Employment status and the association of sociocultural stress with sleep in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
Employment status and the association of sociocultural stress with sleep in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
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DOI：
10.1093/sleep/zsz002
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发表时间：
2019-04-01
期刊：
影响因子：
5.6
通讯作者：
Patel, Sanjay R.
中科院分区：
文献类型：
--
作者：
Alcantara, Carmela;Gallo, Linda C.;Patel, Sanjay R.
研究目的我们研究了社会文化压力严重程度（即文化适应压力，种族歧视）和慢性压力负担与多个维度的睡眠在美国西班牙裔/拉丁裔人口为基础的样本的关联。我们还探讨了就业状况是否会改变压力-睡眠associations.Methods方法我们进行了调查线性回归，以测试社会文化压力严重程度和压力负担与睡眠维度的横截面关联，使用2010年至2013年期间从参加西班牙裔社区健康研究/拉丁裔Sueno研究和社会文化辅助研究的个人中收集的数据结果更大的文化适应压力（B = 0.75，标准误[SE] = 0.26，p <0.01）和慢性心理社会压力负担（B = 1.04，SE = 0.18，p <0.001）与更大的失眠症状相关，但与睡眠活动图测量无关。种族歧视与任何睡眠维度都无关。失业者（B = 2.06，SE = 0.34）与就业者（B = 1.01，SE = 0.31）相比，文化适应压力与失眠严重程度的关联更大（p-交互作用= 0.08）。结论文化适应压力严重程度和慢性压力负担是失眠的重要和一致的相关因素，但不是活动测量的睡眠维度。如果复制，未来的研究应该测试是否针对解决社会文化压力的干预措施改善西班牙裔/拉丁美洲人的睡眠质量。
Study Objectives We examined the association of sociocultural stress severity (i.e. acculturation stress, ethnic discrimination) and chronic stress burden with multiple dimensions of sleep in a population-based sample of US Hispanics/Latinos. We also explored whether employment status modified stress-sleep associations.Methods We conducted survey linear regressions to test the cross-sectional association of sociocultural stress severity and stress burden with sleep dimensions using data collected between 2010 and 2013 from individuals who participated in both the Hispanic Community Health Study/Study of Latinos Sueno and Sociocultural Ancillary studies (N = 1192).Results Greater acculturation stress (B = 0.75, standard error [SE] = 0.26, p < .01) and chronic psychosocial stress burden (B = 1.04, SE = 0.18, p < .001) were associated with greater insomnia symptoms but were not associated with actigraphic measures of sleep. Ethnic discrimination was not associated with any of the sleep dimensions. The association of acculturation stress with insomnia severity was greater in unemployed (B = 2.06, SE = 0.34) compared to employed (B = 1.01, SE = 0.31) participants (p-interaction = .08).Conclusions Acculturation stress severity and chronic stress burden are important and consistent correlates of insomnia, but not actigraphically measured sleep dimensions. If replicated, future research should test whether interventions targeting the resolution of sociocultural stress improve sleep quality in Hispanics/Latinos.