{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T19:12:55Z","timestamp":1788289975143,"version":"build-2803163510"},"reference-count":81,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":203,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Study Objectives<\/jats:title>\n                    <jats:p>Emerging evidence indicates that Indigenous peoples experience disproportionately high rates of obstructive sleep apnea (OSA). This systematic review aimed to examine OSA prevalence, contributing factors, and intervention or treatment outcomes among Indigenous peoples worldwide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We systematically searched PubMed, Embase, CINAHL, Cochrane CENTRAL, ATSI Health, Web of Science and PsycINFO (last searched June 30, 2025), and grey literature for original research involving Indigenous peoples (\u226518\u00a0years) diagnosed with OSA via self-report or laboratory-based measures (e.g. polysomnography). Data extraction focused on study characteristics and key findings. Methodological quality was assessed using NIH tools, and cultural appropriateness was evaluated using the CREATE Aboriginal and Torres Strait Islander Quality Appraisal Tool. A narrative synthesis was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 599 records, 41 studies from six countries were included. OSA prevalence among Indigenous populations varied widely (community-based samples, 6.5%-69%; referred samples, 85%\u201395%; self-reported diagnosis, 1.2%\u20138.4%; hospital audit diagnoses, 0.8%\u201311.4%), with only one study reporting a robust population-based estimate (~6.5% among M\u0101ori). Severe cases predominated in referred samples. Factors associated with OSA included male sex, age, BMI, neck circumference, craniofacial and geographic factors, and symptoms such as snoring. Treatment evidence was limited to CPAP, with low adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings suggests that OSA is common among Indigenous peoples across diverse settings. However, prevalence estimates are heterogeneous and limited by differences in study design, sampling frame, and diagnostic approaches, with most evidence based on referred clinical samples. Improving awareness and culturally responsive screening and management may improve outcomes. Sleep health among Indigenous peoples warrants a higher priority in research, policy and practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>The protocol for this systematic review was registered with Prospero (CRD42024466932).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/sleepadvances\/zpag080","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T12:01:50Z","timestamp":1784721710000},"source":"Crossref","is-referenced-by-count":0,"title":["A systematic review of obstructive sleep apnea in Indigenous peoples worldwide"],"prefix":"10.1093","volume":"7","author":[{"given":"Shannon L","family":"Edmed","sequence":"first","affiliation":[{"name":"Child Health Research Centre, The University of Queensland , Brisbane, Queensland ,","place":["Australia"]},{"name":"The Australian Research Council Centre of Excellence for Children and Families over the Life Course, The University of Queensland , Brisbane, Queensland ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1782-1935","authenticated-orcid":false,"given":"Daniel P","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Child Health Research Centre, The University of Queensland , Brisbane, Queensland ,","place":["Australia"]},{"name":"School of Applied Psychology, Griffith University , Brisbane, Queensland ,","place":["Australia"]},{"name":"Griffith Centre for Mental Health, Griffith University , Brisbane, Queensland ,","place":["Australia"]},{"name":"Thompson Institute, University of the Sunshine Coast , Sippy Downs, Queensland ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9539-5716","authenticated-orcid":false,"given":"Michelle","family":"Olaithe","sequence":"additional","affiliation":[{"name":"School of Psychological Science, University of Western Australia , Perth, Western Australia ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3564-5859","authenticated-orcid":false,"given":"Scott","family":"Coussens","sequence":"additional","affiliation":[{"name":"Adelaide University , School of Society and Culture, Adelaide ,","place":["South Australia, Australia"]},{"name":"Women\u2019s and Children\u2019s Health Network, WCH Campus, North Adelaide ,","place":["South Australia, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Terrill","sequence":"additional","affiliation":[{"name":"School of Electrical Engineering and Computer Science, The University of Queensland , Brisbane, Queensland ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2499-5415","authenticated-orcid":false,"given":"Dwayne","family":"Mann","sequence":"additional","affiliation":[{"name":"School of Electrical Engineering and Computer Science, The University of Queensland , Brisbane, Queensland ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle L","family":"Wilson","sequence":"additional","affiliation":[{"name":"Thompson Institute, University of the Sunshine Coast , Sippy Downs, Queensland ,","place":["Australia"]},{"name":"School of Electrical Engineering and Computer Science, The University of Queensland , Brisbane, Queensland ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne","family":"Williams","sequence":"additional","affiliation":[{"name":"Thompson Institute, University of the Sunshine Coast , Sippy Downs, Queensland ,","place":["Australia"]},{"name":"Toowoomba Regional Clinical Unit, Medical School, Faculty of Health, Medicine and Behavioral Sciences, The University of Queensland , Toowoomba, Queensland ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3503-2363","authenticated-orcid":false,"given":"Danny J","family":"Eckert","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute (FHMRI) Flagship Sleep Health Program, Flinders University , Bedford Park, South Australia ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheethal","family":"Kalmadka","sequence":"additional","affiliation":[{"name":"Child Health Research Centre, The University of Queensland , Brisbane, Queensland ,","place":["Australia"]},{"name":"The Australian Research Council Centre of Excellence for Children and Families over the Life Course, The University of Queensland , Brisbane, Queensland ,","place":["Australia"]},{"name":"Thompson Institute, University of the Sunshine Coast , Sippy Downs, Queensland ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylistah","family":"Gadam","sequence":"additional","affiliation":[{"name":"The Australian Research Council Centre of Excellence for Children and Families over the Life Course, The University of Queensland , Brisbane, Queensland ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaqoot","family":"Fatima","sequence":"additional","affiliation":[{"name":"Thompson Institute, University of the Sunshine Coast , Sippy Downs, Queensland ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"2026090114161737200_ref1","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/j.smrv.2016.07.002","article-title":"Prevalence of obstructive sleep apnea in the general population: a systematic review","volume":"34","author":"Senaratna","year":"2017","journal-title":"Sleep Med Rev"},{"issue":"3","key":"2026090114161737200_ref2","doi-asserted-by":"publisher","first-page":"e56","DOI":"10.1161\/CIR.0000000000000988","article-title":"Obstructive sleep apnea and cardiovascular disease: a scientific statement from the American Heart Association","volume":"144","author":"Yeghiazarians","year":"2021","journal-title":"Circulation."},{"issue":"4","key":"2026090114161737200_ref3","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1212\/CON.0000000000000885","article-title":"Obstructive sleep apnea","volume":"26","author":"Kirsch","year":"2020","journal-title":"CONTINUUM: Lifelong Learning in Neurology"},{"issue":"5","key":"2026090114161737200_ref4","doi-asserted-by":"publisher","first-page":"1070","DOI":"10.1016\/j.chest.2017.05.009","article-title":"Obstructive sleep apnea and diabetes: a state of the art review","volume":"152","author":"Reutrakul","year":"2017","journal-title":"Chest."},{"issue":"2","key":"2026090114161737200_ref5","doi-asserted-by":"publisher","first-page":"203","DOI":"10.5665\/sleep.2374","article-title":"Memory and obstructive sleep apnea: a meta-analysis","volume":"36","author":"Wallace","year":"2013","journal-title":"Sleep."},{"issue":"9","key":"2026090114161737200_ref6","doi-asserted-by":"publisher","first-page":"1297","DOI":"10.5665\/sleep.2950","article-title":"Executive dysfunction in OSA before and after treatment: a meta-analysis","volume":"36","author":"Olaithe","year":"2013","journal-title":"Sleep."},{"issue":"6","key":"2026090114161737200_ref7","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1016\/j.jagp.2016.01.134","article-title":"Obstructive sleep apnea is linked to depression and cognitive impairment: evidence and potential mechanisms","volume":"24","author":"Kerner","year":"2016","journal-title":"Am J Geriatr Psychiatry"},{"issue":"5","key":"2026090114161737200_ref8","doi-asserted-by":"publisher","first-page":"e0268677","DOI":"10.1371\/journal.pone.0268677","article-title":"The invisible costs of obstructive sleep apnea (OSA): systematic review and cost-of-illness analysis","volume":"17","author":"Borsoi","year":"2022","journal-title":"PloS One"},{"key":"2026090114161737200_ref9","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1016\/j.sleep.2020.03.017","article-title":"Obstructive sleep apnea, depression and cognitive impairment","volume":"72","author":"Vanek","year":"2020","journal-title":"Sleep Med"},{"key":"2026090114161737200_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2022.100386","article-title":"Sleep health and its implications in first nation Australians: a systematic review","volume":"21","author":"Blunden","year":"2022","journal-title":"The Lancet Regional Health\u2013Western Pacific"},{"key":"2026090114161737200_ref11","volume-title":"National Aboriginal and Torres Strait Islander Health Plan 2021-2031","author":"Australian Government Department of Health","year":"2021"},{"key":"2026090114161737200_ref12","volume-title":"Pae T\u016b: Hauora M\u0101ori Strategy","author":"Minister of Health","year":"2023"},{"key":"2026090114161737200_ref13","volume-title":"About Indigenous health care 2025","author":"Government of Canada"},{"issue":"9683","key":"2026090114161737200_ref14","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1016\/S0140-6736(09)60914-4","article-title":"Indigenous health part 1: determinants and disease patterns","volume":"374","author":"Gracey","year":"2009","journal-title":"The Lancet"},{"key":"2026090114161737200_ref15","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1016\/j.sleep.2021.01.065","article-title":"Sleep health in indigenous Australian children: a systematic review","volume":"80","author":"Blunden","year":"2021","journal-title":"Sleep Med"},{"issue":"1","key":"2026090114161737200_ref16","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1186\/s12939-015-0279-3","article-title":"Exploring policy driven systemic inequities leading to differential access to care among indigenous populations with obstructive sleep apnea in Canada","volume":"14","author":"Marchildon","year":"2015","journal-title":"Int J Equity Health"},{"key":"2026090114161737200_ref17","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1016\/j.sleep.2020.10.020","article-title":"Sleep trajectories and mediators of poor sleep: findings from the longitudinal analysis of 41,094 participants of the UK biobank cohort","volume":"76","author":"Fatima","year":"2020","journal-title":"Sleep Med"},{"issue":"1","key":"2026090114161737200_ref18","doi-asserted-by":"publisher","DOI":"10.1093\/sleepadvances\/zpae028","article-title":"Association between poor sleep and mental health issues in indigenous communities across the globe: a systematic review. Sleep","volume":"5","author":"Fernandez","year":"2024","journal-title":"Advances."},{"issue":"1","key":"2026090114161737200_ref19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s41606-023-00083-3","article-title":"From good sleep to health and to quality of life\u2013a path analysis of determinants of sleep quality of working adults in Abu Dhabi","volume":"7","author":"Badri","year":"2023","journal-title":"Sleep Science and Practice"},{"issue":"1","key":"2026090114161737200_ref20","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1007\/s11325-014-1032-7","article-title":"Obstructive sleep apnoea in adult indigenous populations in high-income countries: an integrative review","volume":"19","author":"Woods","year":"2015","journal-title":"Sleep and Breathing"},{"key":"2026090114161737200_ref21","article-title":"Sleep apnoea can be scary. But here\u2019s what happened when first nations people had a say in their own care","author":"Fatima","year":"2023","journal-title":"The Conversation"},{"issue":"3","key":"2026090114161737200_ref22","article-title":"The tyranny of distance\u2013mapping accessibility to polysomnography services across Australia","volume":"15","author":"Woods","year":"2015","journal-title":"Australian Indigenous HealthBulletin"},{"issue":"Supplement_1","key":"2026090114161737200_ref23","doi-asserted-by":"publisher","first-page":"A33","DOI":"10.1093\/sleepadvances\/zpab014.085","article-title":"P037 indigenous Australians\u2019 conceptualisation of sleep health differs from western interpretations","volume":"2","author":"Fatima","year":"2021","journal-title":"SLEEP Advances"},{"issue":"3","key":"2026090114161737200_ref24","article-title":"Barriers and enablers to successful uptake of continuous positive airway pressure (CPAP) treatment for obstructive sleep apnoea for aboriginal and Torres strait islander people","volume":"5","author":"Woods","year":"2016","journal-title":"Journal of Sleep Disorders: Treatment & Care"},{"issue":"4","key":"2026090114161737200_ref25","doi-asserted-by":"publisher","first-page":"zpaf061","DOI":"10.1093\/sleepadvances\/zpaf061","article-title":"Obstructive sleep apnea diagnosis and management in first nations communities: protocol for the Let\u2019s yarn about sleep-obstructive sleep Apnea program. Sleep","volume":"6","author":"Fatima","year":"2025","journal-title":"Advances."},{"issue":"2","key":"2026090114161737200_ref26","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1111\/j.1440-1843.2011.02082.x","article-title":"Obesity and craniofacial structure as risk factors for obstructive sleep apnoea: impact of ethnicity","volume":"17","author":"Sutherland","year":"2012","journal-title":"Respirology."},{"key":"2026090114161737200_ref27","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"issue":"3","key":"2026090114161737200_ref28","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1111\/jebm.12266","article-title":"Gray literature: an important resource in systematic reviews","volume":"10","author":"Paez","year":"2017","journal-title":"J Evid Based Med"},{"key":"2026090114161737200_ref29","volume-title":"AIATSIS Code of Ethics for Aboriginal and Torres Strait Islander Research","author":"Australian Institute of Aboriginal and Torres Strait Islander Studies","year":"2020"},{"issue":"2","key":"2026090114161737200_ref30","doi-asserted-by":"publisher","first-page":"109","DOI":"10.2307\/1409555","article-title":"Internationalization of an indigenous anticolonial cultural critique of research methodologies: a guide to indigenist research methodology and its principles","volume":"14","author":"Rigney","year":"1999","journal-title":"Wicazo Sa Review"},{"issue":"1","key":"2026090114161737200_ref31","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1186\/s12874-020-00959-3","article-title":"Assessing the quality of health research from an indigenous perspective: the aboriginal and Torres Strait islander quality appraisal tool","volume":"20","author":"Harfield","year":"2020","journal-title":"BMC Med Res Methodol"},{"issue":"4","key":"2026090114161737200_ref32","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1111\/j.1440-1843.1998.tb00131.x","article-title":"Comparative clinical and physiological features of Maori, Pacific islanders and Europeans with sleep related breathing disorders","volume":"3","author":"Baldwin","year":"1998","journal-title":"Respirology."},{"issue":"7","key":"2026090114161737200_ref33","doi-asserted-by":"publisher","first-page":"943","DOI":"10.1093\/sleep\/23.7.1h","article-title":"Craniofacial form and obstructive sleep apnea in Polynesian and Caucasian men","volume":"23","author":"Coltman","year":"2000","journal-title":"Sleep."},{"issue":"1","key":"2026090114161737200_ref34","first-page":"74","article-title":"Variation in symptoms of sleep-disordered breathing with race and ethnicity: the sleep heart health study","volume":"26","author":"O'Connor","year":"2003","journal-title":"Sleep."},{"issue":"4","key":"2026090114161737200_ref35","doi-asserted-by":"publisher","first-page":"356","DOI":"10.5664\/jcsm.27237","article-title":"Depression and sleep-related symptoms in an adult, indigenous, north American population","volume":"4","author":"Froese","year":"2008","journal-title":"J Clin Sleep Med"},{"issue":"7","key":"2026090114161737200_ref36","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1093\/sleep\/32.7.949","article-title":"Obstructive sleep apnea in New Zealand adults: prevalence and risk factors among M\u0101ori and non-M\u0101ori","volume":"32","author":"Mihaere","year":"2009","journal-title":"Sleep."},{"issue":"8","key":"2026090114161737200_ref37","doi-asserted-by":"publisher","first-page":"e1000132","DOI":"10.1371\/journal.pmed.1000132","article-title":"Sleep-disordered breathing and mortality: a prospective cohort study","volume":"6","author":"Punjabi","year":"2009","journal-title":"PLoS Med"},{"key":"2026090114161737200_ref38","doi-asserted-by":"publisher","volume-title":"Sleep","author":"Bakker","DOI":"10.5665\/sleep.1404"},{"issue":"3","key":"2026090114161737200_ref39","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1071\/HC14221","article-title":"Continuous positive airway pressure treatment for obstructive sleep apnoea: Maori, Pacific and New Zealand European experiences","volume":"6","author":"Bakker","year":"2014","journal-title":"J Prim Health Care"},{"issue":"1","key":"2026090114161737200_ref40","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1186\/s13104-015-1137-5","article-title":"A community-based participatory research methodology to address, redress, and reassess disparities in respiratory health among first nations","volume":"8","author":"Pahwa","year":"2015","journal-title":"BMC Res Notes"},{"issue":"11","key":"2026090114161737200_ref41","doi-asserted-by":"publisher","first-page":"1263","DOI":"10.5664\/jcsm.5182","article-title":"Sleep disorders in aboriginal and Torres Strait islander people and residents of regional and remote Australia","volume":"11","author":"Woods","year":"2015","journal-title":"J Clin Sleep Med"},{"issue":"3","key":"2026090114161737200_ref42","first-page":"191","article-title":"Obstructive sleep Apnea and aberrant pneumatization of skull bones","volume":"26","author":"Del Brutto","year":"2017","journal-title":"Revista Ecuatoriana de Neurolog\u00eda"},{"issue":"5","key":"2026090114161737200_ref43","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1111\/ajr.12349","article-title":"Chronic respiratory disease in the regional and remote population of the northern territory top end: a perspective from the specialist respiratory outreach service","volume":"25","author":"Kruavit","year":"2017","journal-title":"Australian Journal of Rural Health"},{"issue":"1","key":"2026090114161737200_ref44","first-page":"16","article-title":"Lack of association between the Friedman\u2019s tongue position type IV and obstructive sleep Apnea In older adults of Amerindian ancestry","volume":"28","author":"Del-Brutto","year":"2019","journal-title":"Revista Ecuatoriana de Neurolog\u00eda"},{"key":"2026090114161737200_ref45","doi-asserted-by":"publisher","DOI":"10.1177\/2150132720984421","article-title":"Assessment of neck grasp as a screening tool for identifying obstructive sleep apnea in community-dwelling older adults","volume":"11","author":"Del Brutto","year":"2020","journal-title":"J Prim Care Community Health"},{"key":"2026090114161737200_ref46","doi-asserted-by":"publisher","first-page":"1123","DOI":"10.2147\/NSS.S286403","article-title":"Positional sleep apnea among regional and remote Australian population and simulated positional treatment effects","volume":"12","author":"Garg","year":"2020","journal-title":"Nature and science of sleep."},{"issue":"3","key":"2026090114161737200_ref47","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsz248","article-title":"Sleep apnoea among Australian aboriginal and non-aboriginal patients in the northern territory of Australia\u2014a comparative study","volume":"43","author":"Heraganahally","year":"2020","journal-title":"Sleep."},{"key":"2026090114161737200_ref48","doi-asserted-by":"publisher","first-page":"593","DOI":"10.2147\/NSS.S258330","article-title":"Gender differences in the clinical and polysomnographic characteristics among Australian aboriginal patients with obstructive sleep apnea. Nature and science of","volume":"12","author":"Mehra","year":"2020","journal-title":"Sleep."},{"issue":"5","key":"2026090114161737200_ref49","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsz270","article-title":"Obstructive sleep apnea is associated with depressive symptoms in pregnancy","volume":"43","author":"Redhead","year":"2020","journal-title":"Sleep."},{"key":"2026090114161737200_ref50","doi-asserted-by":"publisher","first-page":"239","DOI":"10.2147\/NSS.S226834","article-title":"The relationship of sleep duration with ethnicity and chronic disease in a Canadian general population cohort","volume":"12","author":"Singh","year":"2020","journal-title":"Nature and science of sleep."},{"issue":"8","key":"2026090114161737200_ref51","doi-asserted-by":"publisher","first-page":"1184","DOI":"10.1016\/j.hlc.2021.01.007","article-title":"Obstructive sleep apnoea and cardiac disease among aboriginal patients in the northern territory of Australia","volume":"30","author":"Heraganahally","year":"2021","journal-title":"Heart, Lung and Circulation"},{"key":"2026090114161737200_ref52","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleepx.2021.100037","article-title":"Sleep deprivation in two Saskatchewan first nation communities: a public health consideration","volume":"3","author":"Karunanayake","year":"2021","journal-title":"Sleep Medicine: X"},{"issue":"4","key":"2026090114161737200_ref53","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1016\/j.hlc.2020.08.008","article-title":"Top end pulmonary hypertension study: understanding epidemiology, therapeutic gaps and prognosis in remote Australian setting","volume":"30","author":"Naing","year":"2021","journal-title":"Heart, Lung and Circulation"},{"issue":"6","key":"2026090114161737200_ref54","doi-asserted-by":"publisher","first-page":"e019581","DOI":"10.1161\/JAHA.120.019581","article-title":"Incident strokes among American Indian individuals with atrial fibrillation","volume":"10","author":"Sanchez","year":"2021","journal-title":"J Am Heart Assoc"},{"issue":"4","key":"2026090114161737200_ref55","doi-asserted-by":"publisher","first-page":"535","DOI":"10.3390\/clockssleep4040042","article-title":"STOP-Bang score and prediction of severity of obstructive sleep apnea in a first nation community in Saskatchewan","volume":"4","author":"Dosman","year":"2022","journal-title":"Canada Clocks & Sleep"},{"issue":"1","key":"2026090114161737200_ref56","doi-asserted-by":"publisher","first-page":"100","DOI":"10.3390\/clockssleep4010011","article-title":"Obesity, sex, snoring and severity of OSA in a first nation community in Saskatchewan","volume":"4","author":"Dosman","year":"2022","journal-title":"Canada Clocks & sleep"},{"issue":"3","key":"2026090114161737200_ref57","doi-asserted-by":"publisher","first-page":"440","DOI":"10.1111\/imj.15076","article-title":"Obstructive sleep apnoea and adherence to continuous positive airway therapy among Australian women","volume":"52","author":"Heraganahally","year":"2022","journal-title":"Intern Med J"},{"key":"2026090114161737200_ref58","doi-asserted-by":"publisher","DOI":"10.1016\/j.nbscr.2022.100075","article-title":"Sleep disorders among aboriginal Australians with Machado-Joseph disease: quantitative results from a multiple methods study to assess the experience of people living with the disease and their caregivers","volume":"12","author":"LaGrappe","year":"2022","journal-title":"Neurobiology of sleep and circadian rhythms"},{"issue":"14","key":"2026090114161737200_ref59","doi-asserted-by":"publisher","first-page":"1253","DOI":"10.1177\/15353702221091180","article-title":"Elevated SARS-CoV-2 in peripheral blood and increased COVID-19 severity in American Indians\/Alaska natives","volume":"247","author":"Perkins","year":"2022","journal-title":"Exp Biol Med"},{"issue":"4","key":"2026090114161737200_ref60","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3390\/medsci11040069","article-title":"Major adverse cardiac and cerebrovascular events in geriatric patients with obstructive sleep apnea: an inpatient sample analysis","volume":"11","author":"Desai","year":"2023","journal-title":"Medical Sciences"},{"issue":"5","key":"2026090114161737200_ref61","doi-asserted-by":"publisher","first-page":"782","DOI":"10.3390\/jpm13050782","article-title":"Recurrent\/subsequent stroke and associated outcomes in geriatric patients with OSA and prior stroke events: a retrospective study using the 2019 national inpatient sample","volume":"13","author":"Desai","year":"2023","journal-title":"Journal of Personalized Medicine"},{"key":"2026090114161737200_ref62","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1016\/j.sleep.2022.12.024","article-title":"Acceptability, adaptability and adherence to CPAP therapy among aboriginal Australians with OSA-\u201cthe A5 study\u201d","volume":"102","author":"Heraganahally","year":"2023","journal-title":"Sleep Med"},{"issue":"3","key":"2026090114161737200_ref63","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1111\/imj.15633","article-title":"Validity of the new \u2018top end sleepiness scale\u2019against the STOP-Bang tool in predicting obstructive sleep apnoea among indigenous Australian adults","volume":"53","author":"Heraganahally","year":"2023","journal-title":"Intern Med J"},{"key":"2026090114161737200_ref64","doi-asserted-by":"publisher","first-page":"449","DOI":"10.2147\/NSS.S409883","article-title":"The impact of lung function parameters on sleep among aboriginal Australians\u2013a polysomnography and spirometry relationship study","volume":"15","author":"Howarth","year":"2023","journal-title":"Nature and science of sleep"},{"key":"2026090114161737200_ref65","author":"Ikram","year":"2023"},{"issue":"1","key":"2026090114161737200_ref66","doi-asserted-by":"publisher","DOI":"10.1093\/sleepadvances\/zpad015","article-title":"Obstructive sleep apnea in aboriginal Australians: polysomnographic outcomes and symptom perception post-continuous positive airway pressure implementation. Sleep","volume":"4","author":"Lindfield","year":"2023","journal-title":"Advances."},{"issue":"5","key":"2026090114161737200_ref67","doi-asserted-by":"publisher","first-page":"967","DOI":"10.5664\/jcsm.10472","article-title":"Severity, comorbidities, and adherence to therapy in native Hawaiians\/Pacific islanders with obstructive sleep apnea","volume":"19","author":"Locke","year":"2023","journal-title":"J Clin Sleep Med"},{"issue":"7","key":"2026090114161737200_ref68","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.41968","article-title":"Prevalence and outcomes of depression, obstructive sleep apnea, and concurrent anxiety (DOCA) in stroke survivors: insights from a nationwide study","volume":"15","author":"Patel","year":"2023","journal-title":"Cureus."},{"key":"2026090114161737200_ref69","doi-asserted-by":"publisher","first-page":"1346807","DOI":"10.3389\/fnagi.2024.1346807","article-title":"Mid-life sleep is associated with cognitive performance later in life in aging American Indians: data from the strong heart study","volume":"16","author":"Fonseca","year":"2024","journal-title":"Front Aging Neurosci"},{"key":"2026090114161737200_ref70","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleepe.2024.100099","article-title":"Characterization of sleep apnea among a sample of adults from Samoa","volume":"4","author":"Heinsberg","year":"2024","journal-title":"Sleep epidemiology"},{"issue":"1","key":"2026090114161737200_ref71","doi-asserted-by":"publisher","first-page":"e29392","DOI":"10.1002\/jmv.29392","article-title":"The prevalence of obstructive sleep apnea syndrome after COVID-19 infection","volume":"96","author":"Lin","year":"2024","journal-title":"J Med Virol"},{"issue":"18","key":"2026090114161737200_ref72","doi-asserted-by":"publisher","first-page":"5492","DOI":"10.3390\/jcm13185492","article-title":"Asthma and obstructive sleep Apnea overlap in a sample of older American Indian adults: the strong heart study","volume":"13","author":"Wu","year":"2024","journal-title":"J Clin Med"},{"issue":"2","key":"2026090114161737200_ref74","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1016\/j.ccm.2022.02.002","article-title":"The need for social and environmental determinants of health research to understand and intervene on racial\/ethnic disparities in obstructive sleep apnea","volume":"43","author":"Johnson","year":"2022","journal-title":"Clin Chest Med"},{"key":"2026090114161737200_ref75","doi-asserted-by":"publisher","first-page":"315","DOI":"10.2147\/NSS.S298409","article-title":"The top end sleepiness scale (TESS): a new tool to assess subjective daytime sleepiness among indigenous Australian adults","volume":"13","author":"Benn","year":"2021","journal-title":"Nature and science of sleep"},{"issue":"1","key":"2026090114161737200_ref76","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1186\/s12890-017-0536-x","article-title":"Determinants of excessive daytime sleepiness in two first nation communities","volume":"17","author":"Van der Spuy","year":"2017","journal-title":"BMC Pulm Med"},{"key":"2026090114161737200_ref77","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.puhe.2022.04.007","article-title":"Feasibility, satisfaction, acceptability and safety of telehealth for first nations and culturally and linguistically diverse people: a scoping review","volume":"207","author":"Fien","year":"2022","journal-title":"Public Health"},{"issue":"Supplement_1","key":"2026090114161737200_ref78","doi-asserted-by":"publisher","first-page":"A291","DOI":"10.1093\/sleep\/zsaf090.0669","article-title":"0669 sleep architecture and obstructive sleep Apnea differences among Pacific islanders: a single-Center study in Saipan","volume":"48","author":"May","year":"2025","journal-title":"Sleep."},{"issue":"Supplement_1","key":"2026090114161737200_ref79","doi-asserted-by":"publisher","first-page":"A287","DOI":"10.1093\/sleep\/zsaf090.0658","article-title":"0658 exploring drivers of PAP therapy adherence and OSA severity: insights from a sequential analysis in NHPI populations in Hawaii","volume":"48","author":"Mettias","year":"2025","journal-title":"Sleep."},{"issue":"Supplement_2","key":"2026090114161737200_ref80","doi-asserted-by":"publisher","first-page":"A160","DOI":"10.1093\/sleep\/zsab072.403","article-title":"404 sleep-disordered breathing In native Hawaiians\/Pacific islanders with associated comorbidities and adherence to therapy","volume":"44","author":"Ryujin","year":"2021","journal-title":"Sleep."},{"issue":"Supplement_1","key":"2026090114161737200_ref81","doi-asserted-by":"publisher","first-page":"A281","DOI":"10.1093\/sleep\/zsaf090.0643","article-title":"0643 differences in clinical presentation of obstructive sleep Apnea in native Hawaiian and Pacific islander patients","volume":"48","author":"Anderson","year":"2025","journal-title":"Sleep."},{"key":"2026090114161737200_ref82","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2025.106504","article-title":"Insights into obstructive sleep apnea severity and treatment adherence in native Hawaiian and Pacific islanders","volume":"131","author":"Mettias","year":"2025","journal-title":"Sleep Med"}],"container-title":["SLEEP Advances"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/sleepadvances\/advance-article-pdf\/doi\/10.1093\/sleepadvances\/zpag080\/69880871\/zpag080.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/sleepadvances\/article-pdf\/7\/3\/zpag080\/69880871\/zpag080.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/sleepadvances\/article-pdf\/7\/3\/zpag080\/69880871\/zpag080.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T18:16:24Z","timestamp":1788286584000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/sleepadvances\/article\/doi\/10.1093\/sleepadvances\/zpag080\/8740641"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":81,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7,8]]}},"URL":"https:\/\/doi.org\/10.1093\/sleepadvances\/zpag080","relation":{},"ISSN":["2632-5012"],"issn-type":[{"value":"2632-5012","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026]]},"published":{"date-parts":[[2026]]},"article-number":"zpag080"}}