Acculturation Associated with Sleep Duration, Sleep Quality, and Sleep Disorders at the US–Mexico Border

Sadia B. Ghani, Marcos E. Delgadillo, Karla Granados, Ashley C. Okuagu, Pamela Alfonso-Miller, Orfeu M. Buxton, Sanjay R. Patel, John Ruiz, Sairam Parthasarathy, Patricia L. Haynes, Patricia Molina, Azizi Seixas, Natasha Williams, Girardin Jean-Louis and Michael A. Grandner
Additional contact information
Sadia B. Ghani: Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA
Marcos E. Delgadillo: Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA
Karla Granados: Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA
Ashley C. Okuagu: Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA
Pamela Alfonso-Miller: Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA
Orfeu M. Buxton: Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA 16802, USA
Sanjay R. Patel: Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA
John Ruiz: Department of Psychology, University of Arizona, Tucson, AZ 85724, USA
Sairam Parthasarathy: Center for Sleep Disorders and Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, and Department of Internal Medicine, University of Arizona, Tucson, AZ 85724, USA
Patricia L. Haynes: Department of Health Promotion Sciences, University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ 85724, USA
Patricia Molina: Senior Director, Mariposa Community Health Center, Nogales, AZ 85621, USA
Azizi Seixas: Department of Population Health, and Department of Psychiatry, NYU Langone Health, New York, NY 10016, USA
Natasha Williams: Department of Population Health, and Department of Psychiatry, NYU Langone Health, New York, NY 10016, USA
Girardin Jean-Louis: Department of Population Health, and Department of Psychiatry, NYU Langone Health, New York, NY 10016, USA
Michael A. Grandner: Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA

IJERPH, 2020, vol. 17, issue 19, 1-11

Abstract: Sleep disparities exist among Hispanics/Latinos, although little work has characterized individuals at the United States (US)–Mexico border, particularly as it relates to acculturation. This study examined the association of Anglo and Mexican acculturation to various facets of sleep health among those of Mexican descent at the US–Mexico border. Data were collected from N = 100 adults of Mexican descent in the city of Nogales, Arizona (AZ). Surveys were presented in English or Spanish. Acculturation was assessed with the Acculturation Scale for Mexican-Americans (ARSMA-II). Insomnia was assessed with the Insomnia Severity Index (ISI), sleepiness was assessed with the Epworth Sleepiness Scale (ESS), sleep apnea risk was assessed with the Multivariable Apnea Prediction (MAP) index, weekday and weekend sleep duration and efficiency were assessed with the Sleep Timing Questionnaire, sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI), and sleep duration and sleep medication use were assessed with PSQI items. No associations were found between Mexican acculturation and any sleep outcomes in adjusted analyses. Anglo acculturation was associated with less weekend sleep duration and efficiency, worse insomnia severity and sleep quality, and more sleep apnea risk and sleep medication use. These results support the idea that sleep disparities may depend on the degree of acculturation, which should be considered in risk screening and interventions.

Keywords: acculturation; sleep; sleep disparities; Hispanic/Latino; health disparities; sleep duration; insomnia; medication use (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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