Ormiston Cameron K, Lopez Diana, Ishino Francisco A Montiel, McNeel Timothy S, Williams Faustine
Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA.
Information Management Services, Inc., Calverton, MD, USA.
Prev Med Rep. 2022 Jul 21;29:101918. doi: 10.1016/j.pmedr.2022.101918. eCollection 2022 Oct.
Acculturation and depression are linked to poor sleep quality and sleep problems that may explain ongoing health disparities for Hispanics/Latinos. We examined the associations of acculturation, depression, and sleep duration among the Mexican American population. We used a multinomial logistic regression model on cross-sectional data from the 2005-2018 National Health and Nutrition Examination Survey on 4,700 Mexican American adults aged ≥18 years old. The outcome of sleep duration was operationalized as short (≤6 h), optimal (7-8 h), and long (≥9 h). Acculturation was constructed using years living in the U.S. and language(s) spoken at home (majority Spanish, English and Spanish equally, majority English). Depression severity was assessed using the 9-item Patient Health Questionnaire. Covariates included gender, age, marital status, income, and U.S. citizenship. Speaking majority English (Adjusted Odds Ratio (AOR) = 1.23; 95% Confidence Interval (CI) = 1.00-1.52) and mild (AOR = 1.63; 95%CI = 1.32-2.01), moderate (AOR = 1.94; 95%CI = 1.43-2.63), and moderately severe/severe (AOR = 2.58; 95%CI = 1.72-3.88) levels of depression were significantly associated with short sleep duration. Living in the U.S. for ≥10 years (AOR = 1.61; 95%CI = 1.17-2.23) and moderately severe/severe depression (AOR = 2.30; 95%CI = 1.34-3.93) were significantly associated with long sleep duration. Our results provide additional evidence of a link between acculturation, depression, and short and long sleep duration among the Mexican American population. Understanding the sleep health of this population is important for informing future public health interventions and research. Additional investigation into the relationship between acculturation/depression and other sleep health measures among this population is warranted.
文化适应和抑郁与睡眠质量差及睡眠问题有关，这可能解释了西班牙裔/拉丁裔人群中持续存在的健康差异。我们研究了墨西哥裔美国人中文化适应、抑郁和睡眠时间之间的关联。我们对2005 - 2018年美国国家健康与营养检查调查中4700名年龄≥18岁的墨西哥裔美国成年人的横断面数据使用了多项逻辑回归模型。睡眠时间的结果分为短（≤6小时）、最佳（7 - 8小时）和长（≥9小时）。文化适应是根据在美国居住的年限和在家中使用的语言（主要是西班牙语、英语和西班牙语使用频率相同、主要是英语）来构建的。抑郁严重程度使用9项患者健康问卷进行评估。协变量包括性别、年龄、婚姻状况、收入和美国公民身份。主要说英语（调整后的优势比（AOR）= 1.23；95%置信区间（CI）= 1.00 - 1.52）以及轻度（AOR = 1.63；95%CI = 1.32 - 2.01）、中度（AOR = 1.94；95%CI = 1.43 - 2.63）和中度严重/重度（AOR = 2.58；95%CI = 1.72 - 3.88）抑郁水平与短睡眠时间显著相关。在美国居住≥10年（AOR = 1.61；95%CI = 1.17 - 2.23）和中度严重/重度抑郁（AOR = 2.30；95%CI = 1.34 - 3.93）与长睡眠时间显著相关。我们的结果为墨西哥裔美国人中文化适应、抑郁以及短和长睡眠时间之间的关联提供了更多证据。了解该人群的睡眠健康对于为未来的公共卫生干预措施和研究提供信息很重要。有必要对该人群中文化适应/抑郁与其他睡眠健康指标之间的关系进行进一步调查。
