通过拉丁裔女性和男性的沉思及饮酒行为，研究文化适应压力对失眠的间接影响。

Examining the indirect effects of acculturation stress on insomnia through rumination and alcohol use among Latinx women and men.

作者信息

Giorgio Cosenzo Luciana Andrea, Alcántara Carmela

机构信息

School of Social Work, University of Alabama.

School of Social Work, Columbia University.

出版信息

Cultur Divers Ethnic Minor Psychol. 2024 Oct 7. doi: 10.1037/cdp0000723.

DOI:10.1037/cdp0000723

PMID:39374142

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11973231/

Abstract

OBJECTIVES

Acculturation stress, a type of sociocultural stress, is positively associated with insomnia among Latinxs; however, the mechanisms of this association remain elusive. We tested the indirect effects of acculturation stress on insomnia through rumination and alcohol use, two coping strategies associated with insomnia, and explored these effects in gender-stratified models among Latinxs.

METHOD

We analyzed cross-sectional data from 187 Latinxs participating in the Latino Sleep and Health study in New York City in 2016-2019. We conducted bias-corrected boot-strap tests of mediation with case resampling (1,000 replications) in aggregate and gender-stratified models. Acculturation stress and insomnia were measured continuously using the Hispanic Stress Inventory and Insomnia Severity Index (ISI). Rumination was measured using a subscale of the Ruminative Response Scale. The Quantity-Frequency Index was used to measure alcohol use. Covariates included age, New York City poverty threshold, and perceived stress.

RESULTS

Participants were 37.43 ( = 13.67). Most participants were women (64.17%). The average ISI was 6.65 ( = 5.51). The indirect effect of acculturation stress on insomnia through rumination was statistically significant ( = 0.02, 95% BCa CI [0.01, 0.03]). Among women, this indirect effect had slightly larger coefficients than among men ( = 0.02, 95% BCa CI [0.01, 0.04]; = 0.01, 95% BCa CI [0.004, 0.04]). Alcohol use was not a statistically significant mediator ( = -0.001, 95% BCa CI [-0.004, 0.0002]).

CONCLUSION

These findings suggest that psychological interventions focused on reducing rumination in response to acculturation stress may promote healthy sleep among Latinxs, particularly among Latina women. Future studies should use longitudinal study designs to determine the causal relationships among these variables. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

文化适应压力是一种社会文化压力，与拉丁裔人群的失眠呈正相关；然而，这种关联的机制仍不明确。我们通过沉思和饮酒这两种与失眠相关的应对策略，测试了文化适应压力对失眠的间接影响，并在拉丁裔人群按性别分层的模型中探究了这些影响。

方法

我们分析了2016 - 2019年参与纽约市拉丁裔睡眠与健康研究的187名拉丁裔人群的横断面数据。我们在总体模型和按性别分层的模型中，采用案例重抽样（1000次重复）进行了偏差校正的中介引导检验。文化适应压力和失眠分别使用西班牙裔压力量表和失眠严重程度指数（ISI）进行连续测量。沉思使用沉思反应量表的一个子量表进行测量。饮酒量频率指数用于测量饮酒情况。协变量包括年龄、纽约市贫困阈值和感知压力。

结果

参与者的年龄为37.43岁（标准差 = 13.67）。大多数参与者为女性（64.17%）。ISI的平均值为6.65（标准差 = 5.51）。文化适应压力通过沉思对失眠的间接影响具有统计学意义（β = 0.02，95% BCa置信区间[0.01, 0.03]）。在女性中，这种间接影响的系数略大于男性（β = 0.02，95% BCa置信区间[0.01, 0.04]；β = 0.01，95% BCa置信区间[0.004, 0.04]）。饮酒不是具有统计学意义的中介变量（β = -0.001，95% BCa置信区间[-0.004, 0.0002]）。