Oh Hans, Ko Justine, Waldman Kyle
University of Southern California, Suzanne Dworak-Peck School of Social Work, 669 W. 34th St., Los Angeles, CA, 90089-0411, USA.
J Immigr Minor Health. 2019 Dec;21(6):1440-1443. doi: 10.1007/s10903-019-00861-1.
Korean-American mental health is poorly understood, and screening for sleep disturbances may be an effective means of identifying at-risk individuals. In partnership with a Korean-American church in Los Angeles, an online survey was administered. The study was conducted at a Korean-American church in Los Angeles, California. The sample consisted of 137 Korean-Americans drawn from the church congregation. Sleep disturbances were measured using a single ordinal variable, and mental health outcomes included nonspecific psychological distress, perceived stress, loneliness, suicidal ideation, hazardous drinking, treatment seeking behaviors, and perceived need for help. Multivariable logistic regression was used to estimate the associations between sleep disturbances and mental health outcomes, adjusting for age and sex. Results are presented as odds ratios (OR) and 95% confidence intervals. Almost a third of the sample reported moderate or severe sleep disturbances. After adjusting for age and sex, sleep disturbances were associated with greater odds of reporting probable mental illness, perceived need for treatment, and treatment-seeking behaviors. Sleep disturbances were also associated with higher levels of perceived stress and loneliness, but were not significantly associated with suicidal ideation or hazardous drinking. Sleep disturbances are associated with mental health problems and may be an important idiom of distress for Korean-Americans. Primary care providers and informal providers in the community (specifically churches) should work together to screen for sleep problems and refer at-risk individuals to appropriate levels of care.
韩裔美国人的心理健康状况鲜为人知，而筛查睡眠障碍可能是识别高危个体的有效手段。与洛杉矶的一个韩裔美国人教会合作，开展了一项在线调查。该研究在加利福尼亚州洛杉矶的一个韩裔美国人教会进行。样本由从教会会众中抽取的137名韩裔美国人组成。睡眠障碍通过一个单一的有序变量进行测量，心理健康结果包括非特异性心理困扰、感知压力、孤独感、自杀意念、危险饮酒、寻求治疗行为以及感知到的求助需求。使用多变量逻辑回归来估计睡眠障碍与心理健康结果之间的关联，并对年龄和性别进行了调整。结果以比值比（OR）和95%置信区间呈现。近三分之一的样本报告有中度或重度睡眠障碍。在对年龄和性别进行调整后，睡眠障碍与报告可能患有精神疾病、感知到的治疗需求以及寻求治疗行为的较高几率相关。睡眠障碍还与较高水平的感知压力和孤独感相关，但与自杀意念或危险饮酒没有显著关联。睡眠障碍与心理健康问题相关，可能是韩裔美国人苦恼的一个重要表现形式。初级保健提供者和社区中的非正式提供者（特别是教会）应共同努力筛查睡眠问题，并将高危个体转介到适当的护理级别。
