The Relationship Between Education Level and the Prevalence and Medical Behavior of Sleep-Disordered Breathing: A Population-Based Cross-Sectional Study
Gaihong Zheng,1 Qiong Ou,2,3 Guangliang Shan,4 Yaoda Hu,4 Miaochan Lao,3 Jiaoying Tan,3 Tong Feng,3 Weixin Zhan,3 Ruohan Zhou,3 Ranxu Zhang,3 Shuhe Wu1 1Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, Pe...
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Dove Medical Press
2025-05-01
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| author | Zheng G Ou Q Shan G Hu Y Lao M Tan J Feng T Zhan W Zhou R Zhang R Wu S |
| author_facet | Zheng G Ou Q Shan G Hu Y Lao M Tan J Feng T Zhan W Zhou R Zhang R Wu S |
| author_sort | Zheng G |
| collection | DOAJ |
| description | Gaihong Zheng,1 Qiong Ou,2,3 Guangliang Shan,4 Yaoda Hu,4 Miaochan Lao,3 Jiaoying Tan,3 Tong Feng,3 Weixin Zhan,3 Ruohan Zhou,3 Ranxu Zhang,3 Shuhe Wu1 1Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, People’s Republic of China; 2Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangdong Cardiovascular Institute, Guangzhou, Guangdong, 510080, People’s Republic of China; 3Sleep Center, Department of Respiratory and Critical Care Medicine, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, 510080, People’s Republic of China; 4Department of Epidemiology & Biostatistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences/School of Basic Medicine, Peking Union Medical College, Beijing, 100000, People’s Republic of ChinaCorrespondence: Qiong Ou, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital Guangdong Academy of Medical Sciences, No. 106 Zhongshan Road, Yuexiu District, Guangzhou City, Guangdong Province, People’s Republic of China, Tel +86-13609717251, Email ouqiong2776@hotmail.comObjective: Sleep-disordered breathing (SDB) poses a substantial health burden. It is often marked by patients’ low awareness and poor treatment-seeking. While age, obesity, and genetics are known risk factors, limited studies suggest that socioeconomic status, including educational level, may also affect its prevalence. However, the exact relationship remains unclear. This study aims to explore the link between educational level and SDB prevalence in Chinese community-dwelling individuals and its impact on medical behavior.Patients and Methods: This cross - sectional study analyzed data from 3,717 residents in the Guangdong cohort. Binary logistic regression was used for multivariable analysis. The product - of - coefficients method was applied to analyze potential mediating effects of education level on SDB through lifestyle and BMI.Results: The prevalence of SDB was 29.7%, 33%, 29.2%, 30.5% and 31.5% in the illiterate, primary school, junior high school, high school and university or above education groups, respectively, with no significant difference (P=0.580).After further adjustment for age, gender, and marital status, the results showed that education level had no significant impact on the risk of SDB in the population (P> 0.05). Mediation analysis showed that education level had an indirect effect on SDB through BMI and smoking(P< 0.0001). The rates of SDB consultation among the five groups with different education levels were 2.8%, 4.4%, 3.7%, 3.7%, and 3.9%, respectively, with no significant difference (P=0.981).Conclusion: In Chinese community - dwelling individuals, SDB is present across all education levels. BMI and smoking may influence this. SDB patients overall have low consultation rates. As medical behavior for SDB does not differ much across education levels, disease education and intervention for SDB should target all education groups.Keywords: educational attainment, factor, consultation rates, mediation |
| format | Article |
| id | doaj-art-e3aac4e920ff4c4289b027167f666269 |
| institution | OA Journals |
| issn | 1179-1608 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Nature and Science of Sleep |
| spelling | doaj-art-e3aac4e920ff4c4289b027167f6662692025-08-20T01:51:16ZengDove Medical PressNature and Science of Sleep1179-16082025-05-01Volume 17Issue 1749761102582The Relationship Between Education Level and the Prevalence and Medical Behavior of Sleep-Disordered Breathing: A Population-Based Cross-Sectional StudyZheng G0Ou Q1Shan G2Hu Y3Lao M4Tan J5Feng TZhan WZhou RZhang RWu SGuangdong Provincial People's Hospital Guangdong Academy of Medical SciencesSleep Center, Department of Respiratory and Critical CareEpidemiology and StatisticsDepartment of Epidemiology and Biostatisticssleep centerGuangdong Provincial People's Hospital Guangdong Academy of Medical SciencesGaihong Zheng,1 Qiong Ou,2,3 Guangliang Shan,4 Yaoda Hu,4 Miaochan Lao,3 Jiaoying Tan,3 Tong Feng,3 Weixin Zhan,3 Ruohan Zhou,3 Ranxu Zhang,3 Shuhe Wu1 1Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, People’s Republic of China; 2Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangdong Cardiovascular Institute, Guangzhou, Guangdong, 510080, People’s Republic of China; 3Sleep Center, Department of Respiratory and Critical Care Medicine, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, 510080, People’s Republic of China; 4Department of Epidemiology & Biostatistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences/School of Basic Medicine, Peking Union Medical College, Beijing, 100000, People’s Republic of ChinaCorrespondence: Qiong Ou, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital Guangdong Academy of Medical Sciences, No. 106 Zhongshan Road, Yuexiu District, Guangzhou City, Guangdong Province, People’s Republic of China, Tel +86-13609717251, Email ouqiong2776@hotmail.comObjective: Sleep-disordered breathing (SDB) poses a substantial health burden. It is often marked by patients’ low awareness and poor treatment-seeking. While age, obesity, and genetics are known risk factors, limited studies suggest that socioeconomic status, including educational level, may also affect its prevalence. However, the exact relationship remains unclear. This study aims to explore the link between educational level and SDB prevalence in Chinese community-dwelling individuals and its impact on medical behavior.Patients and Methods: This cross - sectional study analyzed data from 3,717 residents in the Guangdong cohort. Binary logistic regression was used for multivariable analysis. The product - of - coefficients method was applied to analyze potential mediating effects of education level on SDB through lifestyle and BMI.Results: The prevalence of SDB was 29.7%, 33%, 29.2%, 30.5% and 31.5% in the illiterate, primary school, junior high school, high school and university or above education groups, respectively, with no significant difference (P=0.580).After further adjustment for age, gender, and marital status, the results showed that education level had no significant impact on the risk of SDB in the population (P> 0.05). Mediation analysis showed that education level had an indirect effect on SDB through BMI and smoking(P< 0.0001). The rates of SDB consultation among the five groups with different education levels were 2.8%, 4.4%, 3.7%, 3.7%, and 3.9%, respectively, with no significant difference (P=0.981).Conclusion: In Chinese community - dwelling individuals, SDB is present across all education levels. BMI and smoking may influence this. SDB patients overall have low consultation rates. As medical behavior for SDB does not differ much across education levels, disease education and intervention for SDB should target all education groups.Keywords: educational attainment, factor, consultation rates, mediationhttps://www.dovepress.com/the-relationship-between-education-level-and-the-prevalence-and-medica-peer-reviewed-fulltext-article-NSSeducational attainmentfactorconsultation ratesBMImediation |
| spellingShingle | Zheng G Ou Q Shan G Hu Y Lao M Tan J Feng T Zhan W Zhou R Zhang R Wu S The Relationship Between Education Level and the Prevalence and Medical Behavior of Sleep-Disordered Breathing: A Population-Based Cross-Sectional Study Nature and Science of Sleep educational attainment factor consultation rates BMI mediation |
| title | The Relationship Between Education Level and the Prevalence and Medical Behavior of Sleep-Disordered Breathing: A Population-Based Cross-Sectional Study |
| title_full | The Relationship Between Education Level and the Prevalence and Medical Behavior of Sleep-Disordered Breathing: A Population-Based Cross-Sectional Study |
| title_fullStr | The Relationship Between Education Level and the Prevalence and Medical Behavior of Sleep-Disordered Breathing: A Population-Based Cross-Sectional Study |
| title_full_unstemmed | The Relationship Between Education Level and the Prevalence and Medical Behavior of Sleep-Disordered Breathing: A Population-Based Cross-Sectional Study |
| title_short | The Relationship Between Education Level and the Prevalence and Medical Behavior of Sleep-Disordered Breathing: A Population-Based Cross-Sectional Study |
| title_sort | relationship between education level and the prevalence and medical behavior of sleep disordered breathing a population based cross sectional study |
| topic | educational attainment factor consultation rates BMI mediation |
| url | https://www.dovepress.com/the-relationship-between-education-level-and-the-prevalence-and-medica-peer-reviewed-fulltext-article-NSS |
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