美洲印第安人睡眠健康相关因素的内容分析。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health Pub Date : 2025-04-01 DOI:10.1016/j.sleh.2025.01.006

Roxanna King PhD , Shelby Koch MA , Raven Burns MD , Cameron Cupp MD , Meghan Lindell BS , Sara London MEd , Joseph Bunch BA , Amanda Fretts MPH, PhD , Tauqeer Ali MBBS, MPH, PhD , Jason Umans MD, PhD , Lonnie Nelson PhD

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引用次数: 0

摘要

背景：慢性睡眠问题在美国印第安人（AI）人群中很常见，但是缺乏关于AI人群睡眠健康的行为、心理、社会文化和经济因素的定性研究。这项研究旨在通过提供人类睡眠健康的定性数据来弥补这种疏忽。目的：探讨人工智能人群健康睡眠的障碍和促进因素，并确定与人工智能人群睡眠相关的保护性文化因素。背景：59名年龄在30-79岁之间的美国印第安人分布在三个地理位置：亚利桑那州，南达科他州和俄克拉荷马州。方法：于2019年11月进行焦点小组调查，于2020年5 - 11月进行个别访谈。常规内容分析用于检查与健康睡眠障碍和促进因素相关的反复出现和重叠的主题。结果：得出11个健康睡眠障碍和12个健康睡眠促进因素。促进因素包括保护性的文化因素，如好梦、文化就寝习惯、祈祷、传统知识、仪式和实践以及传统疗法。结论：研究结果表明，未来AI人群的睡眠健康干预应侧重于促进被确定为保护因素的文化因素，并改善睡眠环境。从文化角度调整睡眠健康干预措施是研究方法非殖民化的重要一步。

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Content analysis of factors related to sleep health among American Indian peoples

Background

Chronic sleep problems are commonly reported in American Indian (AI) peoples, however there is a lack of qualitative research examining the behavioral, psychological, sociocultural, and economic factors surrounding sleep health among AI peoples. This study aims to remedy that oversight by providing qualitative data on AI peoples sleep health.

Objectives

To explore the perceived barriers to and facilitators of healthy sleep in AI peoples and identify protective cultural factors associated with sleep for AI peoples.

Setting

Fifty-nine American Indians aged 30-79 located across 3 geographic sites: Arizona, South Dakota, and Oklahoma.

Methods

Focus groups were collected in November 2019 and individual interviews were conducted between May and November 2020. Conventional content analysis was used to examine the recurring and overlapping themes related to perceptions of barriers to and facilitators of healthy sleep.

Results

The results yielded 11 barriers to healthy sleep and 12 facilitators of healthy sleep. Facilitators included protective cultural factors such as good dreams, cultural bedtime routine, praying, traditional knowledge, ceremonies and practices, and traditional remedies.

Conclusions

The findings suggest future sleep health interventions among AI peoples should focus on promoting the cultural factors that were identified as protective factors and improving the sleep environment. Culturally tailoring sleep health interventions is an important step forward in decolonizing research methodologies.

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来源期刊

Sleep Health CLINICAL NEUROLOGY-

CiteScore

6.30

自引率

9.80%

发文量

114

审稿时长

54 days

期刊介绍： Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.