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

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

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Department of Health Promotion Sciences, University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ 85724, USA

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Senior Director, Mariposa Community Health Center, Nogales, AZ 85621, USA

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Department of Population Health, and Department of Psychiatry, NYU Langone Health, New York, NY 10016, USA

Author to whom correspondence should be addressed.

Int. J. Environ. Res. Public Health 2020, 17(19), 7138; https://doi.org/10.3390/ijerph17197138

Received: 1 September 2020 / Revised: 21 September 2020 / Accepted: 25 September 2020 / Published: 29 September 2020

(This article belongs to the Special Issue Sleep, Sleep Disorders and Public Health)

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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. View Full-Text

Keywords: acculturation; sleep; sleep disparities; Hispanic/Latino; health disparities; sleep duration; insomnia; medication use

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

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MDPI and ACS Style

Ghani, S.B.; Delgadillo, M.E.; Granados, K.; Okuagu, A.C.; Alfonso-Miller, P.; Buxton, O.M.; Patel, S.R.; Ruiz, J.; Parthasarathy, S.; Haynes, P.L.; Molina, P.; Seixas, A.; Williams, N.; Jean-Louis, G.; Grandner, M.A. Acculturation Associated with Sleep Duration, Sleep Quality, and Sleep Disorders at the US–Mexico Border. Int. J. Environ. Res. Public Health 2020, 17, 7138. https://doi.org/10.3390/ijerph17197138

AMA Style

Ghani SB, Delgadillo ME, Granados K, Okuagu AC, Alfonso-Miller P, Buxton OM, Patel SR, Ruiz J, Parthasarathy S, Haynes PL, Molina P, Seixas A, Williams N, Jean-Louis G, Grandner MA. Acculturation Associated with Sleep Duration, Sleep Quality, and Sleep Disorders at the US–Mexico Border. International Journal of Environmental Research and Public Health. 2020; 17(19):7138. https://doi.org/10.3390/ijerph17197138

Chicago/Turabian Style

Ghani, Sadia B., 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 2020. "Acculturation Associated with Sleep Duration, Sleep Quality, and Sleep Disorders at the US–Mexico Border" International Journal of Environmental Research and Public Health 17, no. 19: 7138. https://doi.org/10.3390/ijerph17197138

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

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