Spanish Translation and Validation of Sleep Measures

描述（由申请人提供）：亚利桑那州墨西哥裔美国人的比例在全国排名第四，他们占该州目前人口的近23% （www.census.gov）。亚利桑那州的墨西哥裔美国人人口在1990年至1999年间增长了58%。美国人口普查局（1996）预计，到2025年，大约三分之一的亚利桑那州居民将是墨西哥裔美国人。作为一个群体，墨西哥裔美国人患有某些慢性病的比例高得不成比例。亚利桑那州墨西哥裔美国人患2型糖尿病和肥胖症的比率是非西班牙裔白人的两倍。据估计，美国成年人中睡眠障碍的总体患病率在35%到41%之间。睡眠障碍使人们面临更大的身心健康状况恶化的风险，并降低生活质量。最近，美国国立卫生研究院睡眠心脏健康研究（SHHS）报告了睡眠时间短与2型糖尿病和糖耐量受损的关联；然而，与亚利桑那州的大多数墨西哥裔美国人相比，SHHS中代表的墨西哥裔美国人说英语，受教育程度更高。尽管2010年健康人计划将重点放在评估西班牙裔美国人的睡眠障碍上，并且2005财政年度综合拨款法案于2004年12月8日签署成为法律，其中包括指示疾病控制中心和国家卫生研究院睡眠障碍研究中心与国家睡眠基金会合作开展睡眠教育和公众意识倡议的语言，对于说西班牙语的墨西哥裔美国人的睡眠障碍和慢性疾病之间的潜在关系知之甚少，由于缺乏西班牙语翻译和验证的睡眠评估措施，这些倡议的基础是缺乏。针对这些需求，本研究的具体目的是：1)翻译、反翻译和跨语言验证SHHS睡眠习惯问卷；2)确定翻译后问卷在社区诊所接受治疗的西班牙语患者群体中的信度和效度。Lay description：这个经过严格翻译和验证的西班牙语睡眠评估工具将在临床和研究环境中应用。西班牙语翻译的睡眠问卷将为美国国立卫生研究院计划的流行病学、教育、干预和以证据为基础的睡眠障碍研究提供资助，研究对象为讲西班牙语的墨西哥裔美国人。

DESCRIPTION (provided by applicant): Arizona ranks 4th in the nation in percent of Mexican Americans, who comprise nearly 23% of the state's current population (www.census.gov). The Arizona Mexican American population grew by 58% between 1990 and 1999. The U.S. Census Bureau (1996) projects that by 2025 approximately one in three Arizona residents will be Mexican American. As a group, Mexican Americans have disproportionately high rates of certain chronic conditions. The rates of Type 2 diabetes and obesity among Arizona Mexican Americans are twice those of non-Hispanic whites. Overall prevalence rates of disturbed sleep have been estimated to be between 35% to 41% among adults in the United States. Sleep disorders put people at greater risk for poorer physical and mental health, and reduced quality of life. Recently, the NIH Sleep Heart Health Study (SHHS) reported an association of short sleep time with Type 2 diabetes and impaired gluclose tolerance; however, the Mexican American Hispanics represented in the SHHS are acculturated English speakers with higher rates of education compared with the majority of Mexican American Hispanics in Arizona. Although Healthy People 2010 has placed a focus on assessing sleep disorders in Hispanics, and the FY 2005 Omnibus Appropriations bill, signed into law on 12/8/04, includes language that instructs the Centers for Disease Control and the National Center on Sleep Disorders Research at NIH to partner with the National Sleep Foundation to develop sleep education and public awareness initiatives, little is known about potential relationships between sleep disorders and chronic illnesses in Spanish-speaking Mexican Americans on which to base these initiatives due to the lack of a Spanish translated and validated sleep assessment measure. In response to these needs, the Specific Aims of this study are to 1) translate, back translate, and cross-language validate the SHHS Sleep Habits Questionnaire and 2) determine the reliability and validity of the translated questionnaire with a target Spanish-speaking patient population who receive their care at a community-based clinic. Lay description: This rigorously translated and validated Spanish-language sleep assessment tool will be applied in both clinical and research settings. The Spanish-translated sleep questionnaire will provide for planned NIH funding of epidemiologic, education, intervention and evidence- based outcomes studies of sleep disorders in Spanish-speaking Mexican Americans.