Urzúa Alfonso, Torres-Vallejos Javier, Aragón-Caqueo Diego
Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1270709, Chile.
Escuela de Psicología, Facultad de Ciencias Sociales y Comunicaciones, Universidad Santo Tomas, Santiago 8370003, Chile.
Healthcare (Basel). 2025 Apr 15;13(8):904. doi: 10.3390/healthcare13080904.
Research on sleep disorders among migrant populations is limited, particularly in the context of south-south Latinos migrating to other Latin American countries. This study aims to analyze the effect that the acculturation process may play on the presence of the subjective assessment of insomnia symptoms in South American migrants in Chile. Under a cross-sectional design, 1844 South American migrants from Colombia, Venezuela and Peru, currently residing in Chile, were evaluated. Of these, 50% were women with an average age of 35 years. Data were collected using the Insomnia Severity Index (ISI), the EBEA scale for acculturation stress, a scale based on Berry's acculturation strategies, and the anxiety subscale of the DASS-21. Mediation models were employed to assess anxiety as a mediating variable between both acculturation stress and acculturation orientations as well as insomnia symptoms. A home-country-focused orientation was inversely related to insomnia symptoms, whereas a host-country-focused orientation showed a direct association. Anxiety did not mediate either of these relationships. However, acculturation stress was directly associated with the emergence of insomnia symptoms; in this relationship, anxiety partially mediated the negative effect of stress on sleep. There is a complex and dynamic interplay between the acculturation process, insomnia, and anxiety within south-to-south migration in Latin countries. Understanding these relationships could promote culturally sensitive interventions to mitigate the adverse effects of migration-related stressors on sleep health and the overall well-being of Latino migrants.
关于移民群体睡眠障碍的研究有限，特别是在南南拉丁裔移民到其他拉丁美洲国家的背景下。本研究旨在分析文化适应过程对智利南美移民失眠症状主观评估存在可能产生的影响。在横断面设计下，对目前居住在智利的1844名来自哥伦比亚、委内瑞拉和秘鲁的南美移民进行了评估。其中，50%为女性，平均年龄35岁。使用失眠严重程度指数（ISI）、文化适应压力EBEA量表、基于贝里文化适应策略的量表以及DASS-21焦虑分量表收集数据。采用中介模型评估焦虑作为文化适应压力和文化适应取向以及失眠症状之间的中介变量。以祖国为中心的取向与失眠症状呈负相关，而以东道国为中心的取向则呈直接关联。焦虑并未介导这两种关系中的任何一种。然而，文化适应压力与失眠症状的出现直接相关；在这种关系中，焦虑部分介导了压力对睡眠的负面影响。在拉丁国家的南南移民中，文化适应过程、失眠和焦虑之间存在复杂而动态的相互作用。了解这些关系有助于促进具有文化敏感性的干预措施，以减轻与移民相关的压力源对睡眠健康和拉丁裔移民整体幸福感的不利影响。
