The Mediating Role of Sleep Disturbance on the Association Between Stress and Self-Rated Health Among Chinese and Korean Immigrant Americans.
The Mediating Role of Sleep Disturbance on the Association Between Stress and Self-Rated Health Among Chinese and Korean Immigrant Americans.
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DOI：
10.5888/pcd20.220241
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发表时间：
2023-01-26
影响因子：
5.5
通讯作者：
Lee S
中科院分区：
文献类型：
--
作者：
Morey BN;Ryu S;Shi Y;Lee S
睡眠障碍可能是将压力与健康状况不佳联系起来的一个因素，特别是在那些因种族和少数民族以及出生状况而承受高水平压力的群体中。本研究的目的是描述睡眠障碍的潜在中介作用，在各种类型的压力和自评健康之间的关联，在中国和韩国的美国人。我们的横断面研究由400名年龄在50至75岁之间的中国和韩国移民组成，他们于2018年8月至2020年6月从巴尔的摩-华盛顿特区大都市区的医生诊所招募。我们使用患者报告结果测量信息系统（PROMIS）简短问卷来测量睡眠障碍。线性回归分析研究了3种类型的压力（文化压力，感知压力和痛苦）和自测健康之间的关联，考虑了人口统计学，社会经济学和健康保险因素。Karlson-Holm-Breen方法用于估计压力对自测健康的总影响和直接影响，以及压力通过睡眠障碍对健康的间接影响。更大的文化适应压力（β = 0.08; 95%CI，0.01-0.14）、感知压力（β = 0.05; 95%CI，0.03-0.08）和痛苦（β = 0.09; 95%CI，0.05-0.13）都与更差的自我评价健康相关。睡眠障碍是一个部分中介，与睡眠障碍占21.7%，14.9%，和18.7%的相关性之间的文化压力，感知压力，痛苦和自我评价的健康，分别。由于睡眠障碍部分介导了压力和自我评估健康状况不佳之间的关联，未来的干预措施和研究可能会考虑减轻种族和少数民族人群的睡眠障碍和压力，以解决健康差异。
Disturbed sleep may be a factor that links stress with poor health, especially among groups experiencing high levels of stress caused by racial and ethnic minority and nativity status. The objective of this study was to describe the potential mediating role of sleep disturbance in the associations between various types of stress and self-rated health among Chinese and Korean Americans. Our cross-sectional study consisted of 400 Chinese and Korean immigrants aged 50 to 75 years recruited from August 2018 through June 2020 from physicians’ clinics in the Baltimore–Washington, DC, metropolitan area. We used the Patient Reported Outcomes Measurement Information System (PROMIS) short-form questionnaire to measure sleep disturbance. Linear regression analyses examined associations between 3 types of stress (acculturative stress, perceived stress, and distress) and self-rated health, accounting for demographic, socioeconomic, and health insurance factors. The Karlson–Holm–Breen method was used to estimate the total and direct effects of stresses on self-rated health and the indirect effects of stresses on health through sleep disturbance. Greater acculturative stress (β = 0.08; 95% CI, 0.01–0.14), perceived stress (β = 0.05; 95% CI, 0.03–0.08), and distress (β = 0.09; 95% CI, 0.05–0.13) were all associated with poorer self-rated health. Sleep disturbance was a partial mediator, with sleep disturbance accounting for 21.7%, 14.9%, and 18.7% of the associations between acculturative stress, perceived stress, and distress and self-rated health, respectively. Because sleep disturbance partially mediates the associations between stress and poor self-rated health, future interventions and research may consider mitigating sleep disturbances and stress among racial and ethnic minority populations to address health disparities.
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影响因子：
9.3
作者：
Sindi S;Pérez LM;Vetrano DL;Triolo F;Kåreholt I;Sjöberg L;Darin-Mattsson A;Kivipelto M;Inzitari M;Calderón-Larrañaga A
通讯作者：
Calderón-Larrañaga A
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
2.3
作者：
Mitchell, Uchechi A.;Dellor, Elinam D.;Nguyen, Ann W.
通讯作者：
Nguyen, Ann W.
影响因子：
5.4
作者：
Lee, Shih-Yu;Hsu, Hui-Chin
通讯作者：
Hsu, Hui-Chin
影响因子：
2.4
作者：
Han KS;Kim L;Shim I
通讯作者：
Shim I