Association of Birthplace for Sleep Duration, Sleep Quality, and Sleep Disorder Symptoms, at the US-Mexico Border.

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY
Behavioral Sleep Medicine Pub Date : 2024-07-01 Epub Date: 2023-11-15 DOI:10.1080/15402002.2023.2279308
Sadia B Ghani, Karla Granados, Chloe C A Wills, Pamela Alfonso-Miller, Orfeu M Buxton, John M Ruiz, Sairam Parthasarathy, Sanjay R Patel, Patty Molina, Azizi Seixas, Girardin Jean-Louis, Michael A Grandner
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引用次数: 0

Abstract

Objectives: The present study investigated the roles birthplace and acculturation play in sleep estimates among Hispanic/Latino population at the US-Mexico border.

Measures: Data were collected in 2016, from N = 100 adults of Mexican descent from the city of Nogales, AZ, at the US-Mexico border. Sleep was assessed with the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index categorized as none, mild, moderate, and severe, and Multivariable Apnea Prediction Index (MAP) categorized as never, infrequently, and frequently. Acculturation was measured with the Acculturation Rating Scale for Mexican-Americans II (ARSMA-II).

Results: The sample consisted of majority Mexican-born (66%, vs. born in the USA 38.2%). Being born in the USA was associated with 55 fewer minutes of nighttime sleep (p = .011), and 1.65 greater PSQI score (p = .031). Compared to no symptoms, being born in the USA was associated with greater likelihood of severe difficulty falling asleep (OR = 8.3, p = .030) and severe difficulty staying asleep (OR = 11.2, p = .050), as well as decreased likelihood of breathing pauses during sleep (OR = 0.18, P = .020). These relationships remained significant after Mexican acculturation was entered in these models. However, greater Anglo acculturation appears to mediate one fewer hour of sleep per night, poorer sleep quality, and reporting of severe difficulty falling asleep and staying asleep.

Conclusions: Among individuals of Mexican descent, being born in the USA (vs Mexico) is associated with about 1 hour less sleep per night, worse sleep quality, more insomnia symptoms, and less mild sleep apnea symptoms. These relationships are influenced by acculturation, primarily the degree of Anglo rather than the degree of Mexican acculturation.

睡眠时间、睡眠质量和睡眠障碍症状出生地协会,在美墨边境。
目的:本研究调查了出生地和文化适应在美墨边境西班牙裔/拉丁裔人口睡眠估计中的作用。测量方法:数据于2016年收集,来自亚利桑那州诺加利斯市的100名墨西哥裔成年人,位于美墨边境。采用匹兹堡睡眠质量指数(PSQI)评估睡眠,失眠严重程度指数分为无、轻度、中度和重度,多变量呼吸暂停预测指数(MAP)分为从不、不频繁和频繁。采用《墨西哥裔美国人文化适应评定量表II》(ARSMA-II)测量文化适应程度。结果:样本中大多数是墨西哥出生的(66%,美国出生的38.2%)。出生在美国的人夜间睡眠时间少55分钟(p = 0.011), PSQI评分高1.65分钟(p = 0.031)。与无症状相比,在美国出生的人更有可能出现严重的入睡困难(OR = 8.3, p = 0.030)和严重的睡眠困难(OR = 11.2, p = 0.050),以及睡眠中呼吸暂停的可能性降低(OR = 0.18, p = 0.020)。在这些模型中加入墨西哥文化适应后,这些关系仍然很重要。然而,更大程度的盎格鲁文化适应似乎会导致每晚睡眠时间减少一小时,睡眠质量下降,报告入睡和保持睡眠严重困难。结论:在墨西哥后裔中,出生在美国(相对于墨西哥)的人每晚睡眠时间少1小时,睡眠质量差,失眠症状多,轻度睡眠呼吸暂停症状少。这些关系受到文化适应的影响,主要是盎格鲁文化的适应程度,而不是墨西哥文化的适应程度。
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来源期刊
Behavioral Sleep Medicine
Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY
CiteScore
7.20
自引率
3.20%
发文量
49
审稿时长
>12 weeks
期刊介绍: Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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