(425) Assessment of Obstructive Sleep Apnea Risk and Primary Care Involvement in a Men’s Health Clinic Population

Abstract Introduction Obstructive Sleep Apnea (OSA) is a prevalent condition affecting up to 38% of the general population, with higher rates observed among men and older individuals. Despite its association with significant cardiometabolic morbidity, OSA remains underdiagnosed, particularly in populations with limited access to primary care. In recent years, men’s health clinics have emerged as potential access points for addressing broader health concerns beyond urologic complaints. Emerging evidence suggests that individuals presenting to these clinics may be at increased risk for OSA, both diagnosed and undiagnosed. Objective This study aims to evaluate the prevalence of OSA risk factors among men attending a dedicated men’s health clinic and to assess opportunities for targeted screening and referral. Methods Starting in September 2024, all men aged 18 and older presenting to a Canadian ambulatory men’s health clinic were invited to anonymously complete a survey at check-in. The survey gathered data on age, BMI, comorbidities, STOP-BANG questionnaire responses, and primary care provider (PCP) status. Collected responses were analyzed using descriptive statistics to stratify participants by OSA risk level and assess their prior engagement with a PCP regarding OSA-related concerns, when applicable. Results Among 59 men who have completed the survey, the average age was 59.5 years. Based on STOP-BANG scores, 35.6% (n = 21) were classified as low risk for OSA (score 0–2), 47.4% (n = 28) as moderate risk (score 3–4), and 16.9% (n = 10) as high risk (score ≥5). Among all participants, five reported a prior diagnosis of OSA-two in the moderate-risk group and three in the high-risk group. While all individuals in the moderate and high-risk categories reported having a family physician, only 18.6% (n = 11) had discussed OSA with their primary care provider. Conclusions Our findings demonstrate that a substantial proportion of men attending the Canadian men’s health clinic are at moderate to high risk for Obstructive Sleep Apnea (OSA), yet many have not engaged in discussions about OSA with their primary care providers. Notably, a considerable number of at-risk individuals reported having a family physician, suggesting that OSA remains undiagnosed and undertreated despite access to primary care. This highlights a critical gap in screening and awareness within this population. Incorporating routine OSA risk assessments into men’s health clinic workflows may represent an effective strategy to enhance early identification, facilitate timely referral, and improve long-term outcomes through earlier intervention and management. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Boston Scientific

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