Relationship of Acculturation to Self-Reported Insomnia Among Mexican-Americans

2.50
Hdl Handle:
http://hdl.handle.net/10755/151224
Type:
Presentation
Title:
Relationship of Acculturation to Self-Reported Insomnia Among Mexican-Americans
Abstract:
Relationship of Acculturation to Self-Reported Insomnia Among Mexican-Americans
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Baldwin, Carol M., PhD, RN, AHN-BC
P.I. Institution Name:Arizona State University
Title:Associate Professor
Co-Authors:Mary Z. Mays, PhD; Cipriana Caudillo-Cisneros, RN, MS; Sergio Marquez-Gamino, MD, PhD; Luxana Reynaga-Ornelas, MN, RN; Stuart F. Quan, MD
[Research Presentation] Purpose: High U.S. acculturation among Mexican Americans has been associated with higher rates of chronic conditions, including diabetes and obesity. Limited access to care, however, contributes to significant disparities. This study extends examination of these issues to difficulty initiating and maintaining sleep (insomnia). Methods: Bilingual Mexican Americans (24 men/26 women) participated in the cross-language validation of a Spanish version of the Sleep Heart Health Study (SHHS) Sleep Habits Questionnaire (SHQ). The Spanish version of the ARSMA II acculturation measure identified participants as "Bicultural" (n=11; both Mexican and U.S. identification), "Traditional" (n=25; predominant Mexican identification), and "Assimilated" (n=12; predominant U.S. identification). Results: Biculturals were the youngest (M=37.5, SD=12.5 years), had the most education (M=15.3, SD=3.6 years), were the most obese (55% with BMI>29), with the most comorbid conditions (M=2.5, SD=2.5). Traditionals were the oldest (M=39.1, SD=13.2 years), had the lowest educational level (M=13.9, SD=3.0 years), were the least obese (20% with BMI>29), with the fewest comorbid conditions (M=1.8, SD=2.0). Biculturals, however, reported the least severe insomnia (M=6.8, SD=2.9), while Traditionals reported the most severe insomnia (M=7.9, SD=3.1). Biculturals were more likely to have difficulty falling asleep compared to Traditionals (27% versus 20% OR=1.50), but less likely to have difficulty staying sleep (18% versus 20% OR=0.70), and less likely to report early morning awakening with difficulty returning to sleep compared to Traditionals (9% versus 16% OR=0.53). Assimilated were more likely than Biculturals to report difficulty staying asleep (18% versus 33% OR=2.25). Assimilated and Biculturals, however, were equally likely to report difficulty falling asleep (each 25%) and difficulty with early morning awakening (each 8%). Conclusion: The relationship of acculturation to insomnia did not follow patterns typically observed with other chronic illnesses among Mexican Americans. Findings indicate the need to study the role of acculturation in sleep health among immigrant populations globally.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRelationship of Acculturation to Self-Reported Insomnia Among Mexican-Americansen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151224-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Relationship of Acculturation to Self-Reported Insomnia Among Mexican-Americans</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Baldwin, Carol M., PhD, RN, AHN-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Arizona State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">carol.baldwin@asu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Z. Mays, PhD; Cipriana Caudillo-Cisneros, RN, MS; Sergio Marquez-Gamino, MD, PhD; Luxana Reynaga-Ornelas, MN, RN; Stuart F. Quan, MD</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Purpose: High U.S. acculturation among Mexican Americans has been associated with higher rates of chronic conditions, including diabetes and obesity. Limited access to care, however, contributes to significant disparities. This study extends examination of these issues to difficulty initiating and maintaining sleep (insomnia). Methods: Bilingual Mexican Americans (24 men/26 women) participated in the cross-language validation of a Spanish version of the Sleep Heart Health Study (SHHS) Sleep Habits Questionnaire (SHQ). The Spanish version of the ARSMA II acculturation measure identified participants as &quot;Bicultural&quot; (n=11; both Mexican and U.S. identification), &quot;Traditional&quot; (n=25; predominant Mexican identification), and &quot;Assimilated&quot; (n=12; predominant U.S. identification). Results: Biculturals were the youngest (M=37.5, SD=12.5 years), had the most education (M=15.3, SD=3.6 years), were the most obese (55% with BMI&gt;29), with the most comorbid conditions (M=2.5, SD=2.5). Traditionals were the oldest (M=39.1, SD=13.2 years), had the lowest educational level (M=13.9, SD=3.0 years), were the least obese (20% with BMI&gt;29), with the fewest comorbid conditions (M=1.8, SD=2.0). Biculturals, however, reported the least severe insomnia (M=6.8, SD=2.9), while Traditionals reported the most severe insomnia (M=7.9, SD=3.1). Biculturals were more likely to have difficulty falling asleep compared to Traditionals (27% versus 20% OR=1.50), but less likely to have difficulty staying sleep (18% versus 20% OR=0.70), and less likely to report early morning awakening with difficulty returning to sleep compared to Traditionals (9% versus 16% OR=0.53). Assimilated were more likely than Biculturals to report difficulty staying asleep (18% versus 33% OR=2.25). Assimilated and Biculturals, however, were equally likely to report difficulty falling asleep (each 25%) and difficulty with early morning awakening (each 8%). Conclusion: The relationship of acculturation to insomnia did not follow patterns typically observed with other chronic illnesses among Mexican Americans. Findings indicate the need to study the role of acculturation in sleep health among immigrant populations globally.</td></tr></table>en_GB
dc.date.available2011-10-26T10:55:35Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:55:35Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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