{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:32:41Z","timestamp":1753893161458,"version":"3.41.2"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Sleep"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Obstructive sleep apnea results from intermittent airway collapse during sleep. Despite its health risks, the prevalence and associated factors of OSA among hypertensive patients in Ethiopia remain unexplored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study assessed the prevalence and associated factors of high-risk OSA among hypertensive patients in referral hospitals within the Amhara Region, Northwest Ethiopia, in 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study was conducted in selected referral hospitals from 21 April to 14 June 2022. A systematic random sampling technique was employed. Data were collected through structured, pretested, interviewer-administered questionnaires, file reviews, and physical examinations. Data were entered in Epi-Data 4.6 and analyzed using Stata 14. Logistic regression was performed, and variables with <jats:italic>p<\/jats:italic> &amp;lt; 0.05 were regarded as significantly associated with high-risk OSA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 412 participants (97% response rate), the mean age was 58.95 \u00b1 12.6 years, with 55.1% being female. The prevalence of high-risk OSA was determined to be 43.93% (95% CI: 39.2\u201348.8). Significant factors included age &amp;gt; 65 years (AOR = 8.00, 95% CI: 4.48\u201314.14), diabetes mellitus (AOR = 4.7, 95% CI: 2.48\u20138.94), male sex (AOR = 4.2, 95% CI: 2.38\u20137.45), and large neck circumference (AOR = 3.13, 95% CI: 1.27\u20137.74).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>High-risk OSA is prevalent among hypertensive patients, particularly in older males and those with diabetes or a large neck circumference. Routine OSA screening should be integrated into hypertension care. Future studies should utilize gold-standard tools and explore cause-and-effect relationships.<\/jats:p><\/jats:sec>","DOI":"10.3389\/frsle.2025.1554653","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T05:22:24Z","timestamp":1747372944000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and determinants of high-risk obstructive sleep apnea among hypertensive patients in referral hospitals of the Amhara Region, Northwest Ethiopia, 2022"],"prefix":"10.3389","volume":"4","author":[{"given":"Meseret","family":"Kassaw","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bezawit Mulat","family":"Ayal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dagimawi","family":"Chilot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kassa","family":"Abebaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baye","family":"Ashenef","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e12702","DOI":"10.1111\/jsr.12702","article-title":"The STOP-BANG questionnaire shows an insufficient specificity for detecting obstructive sleep apnea in patients with atrial fibrillation","volume":"27","author":"Abumuamar","year":"2018","journal-title":"J. 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