Sleep
Volume 37, Issue 2, 2014, Pages 309-317
Acculturation and sleep among a multiethnic sample of women: The Study of Women's Health Across the Nation (SWAN) (Article) (Open Access)
Hale L.* ,
Troxel W.M. ,
Kravitz H.M. ,
Hall M.H. ,
Matthews K.A.
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a
Program in Public Health, Department of Preventive Medicine, Stony Brook University, Stony Brook, NY 11794-8338, United States
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b
Behavioral and Policy Sciences Division, RAND Corporation, Pittsburgh, PA, United States
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c
Department of Psychiatry, Rush University Medical Center, Chicago, IL, United States, Department of Preventive Medicine, Rush University Medical Center, Chicago, IL, United States
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d
Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, United States
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e
Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, United States
Abstract
Study Objectives: Mexican immigrants to the United States report longer sleep duration and fewer sleep complaints than their US-born counterparts. To investigate whether this effect extends to other immigrant groups, we examined whether the prevalence of self-reported sleep complaints is higher among US-born Hispanic/Latina, Chinese, and Japanese immigrant women compared to their first-generation immigrant ethnic counterparts as well as to US-born whites. We examined whether these associations persisted after adjusting for sociodemographic and health characteristics and whether acculturation mediated the effects. Design: Cross-sectional observational study. Setting: Multisite study in Oakland, CA; Los Angeles, CA; and Newark, NJ. Participants: Hispanic/Latina (n = 196), Chinese (n = 228), Japanese (n = 271) and non-Hispanic white (n = 485) women (mean age = 46 y, range 42-52 y) participating in the Study of Women's Health Across the Nation (SWAN); 410 or 59.0% of the nonwhites were first-generation immigrants. Interventions: None. Measurements and Results: Questionnaires were used to assess sleep complaints, race/ethnicity, immigrant status, language acculturation (use of English language), and sociodemographic and health variables. Approximately 25% of first-generation immigrant women reported sleep complaints compared to 37% of those who were US-born nonwhites and 42% of US-born whites. Multivariable adjusted logistic regression analyses showed that US-born nonwhites had higher odds of reporting any sleep complaints (odds ratio = 2.1, 95% confidence interval [CI] 1.5-3.0), compared to first-generation immigrants. Women with higher levels of language acculturation had greater odds of reporting any sleep complaint compared to those with less language acculturation. Adjustment for language acculturation mediated 40.4% (95% CI 28.5-69.8) of the association between immigrant status and any sleep complaint. When results were stratified by race/ethnicity, significant mediation effects of acculturation were only found for Hispanic/Latina and Japanese women, but not for Chinese women. Conclusion: US-born Hispanic/Latina, Chinese, and Japanese immigrants were more likely to report sleep complaints than their first-generation ethnic counterparts, a finding largely explained by language acculturation and unmeasured factors associated with language acculturation.
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84893491035&doi=10.5665%2fsleep.3404&partnerID=40&md5=a5e2de4e00263356c9478f9f1cd68140
DOI: 10.5665/sleep.3404
ISSN: 01618105
Cited by: 23
Original Language: English