~ How to increase access to care and services and compliance in CPAP usage for northern communities and first nations people?
Submitted by Clinicians  
PSP information
PSP unique ID 0118
PSP name Obstructive Sleep Apnea PSP
Total number of uncertainties identified by this PSP. 39  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 28 January 2021