Socioeconomic Status, Stress, and Cancer-related Fatigue among Chinese American Breast Cancer Survivors: The Mediating Roles of Sleep.

IF 2.4 4区 心理学 Q1 ETHNIC STUDIES
William Tsai, Jacqueline H J Kim, Nelson C Y Yeung, Qian Lu
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引用次数: 0

Abstract

Sleep-related issues may be one significant pathway through which socioeconomic disadvantages are associated with worse self-reported states in cancer. The present study examined the relationships between SES (income and education level) and two important biobehavioral factors (cancer-related fatigue and perceived stress), as well as mediation through sleep-related problems (sleep medication use, daytime dysfunction, and sleep quality) among a sample of Chinese American breast cancer survivors. 136 Chinese American breast cancer survivors completed a self-reported questionnaire. We found that relative to those with the lowest annual household income, those with the highest income have lower perceived stress. This relationship was mediated by lower sleep quality. Relative to those with a high school degree or less, those with graduate degrees have lower daytime dysfunction, and in turn lower cancer-related fatigue. Our findings point to the importance of addressing sleep-related issues, perceived stress, and cancer-related fatigue among Chinese American breast cancer survivors with low SES backgrounds.

美籍华人乳腺癌幸存者的社会经济地位、压力和癌症相关疲劳:睡眠的中介作用
与睡眠相关的问题可能是社会经济劣势与癌症患者自我报告的较差状态相关联的一个重要途径。本研究以美籍华人乳腺癌幸存者为样本,研究了社会经济地位(收入和教育水平)与两个重要生物行为因素(癌症相关疲劳和感知压力)之间的关系,以及通过睡眠相关问题(睡眠药物使用、日间功能障碍和睡眠质量)进行调解的情况。136 名华裔乳腺癌幸存者填写了一份自我报告问卷。我们发现,与家庭年收入最低的人相比,收入最高的人感知到的压力较低。这种关系通过较低的睡眠质量来调节。相对于高中或高中以下学历者,研究生学历者的日间功能障碍较低,进而与癌症相关的疲劳感也较低。我们的研究结果表明,在社会经济地位较低的华裔乳腺癌幸存者中,解决睡眠相关问题、感知压力和癌症相关疲劳问题非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.40
自引率
6.70%
发文量
57
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