Spanish Translation and Validation of Sleep Measures

描述（由申请人提供）：亚利桑那州在墨西哥裔美国人的百分比中排名第四，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年）预测，到2025年，亚利桑那州约有三分之一的居民将是墨西哥裔美国人。作为一个群体，墨西哥裔美国人患某些慢性病的比例不成比例地高。亚利桑那州墨西哥裔美国人的2型糖尿病和肥胖率是非西班牙裔白人的两倍。据估计，美国成年人睡眠障碍的总体患病率在35%至41%之间。睡眠障碍使人们面临更大的风险，身心健康状况较差，生活质量下降。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型糖尿病和葡萄糖耐量受损的相关性;然而，在SHHS中代表的墨西哥裔美国人是文化适应的英语使用者，与亚利桑那州的大多数墨西哥裔美国人相比，教育率更高。虽然健康人2010年已经把重点放在评估西班牙裔人的睡眠障碍，2005财年综合拨款法案，签署成为法律12/8/04，包括语言，指示疾病控制中心和国家睡眠障碍研究中心在美国国立卫生研究院与国家睡眠基金会合作，制定睡眠教育和公众意识的倡议，由于缺乏西班牙语翻译和有效的睡眠评估措施，对讲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，而这些关系是这些倡议的基础。为了满足这些需求，本研究的具体目的是：1）翻译、回译和跨语言验证SHHS睡眠习惯问卷; 2）确定翻译后的问卷在社区诊所接受护理的目标西班牙语患者人群中的可靠性和有效性。铺设说明：这个经过严格翻译和验证的西班牙语睡眠评估工具将应用于临床和研究环境。西班牙语翻译的睡眠问卷将为计划中的NIH提供资金，用于西班牙语墨西哥裔美国人睡眠障碍的流行病学，教育，干预和循证结果研究。

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.