华裔美国乳腺癌幸存者的社会经济地位、压力与癌症相关疲劳：睡眠的中介作用
Socioeconomic Status, Stress, and Cancer-related Fatigue among Chinese American Breast Cancer Survivors: The Mediating Roles of Sleep.
作者信息
Tsai William, Kim Jacqueline H J, Yeung Nelson C Y, Lu Qian
机构信息
Department of Applied Psychology, New York University, New York, NY, USA: Address: 246 Greene Street 8 Floor, New York, NY 10003.
Department of Medicine, University of California, Irvine, CA, USA: Address: 100 Theory, Suite 100, Irvine, CA 92617.
出版信息
Asian Am J Psychol. 2024 Sep;15(3):213-222. doi: 10.1037/aap0000330.
Sleep-related issues may be one significant pathway through which socioeconomic disadvantages are associated with worse self-reported states in cancer. The present study examined the relationships between SES (income and education level) and two important biobehavioral factors (cancer-related fatigue and perceived stress), as well as mediation through sleep-related problems (sleep medication use, daytime dysfunction, and sleep quality) among a sample of Chinese American breast cancer survivors. 136 Chinese American breast cancer survivors completed a self-reported questionnaire. We found that relative to those with the lowest annual household income, those with the highest income have lower perceived stress. This relationship was mediated by lower sleep quality. Relative to those with a high school degree or less, those with graduate degrees have lower daytime dysfunction, and in turn lower cancer-related fatigue. Our findings point to the importance of addressing sleep-related issues, perceived stress, and cancer-related fatigue among Chinese American breast cancer survivors with low SES backgrounds.
睡眠相关问题可能是社会经济劣势与癌症患者自我报告的较差状态相关联的一个重要途径。本研究考察了社会经济地位（收入和教育水平）与两个重要的生物行为因素（癌症相关疲劳和感知压力）之间的关系，以及在美国华裔乳腺癌幸存者样本中，通过睡眠相关问题（使用助眠药物、日间功能障碍和睡眠质量）的中介作用。136名美国华裔乳腺癌幸存者完成了一份自我报告问卷。我们发现，与家庭年收入最低的人相比，收入最高的人感知压力更低。这种关系通过较低的睡眠质量起中介作用。与高中学历或以下的人相比，拥有研究生学位的人日间功能障碍更少，进而癌症相关疲劳也更少。我们的研究结果表明，解决社会经济地位较低的美国华裔乳腺癌幸存者的睡眠相关问题、感知压力和癌症相关疲劳具有重要意义。
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