Assessment of Awareness and Knowledge Levels Regarding Obstructive Sleep Apnea in the Turkish Population
Yıl 2026,
Cilt: 11 Sayı: 1, 32 - 39, 15.03.2026
Mithat Terzi
,
Tayyip Biçer
,
S. Kutalmış Büyük
,
Orhan Dalkılıç
,
Feridun Abay
Öz
Objectives: The aim of this study was to assess the awareness and knowledge levels of the Turkish population regarding Obstructive Sleep Apnea (OSA). Materials and Methods: A 19-question online questionnaire was administered via Google Forms. The first 7 questions collected demographic data (e.g., gender, age, education), while the remaining 12 assessed OSA knowledge. The data were analyzed using Pearson Chi-Square and Fisher’s Exact tests, with p<0.05 considered significant. Results: A total of 1,032 individuals completed the survey (56% female, 44% male). Of these, 50.9% were single and 46.7% married. Education levels varied, with 63.7% university graduates and 7.1% holding postgraduate degrees. While 58.7% had heard of OSA, significant knowledge gaps were evident. Associations were first examined using chi-square or Fisher’s exact tests, followed by multivariable logistic regression analysis to identify independent predictors of OSA awareness. Significant associations were found between OSA awareness and several demographic variables, particularly gender, age group, and education level (p < 0.05). Conclusion: Public awareness and knowledge of OSA in Türkiye remain low. Medical education should be enhanced with additional training and curriculum time on sleep disorders. Public awareness should also be promoted through campaigns, seminars, and accessible educational materials to support early diagnosis and prevention of OSA-related complications.
Etik Beyan
The study was approved by the Non-Interventional Clinical Research Ethics Committee of Ordu University (Approval No: 147, dated 12 May 2023). All participants provided electronic informed consent prior to participating in the survey. The study adhered to the ethical principles of the Declaration of Helsinki.
Destekleyen Kurum
The authors declare that this study has received no financial support
Teşekkür
No funding was received for this study.
Kaynakça
-
1. Jordan AS, McSharry DG, Malhotra A. Adult obstructive sleep apnoea. Lancet. 2014;383(9918):736–747. doi:10.1016/S0140-6736(13)60734-5
-
2. Xiao X, Rui Y, Jin Y, Chen M. The role of inflammation in obstructive sleep apnea–related cognitive dysfunction. Neurochem Res . 2024;49(3):568–582. doi:10.1007/s11064-023-04043-4
-
3. Lv R, Liu X, Zhang Y, et al. Immune mechanisms of sleep apnea: from systemic inflammation to neuroinflammation. Signal Transduct Target Ther. 2023;8(1):218. doi:10.1038/s41392-023-01528-2
-
4. Salman LA, Shulman R, Cohen JB. Obstructive sleep apnea and hypertension. Curr Cardiol Rep. 2020;22(2):6. doi:10.1007/s11886-020-1271-4
-
5. Sia CH, Lee CH, Tan CY, et al. Prevalence of sleep apnea symptoms among adults in Singapore. Eur Respir J. 2016;48(6):2322–2325. doi:10.1183/13993003.01538-2015
-
6. Duenas-Meza E, Severiche-Bueno DF, Santos Quintero C, et al. Public awareness of obstructive sleep apnea in Colombia. Sleep Med X. 2024;7:100106. doi:10.1016/j.sleepx.2024.100106
-
7. Leonhard AG, Donovan LM. Obstructive sleep apnea: underrecognized and undertreated. Ann Am Thorac Soc. 2024;21(5):703–705.
-
8. Pendharkar SR, Sharpe H, Rosychuk RJ, et al. Sleep apnea: diagnostic delays and consequences. Ann Am Thorac Soc. 2023;20(3):433–439.
-
9. Kaufmann CN, Spira AP, Wickwire EM, et al. Untreated sleep disorders and health outcomes. Ann Am Thorac Soc. 2023;20(6):921–926.
-
10. Chang H, Chen Y, Du J. Role of dental professionals in managing OSA. Kaohsiung J Med Sci. 2020;36(1):7–12.
-
11. Arous F, Boivin JM, Chaouat A, et al. OSA awareness in French adults. Eur Ann Otorhinolaryngol Head Neck Dis. 2017;134(5):303–308.
-
12. Walker SL, Saltman DL, Colucci R, et al. Obstructive sleep apnea in Canadian primary care. Can Respir J. 2010;17(6):287–294. doi:10.1155/2010/486720
-
13. Ivanov I, Miraglia B, Prodanova D, et al. Understanding sleep apnea in patients with attention issues. J Atten Disord. 2024;28(5):686–698. doi:10.1177/10870547221141807
-
14. Chan E, Dalci O, Irving M, et al. Public awareness of OSA in Australia. Aust Orthod J. 2023;39(1):13–26. doi:10.21307/aoj-2023-002
-
15. Morey BN, Shi Y, Ryu S, et al. Ethnic disparities in OSA awareness. Ethn Health. 2024;29(3):295–308. doi:10.1080/13557858.2023.2187798
-
16. Piskin B, Uyar A, Yuceer M, et al. Awareness of oral appliance therapy in sleep apnea. J Prosthodont. 2021;30(3):191–195. doi:10.1111/jopr.13273
-
17. Lin L, Zhao T, Ngan P, et al. Healthcare accessibility and OSA management. Sleep Breath. 2023;27(6):2361–2369.
-
18. van der Hoek LH, Rosenmöller BR, van de Rijt LJ, et al. Interdisciplinary OSA treatment in dental practice. Sleep Breath. 2023;27(6):2527–2544.
-
19. Xiao Y, Zhang X, Huang Y, et al. Public knowledge and perception of obstructive sleep apnea in China: a national cross-sectional survey. Front Public Health. 2024;12:1185278. doi:10.3389/fpubh.2023.1185278
-
20. Lin HS, Guilleminault C. Primary care and sleep disorders: current gaps and future directions. J Clin Sleep Med. 2022;18(3):879–886. doi:10.5664/jcsm.9722
-
21. Maniaci A, Lavalle S, Anzalone R, et al. Oral health implications of obstructive sleep apnea: a literature review. Biomedicines. 2024;12(7):1382. doi:10.3390/biomedicines12071382
-
22. Chiang AA, Jerkins E, Holfinger S, et al. OSA diagnosis goes wearable: are the latest devices ready to shine? J Clin Sleep Med. 2024;20(11):1823–1838. doi:10.5664/jcsm.11636
Türk Toplumunda Obstrüktif Uyku Apnesine İlişkin Farkındalık ve Bilgi Düzeylerinin Değerlendirilmesi
Yıl 2026,
Cilt: 11 Sayı: 1, 32 - 39, 15.03.2026
Mithat Terzi
,
Tayyip Biçer
,
S. Kutalmış Büyük
,
Orhan Dalkılıç
,
Feridun Abay
Öz
Amaç: Bu çalışmanın amacı, Türk toplumunda Obstrüktif Uyku Apnesi’ne (OSA) ilişkin farkındalık ve bilgi düzeylerini değerlendirmektir. Materyal ve Metot: Google Forms aracılığıyla 19 sorudan oluşan çevrimiçi bir anket uygulanmıştır. İlk 7 soru demografik verileri (cinsiyet, yaş, eğitim düzeyi vb.) toplarken, kalan 12 soru OSA hakkında bilgi düzeyini değerlendirmiştir. Veriler Pearson Ki-Kare ve Fisher’s Exact testleri kullanılarak analiz edilmiş, p<0.05 değeri istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Toplam 1.032 birey ankete katılmıştır (%56 kadın, %44 erkek). Katılımcıların %50,9’u bekar, %46,7’si evlidir. Eğitim düzeyleri incelendiğinde, %63,7’sinin üniversite mezunu, %7,1’inin ise lisansüstü eğitim aldığı belirlenmiştir. Katılımcıların %58,7’si OSA hakkında daha önce bilgi sahibi olduğunu belirtmiş, ancak genel bilgi düzeylerinde belirgin eksiklikler saptanmıştır. OSA farkındalığı ile cinsiyet, yaş grubu ve eğitim düzeyi gibi çeşitli demografik değişkenler arasında anlamlı ilişkiler bulunmuştur (p<0.05). Sonuç: Türkiye’de toplumun OSA konusundaki farkındalık ve bilgi düzeyleri yetersizdir. Tıp eğitimi müfredatına uyku bozukluklarıyla ilgili daha fazla içerik ve uygulama süresi eklenmelidir. Ayrıca erken tanı ve OSA’ya bağlı komplikasyonların önlenmesini desteklemek amacıyla, toplum farkındalığının artırılmasına yönelik kampanyalar, seminerler ve erişilebilir eğitim materyalleriyle halk eğitimi desteklenmelidir.
Etik Beyan
Bu araştırma, Ordu Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu tarafından onaylanmıştır (Tarih: 12.05.2023, karar no: 147). Çalışma, Helsinki Bildirgesi'nin etik standartlarına ve ilgili uluslararası kılavuzlara uygun olarak yürütülmüştür. Tüm katılımcılar, ankete dahil edilmeden önce elektronik ortamda bilgilendirilmiş onam vermişlerdir.
Destekleyen Kurum
Yazarlar, bu çalışmanın herhangi bir mali destek almadığını beyan etmektedir.
Teşekkür
Bu çalışma için hiçbir fon sağlanmamıştır.
Kaynakça
-
1. Jordan AS, McSharry DG, Malhotra A. Adult obstructive sleep apnoea. Lancet. 2014;383(9918):736–747. doi:10.1016/S0140-6736(13)60734-5
-
2. Xiao X, Rui Y, Jin Y, Chen M. The role of inflammation in obstructive sleep apnea–related cognitive dysfunction. Neurochem Res . 2024;49(3):568–582. doi:10.1007/s11064-023-04043-4
-
3. Lv R, Liu X, Zhang Y, et al. Immune mechanisms of sleep apnea: from systemic inflammation to neuroinflammation. Signal Transduct Target Ther. 2023;8(1):218. doi:10.1038/s41392-023-01528-2
-
4. Salman LA, Shulman R, Cohen JB. Obstructive sleep apnea and hypertension. Curr Cardiol Rep. 2020;22(2):6. doi:10.1007/s11886-020-1271-4
-
5. Sia CH, Lee CH, Tan CY, et al. Prevalence of sleep apnea symptoms among adults in Singapore. Eur Respir J. 2016;48(6):2322–2325. doi:10.1183/13993003.01538-2015
-
6. Duenas-Meza E, Severiche-Bueno DF, Santos Quintero C, et al. Public awareness of obstructive sleep apnea in Colombia. Sleep Med X. 2024;7:100106. doi:10.1016/j.sleepx.2024.100106
-
7. Leonhard AG, Donovan LM. Obstructive sleep apnea: underrecognized and undertreated. Ann Am Thorac Soc. 2024;21(5):703–705.
-
8. Pendharkar SR, Sharpe H, Rosychuk RJ, et al. Sleep apnea: diagnostic delays and consequences. Ann Am Thorac Soc. 2023;20(3):433–439.
-
9. Kaufmann CN, Spira AP, Wickwire EM, et al. Untreated sleep disorders and health outcomes. Ann Am Thorac Soc. 2023;20(6):921–926.
-
10. Chang H, Chen Y, Du J. Role of dental professionals in managing OSA. Kaohsiung J Med Sci. 2020;36(1):7–12.
-
11. Arous F, Boivin JM, Chaouat A, et al. OSA awareness in French adults. Eur Ann Otorhinolaryngol Head Neck Dis. 2017;134(5):303–308.
-
12. Walker SL, Saltman DL, Colucci R, et al. Obstructive sleep apnea in Canadian primary care. Can Respir J. 2010;17(6):287–294. doi:10.1155/2010/486720
-
13. Ivanov I, Miraglia B, Prodanova D, et al. Understanding sleep apnea in patients with attention issues. J Atten Disord. 2024;28(5):686–698. doi:10.1177/10870547221141807
-
14. Chan E, Dalci O, Irving M, et al. Public awareness of OSA in Australia. Aust Orthod J. 2023;39(1):13–26. doi:10.21307/aoj-2023-002
-
15. Morey BN, Shi Y, Ryu S, et al. Ethnic disparities in OSA awareness. Ethn Health. 2024;29(3):295–308. doi:10.1080/13557858.2023.2187798
-
16. Piskin B, Uyar A, Yuceer M, et al. Awareness of oral appliance therapy in sleep apnea. J Prosthodont. 2021;30(3):191–195. doi:10.1111/jopr.13273
-
17. Lin L, Zhao T, Ngan P, et al. Healthcare accessibility and OSA management. Sleep Breath. 2023;27(6):2361–2369.
-
18. van der Hoek LH, Rosenmöller BR, van de Rijt LJ, et al. Interdisciplinary OSA treatment in dental practice. Sleep Breath. 2023;27(6):2527–2544.
-
19. Xiao Y, Zhang X, Huang Y, et al. Public knowledge and perception of obstructive sleep apnea in China: a national cross-sectional survey. Front Public Health. 2024;12:1185278. doi:10.3389/fpubh.2023.1185278
-
20. Lin HS, Guilleminault C. Primary care and sleep disorders: current gaps and future directions. J Clin Sleep Med. 2022;18(3):879–886. doi:10.5664/jcsm.9722
-
21. Maniaci A, Lavalle S, Anzalone R, et al. Oral health implications of obstructive sleep apnea: a literature review. Biomedicines. 2024;12(7):1382. doi:10.3390/biomedicines12071382
-
22. Chiang AA, Jerkins E, Holfinger S, et al. OSA diagnosis goes wearable: are the latest devices ready to shine? J Clin Sleep Med. 2024;20(11):1823–1838. doi:10.5664/jcsm.11636