Villalobos Kevin, Ishino Francisco A Montiel, McNeel Timothy S, Williams Faustine
Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, 7201 Wisconsin Avenue, Suite 533, Rockville, MD, 20814, United States of America.
Information Management Services Inc., Calverton, MD, United States of America.
BMC Public Health. 2022 Jun 1;22(1):1099. doi: 10.1186/s12889-022-13523-z.
Limited studies have examined the relationship of neighborhood cohesion and sleep duration between U.S. foreign-born Hispanics/Latinos and non-Hispanics/Latinos.
We conducted a multinomial logistic regression using the 2013-2018 National Health Interview Survey on U.S. foreign-born adults ≥18 (N = 27,253). The outcome variable, sleep duration, was categorized as short sleep (≤6 hours), normal sleep (7 to 8 hours), and long sleep (≥9 hours). Neighborhood cohesion was categorized using tertiles (low, medium, high) from self-reported Likert scores. Our model included sociodemographic factors (i.e., age, marital status), socioeconomic status (i.e., education, employment status), health risk behaviors (i.e., body mass index, smoking status, alcohol drinking status), ethnic identity (i.e., Mexican, Puerto Rican, Cuban, Dominican, Central or South American, other/multiple Hispanic/Latino, and non-Hispanic/Latino), and acculturation factors (i.e., years lived in the U.S.; the language of interview).
Participants reporting low and medium neighborhood cohesion compared to high neighborhood cohesion had 45% (95% confidence interval [CI]:1.33-1.58) and 15% (95%CI:1.05-1.26) increased odds of short sleep (≤6 hours), compared to normal average sleep. Mexican participants had decreased odds of experiencing short sleep (adjusted odds ratio [AOR] = 0.82, 95%CI:0.73-0.92), while Puerto Ricans had increased odds of experiencing short sleep (AOR = 1.25, 95%CI:1.03-1.51) compared to non-Hispanics/Latinos.
Neighborhood cohesion was associated with increased odds of short sleep duration. Social determinants, acculturation, and behavioral risk factors in the context of neighborhood cohesion are critical to understand U.S. foreign-born Hispanic/Latino sleep duration, as these factors may negatively synergize to exacerbate risk, worsening mental and physical health outcomes.
关于美国出生的西班牙裔/拉丁裔与非西班牙裔/拉丁裔之间邻里凝聚力与睡眠时间关系的研究有限。
我们使用2013 - 2018年美国国家健康访谈调查对年龄≥18岁的美国出生的成年人（N = 27253）进行了多项逻辑回归分析。结果变量睡眠时间分为短睡眠（≤6小时）、正常睡眠（7至8小时）和长睡眠（≥9小时）。邻里凝聚力根据自我报告的李克特量表得分分为三分位数（低、中、高）。我们的模型包括社会人口学因素（即年龄、婚姻状况）、社会经济地位（即教育程度、就业状况）、健康风险行为（即体重指数、吸烟状况、饮酒状况）、种族身份（即墨西哥人、波多黎各人、古巴人、多米尼加人、中美洲或南美洲人、其他/多个西班牙裔/拉丁裔以及非西班牙裔/拉丁裔）和文化适应因素（即在美国居住的年数；访谈语言）。
与邻里凝聚力高的参与者相比，邻里凝聚力低和中等的参与者短睡眠（≤6小时）的几率分别增加了45%（95%置信区间[CI]：1.33 - 1.58）和15%（95%CI：1.05 - 1.26），而正常平均睡眠的几率则降低。与非西班牙裔/拉丁裔相比，墨西哥参与者短睡眠的几率降低（调整后的优势比[AOR] = 0.82，95%CI：0.73 - 0.92），而波多黎各参与者短睡眠的几率增加（AOR = 1.25，95%CI：1.03 - 1.51）。
邻里凝聚力与短睡眠时间几率增加有关。在邻里凝聚力背景下的社会决定因素、文化适应和行为风险因素对于理解美国出生的西班牙裔/拉丁裔的睡眠时间至关重要，因为这些因素可能产生负面协同作用，加剧风险，恶化身心健康结果。
