Associations between sleep health and familial social support, intragroup marginalization, and conflict among Hispanic adults.

IF 2.8 3区 医学 Q2 PSYCHOLOGY, CLINICAL
Journal of Behavioral Medicine Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI:10.1007/s10865-025-00563-0
Miguel A Garcia, Ashley M Lindquist, Joshua I Torres, Anna D Drozdova, Theodore V Cooper
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Abstract

Sleep is vital for health and well-being, and familial relationships may impact sleep health. This study investigated the associations between sleep health and familial social support, familial intragroup marginalization, familial conflict, and living environment (i.e., living with parent(s) or legal guardian(s)) among Hispanic adults. Hispanic adult college students (n = 455) completed a survey assessing demographics, sleep quality, and familial social support, intragroup marginalization, and conflict. One hierarchical multiple linear regression model assessed the associations between these familial factors, living environment, and sleep quality. Results indicated that poorer sleep quality was associated with greater familial conflict in the full hierarchical regression model (i.e., Step 6). In Step 2 though, poorer sleep quality was inversely associated with familial social support, yet this association disappeared once familial intragroup marginalization was entered. Post-hoc mediation analysis revealed that familial social support was inversely indirectly associated with sleep quality through familial intragroup marginalization and conflict serially. Living environment did not moderate any relationships between familial factors and sleep quality. That familial social support was initially associated with enhanced sleep quality until familial intragroup marginalization was considered suggests that familial negativity may have a greater impact on sleep health than familial social support. Further, familial social support may influence sleep quality through familial negativity. Familial conflict may be particularly detrimental for sleep health. Clinical implications are discussed. Longitudinal studies are warranted to assess temporality.

西班牙裔成年人中睡眠健康与家庭社会支持、群体内边缘化和冲突之间的关系
睡眠对健康和幸福至关重要,家庭关系可能会影响睡眠健康。本研究调查了西班牙裔成年人的睡眠健康与家庭社会支持、家庭群体内边缘化、家庭冲突和生活环境(即与父母或法定监护人一起生活)之间的关系。西班牙裔成年大学生(n = 455)完成了一项评估人口统计学、睡眠质量、家庭社会支持、群体内边缘化和冲突的调查。一个层次多元线性回归模型评估了这些家庭因素、生活环境和睡眠质量之间的关系。结果表明,在全层次回归模型(即步骤6)中,较差的睡眠质量与较大的家庭冲突相关。尽管在步骤2中,较差的睡眠质量与家庭社会支持呈负相关,但一旦进入家庭群体内边缘化,这种关联就消失了。事后中介分析显示,家庭社会支持与睡眠质量的关系依次通过家庭群体内边缘化和家庭冲突呈负相关。生活环境对家庭因素与睡眠质量没有调节作用。家庭社会支持最初与提高睡眠质量有关,直到考虑到家庭群体内边缘化,这表明家庭消极情绪可能比家庭社会支持对睡眠健康的影响更大。此外,家庭社会支持可能通过家庭消极性影响睡眠质量。家庭冲突对睡眠健康尤其有害。讨论了临床意义。有必要进行纵向研究来评估时间性。
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来源期刊
Journal of Behavioral Medicine
Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
3.20%
发文量
112
期刊介绍: The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders.  Reports of interdisciplinary approaches to research are particularly welcomed.
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