Social and environmental determinants of disease uncertainty in obstructive sleep apnea: a dyadic qualitative study on patients and co-residents

The findings underscore that OSA patients and their co-residents face considerable uncertainty related to disease awareness, symptom experiences, medical decision-making, treatment plans, and social support. This uncertainty leads to delays in seeking care and poor treatment adherence. To mitigate these issues, it is recommended to enhance public health education on OSA, improve disease awareness and self-management skills among patients and their families, and better integrate medical resources and social support networks. These interventions should address the social and environmental determinants of health to reduce the burden of disease uncertainty and improve overall health outcomes.