1. Stress and sleep: Results from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study
- Author
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Carmen R. Isasi, Sanjay R. Patel, Mercedes R. Carnethon, Sonia Davis, Phyllis C. Zee, Elva M. Arredondo, Susan Redline, Carmela Alcántara, Alberto R. Ramos, Sheila F. Castañeda, and Linda C. Gallo
- Subjects
Gerontology ,OR, Odds Ratio ,Health (social science) ,AHI, apnea-hypopnea index ,Insomnia ,Hispanics ,Psychological intervention ,United States of America ,Stress ,Non-rapid eye movement sleep ,NREM, Non-rapid eye movement ,PEDQ-CV, Perceived Ethnic Discrimination Questionnaire – Community Version ,Article ,US, United States ,ESS, Epworth Sleepiness Scale ,03 medical and health sciences ,0302 clinical medicine ,Stress (linguistics) ,Discrimination ,medicine ,SCAS, Sociocultural Ancillary Study ,SD, Standard deviation ,030212 general & internal medicine ,lcsh:Social sciences (General) ,10. No inequality ,HSI, Hispanic Stress Inventory ,WHIIRS, Women’s Health Initiative Insomnia Rating Scale ,lcsh:Public aspects of medicine ,Health Policy ,Stressor ,Public Health, Environmental and Occupational Health ,VIF, variance inflation factor ,lcsh:RA1-1270 ,Sleep in non-human animals ,CES-D, Center for Epidemiological Studies Depression Scale ,Acculturation ,CI, Confidence Interval ,HCHS/SOL, Hispanic Community Health Study/Study of Latinos ,Community health ,lcsh:H1-99 ,medicine.symptom ,Psychology ,RRR, Relative Risk Ratio ,Sleep ,030217 neurology & neurosurgery ,Demography - Abstract
Hispanics/Latinos face specific sociocultural stressors associated with their marginalized status in the United States. While stress is known to cause poor sleep, the differential effects of the specific stressors faced by Hispanics/Latinos have not been evaluated. Using cross-sectional data from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study, we conducted weighted generalized linear models to evaluate the associations of acculturation stress, ethnic discrimination, and chronic moderate/severe stress with self-reported sleep outcomes (insomnia symptoms, daytime sleepiness, sleep duration) in individual and aggregate models adjusted for site, socio-demographics, behavioral, and medical conditions. Participants included 5313 Hispanic/Latino adults; 43.5% ≥ age 45, 54.8% female, and 22.0% US-born. Chronic moderate/severe stress, ethnic discrimination, and acculturation stress were each positively associated with sleep. In the adjusted aggregate model, only chronic moderate/severe stress was associated with insomnia symptoms (exp(b) = 1.07 for each additional stressor, 95% CI = 1.05, 1.09). Both acculturation stress (exp(b) = 1.05 for each additional SD, 95% CI = 1.02, 1.10) and ethnic discrimination (exp(b) = 1.05 for each additional SD, 95% CI = 1.01, 1.08) were associated with daytime sleepiness. Each SD increase in ethnic discrimination related to a 16% and 13% increased prevalence of short (< 7 h) (RRR = 1.16, 95% CI = 1.02, 1.31) and long sleep duration (> 9 h) (RRR = 1.13, 95% CI = 1.00, 1.27), respectively. These associations were consistent across sex. Acculturation stress and ethnic discrimination are associated with poor sleep in Hispanics/Latinos. Future research should explore whether behavioral sleep interventions minimize the impact of sociocultural stressors on sleep., Highlights • Latina/os face unique stressors associated with their marginalized status in the USA. • We explored the association of sociocultural stressors with Latina/o sleep. • Acculturation stress and ethnic discrimination were associated with daytime sleepiness. • Only chronic psychosocial stress was associated with insomnia symptoms. • Ethnic discrimination was associated with both short and long sleep duration.
- Published
- 2017