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Comparisons between urban and rural Veterans were conducted for fiscal years (FY) 2010\u20102021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>The prevalence of diagnosed sleep disorders was similar among rural and urban Veterans from FY2010 to 2021 and increased for both groups during this time period. The prevalence of chronic pulmonary disease, congestive heart failure, and diabetes mellitus was higher for rural Veterans with sleep disorders compared to their urban counterparts. From 2012 to 2021, the percentage of rural Veterans who received sleep care at VA facilities was lower than the percentage of urban Veterans who received VA sleep care during the same time span.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although rural Veterans exhibited a higher prevalence of 3 comorbid conditions associated with sleep disorders, the prevalence of sleep disorder diagnoses was similar between rural and urban Veterans. Therefore, it is possible that sleep disorders are underdiagnosed among rural Veterans. The fact that rural Veterans received VA sleep care at a lower rate compared to urban Veterans indicates that rurality is a disparity in access to care in this population. VA is addressing this disparity through a variety of programs, including telehealth initiatives.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12722","type":"journal-article","created":{"date-parts":[[2022,11,5]],"date-time":"2022-11-05T08:59:45Z","timestamp":1667638785000},"page":"582-594","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Sleep disorders among rural Veterans: Relative prevalence, comorbidities, and comparisons with urban Veterans"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5113-5691","authenticated-orcid":false,"given":"Robert L.","family":"Folmer","sequence":"first","affiliation":[{"name":"National Center for Rehabilitative Auditory Research (NCRAR) VA Portland Healthcare System  Portland Oregon USA"},{"name":"Department of Otolaryngology Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connor J.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics and Clinical Epidemiology Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eilis A.","family":"Boudreau","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics and Clinical Epidemiology Oregon Health &amp; Science University  Portland Oregon USA"},{"name":"Department of Neurology Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette M.","family":"Totten","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics and Clinical Epidemiology Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2907-0323","authenticated-orcid":false,"given":"Priyanka","family":"Chilakamarri","sequence":"additional","affiliation":[{"name":"San Francisco VA Health Care System  San Francisco California USA"},{"name":"Department of Neurology University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles W.","family":"Atwood","sequence":"additional","affiliation":[{"name":"Pulmonary Section and Sleep Medicine VA Pittsburgh Healthcare System  Pittsburgh Pennsylvania USA"},{"name":"Division of Pulmonary Allergy Critical Care Medicine UPMC and University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen F.","family":"Sarmiento","sequence":"additional","affiliation":[{"name":"San Francisco VA Health Care System  San Francisco California USA"},{"name":"Department of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,5]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Sleep in the Military: Promoting Healthy Sleep Among U.S. Service Members","author":"Troxel WM","year":"2015"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa043104"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/33.10.1373"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001599"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.5956"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.5972"},{"key":"e_1_2_9_8_1","unstructured":"Veterans Health Administration. 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