Discrimination and Health Among First-Generation Hispanic/Latinx Immigrants: the Roles of Sleep and Fatigue.
Discrimination and Health Among First-Generation Hispanic/Latinx Immigrants: the Roles of Sleep and Fatigue.
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DOI：
10.1007/s40615-021-01149-7
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发表时间：
2022-12
影响因子：
3.9
通讯作者：
Hagiwara, Nao
中科院分区：
文献类型：
--
作者：
Green, Tiffany;Shipman, Jelaina;Valrie, Cecelia;Corona, Rosalie;Kohlmann, Tatiana;Valiani, Shawn;Hagiwara, Nao
越来越多的文献记载了歧视与健康之间的联系。新出现的证据表明，在西班牙裔/拉丁裔移民中，歧视导致健康状况随着时间的推移而恶化。虽然睡眠被认为是歧视与健康之间关系的重要媒介，但很少有研究明确调查这一途径，特别是在西班牙裔/拉丁裔人群中。调查种族/民族歧视，睡眠和身心健康之间的关系，西班牙裔/拉丁裔移民在美国。使用来自美国东南部第一代西班牙裔/拉丁裔移民的父母研究的数据，我们使用自举方法进行了序贯中介分析，以调查自我报告的睡眠时间，睡眠质量和疲劳是否介导自我报告的歧视之间的关系，通过滨江文化压力清单的歧视子量表测量，以及自我报告的身心健康。夜间觉醒、疲劳和睡眠质量是辨别力和身体健康之间关系的统计学显著顺序中介（B =-0.001，SE = 0.001，CI [-0.0027，-0.0001]）;疲劳本身也介导了这种关系（B =-0.01，SE = 0.01，CI [-0.0279，-0.0003]）。夜间觉醒、疲劳和睡眠质量也是歧视与心理健康之间关系的重要序贯介导因素（B =-0.001，SE = 0.001，CI [-0.0031，-0.0001]）。睡眠和疲劳在将第一代西班牙裔/拉丁裔移民的歧视和健康联系起来方面发挥了重要作用。制定和实施以减少这一人群疲劳为重点的干预措施，可以减轻不公平待遇对健康结果的影响。
A growing literature documents the associations between discrimination and health. Emerging evidence suggests that among Hispanic/Latinx immigrants, discrimination leads to the deterioration of health outcomes over time. While sleep has been proposed as an important mediator of the relationship between discrimination and health, few studies have explicitly investigated this pathway, particularly among Hispanic/Latinx populations. To investigate the relationships between racial/ethnic discrimination, sleep, and physical and mental health among Hispanic/Latinx immigrants in the USA. Using data from a parent study of first-generation Hispanic/Latinx immigrants in the southeastern USA, we conducted sequential mediation analyses using the bootstrapping method to investigate whether self-reported sleep duration, sleep quality, and fatigue mediate the relationship(s) between self-reported discrimination, as measured by the discrimination subscale of the Riverside Acculturative Stress Inventory, and self-reported physical and mental health. Nocturnal awakenings, fatigue, and sleep quality were statistically significant sequential mediators of the relationship between discrimination and physical health (b = −.001, SE = .001, CI [−.0027, −.0001]); fatigue alone also mediated this relationship (b = −.01, SE = .01, CI [−.0279, −.0003]). Nocturnal awakenings, fatigue, and sleep quality were also significant sequential mediators of the relationship between discrimination and mental health (b = −.001, SE = .001, CI [−.0031, −.0001]). Sleep and fatigue play an important role in linking discrimination and health among first-generation Hispanic/Latinx immigrants. The development and implementation of interventions that focus on reducing fatigue among this population could mitigate the effects of unfair treatment on health outcomes.