The Association of Acculturative Stress with Self-reported Sleep Disturbance and Sleep Duration among Asian Americans

SLEEP ◽  
2021 ◽  
Author(s):  
Sunmin Lee ◽  
Soomin Ryu ◽  
Grace E Lee ◽  
Ichiro Kawachi ◽  
Brittany N Morey ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Sleep Duration ◽  
Acculturative Stress ◽  
Cultural Context ◽  
Prevalence Ratio ◽  
The United States ◽  
Korean Immigrants ◽  
Poor Sleep ◽  
Cross Sectional ◽  
Item Scale

Abstract Study Objectives This study aims to examine associations between acculturative stress– defined as the psychological impact, or stress reaction, of adapting to a new cultural context –and self-reported sleep outcomes among Chinese and Korean immigrants in the United States. Methods In this cross-sectional study, acculturative stress was assessed using a 9-item scale, and sleep disturbance was measured using the 8-item scale. Sleep duration was self-reported. Poisson and linear regression analyses were conducted to examine the associations between acculturative stress, sleep disturbance, and sleep duration. Results Our sample consists of 400 participants (females: 52%, Chinese: 50%, Koreans: 50%, the mean of age=58.4). 81.8% of them were classified as having no sleep disturbance, while 18.2% were classified as having sleep disturbance. Poisson models revealed that greater acculturative stress was associated with a higher prevalence of sleep disturbance (Prevalence Ratio (PR): 1.18, 95% confidence interval (CI): 1.06-1.31). In linear models, a one-unit increase in acculturative stress was associated with 0.08 hours less sleep (p <0.05). Interaction tests indicated effect modification for sleep disturbance by sex and ethnic identity: only women had a significant association between acculturative stress and sleep disturbance (PR: 1.30; 95% CI: 1.13-1.49), while the association was significant for individuals identifying as “very Asian” (PR: 1.21; 95% CI: 1.08-1.35), but not for those identifying as “mostly Asian” or “bicultural/western”. Conclusions If findings are replicated, we suggest developing intervention programs for Asian immigrants to minimize acculturative stress and bolster protective factors that decrease the risk for poor sleep outcomes.

scholarly journals Sleep Disturbance Among Older Korean Immigrants

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 916-916
Author(s):  
Yeonsu Song ◽  
Haesook Kim ◽  
Diane Lee ◽  
Gery Ryan ◽  
B Josea Kramer ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
The United States ◽  
Korean Immigrants ◽  
Poor Sleep ◽  
The Bible ◽  
Sleeping Pills ◽  
Older Korean Immigrants ◽  
Socially Isolated ◽  
Racial Ethnic ◽  
Interview Transcript

Abstract Little is known about sleep disturbance among older Korean immigrants living in the United States. In this exploratory study, we conducted focus groups with 6 and phone interviews with 22 older Korean immigrants to explore and understand their sleep experiences. Three members of the research team fluent in Korean independently coded each focus group and phone interview transcript to identify underlying themes. The following themes emerged: Daytime naps were acceptable behaviors, particularly among those who were retired or not employed. Many reported worry and anxiety rumination behaviors that interfered with their sleep. In addition, praying, reading the bible, and singing hymns often occurred while in bed, and smartphone or tablet use was a frequent activity as well. Drinking alcohol and taking sleeping pills were used as a last resort to help with sleep, particularly among those who lived alone. Internal (e.g., biological urge, snoring, medical conditions) and external distractions (e.g., noise) contributed to nighttime awakenings. Living alone and worrying about the future made it difficult for some to return to sleep after awakening. Seeking advice from peers was a common behavior but did not seem to help with sleep. Calming activities such as reading a book, taking a shower, watch television, or writing a diary were routinely performed before bedtime. These findings are consistent with unhealthy sleep behaviors shown in other racial/ethnic minority older adults with poor sleep. Sleep education programs in Korean-speaking churches may be used to target those who are socially isolated and may benefit older Korean immigrants.

Discrimination and Sleep among Asians and Pacific Islanders Adults

SLEEP ◽  
2021 ◽  
Author(s):  
Bethany Townsend Ogbenna ◽  
Soomin Ryu ◽  
Sunmin Lee ◽  
Natalie Slopen
Keyword(s):  
Sleep Duration ◽  
Linear Models ◽  
Prevalence Ratio ◽  
The United States ◽  
Cross Sectional Study ◽  
Pacific Islanders ◽  
Foreign Born ◽  
Sleep Difficulty ◽  
Cross Sectional ◽  
High Discrimination

Abstract Study Objectives To examine the association between discrimination and sleep duration and difficulty among Asians and Pacific Islanders (APIs) in the United States, and to test nativity and ethnic identity (EI) as effect modifiers. Methods This cross-sectional study of 1,765 adults from the National Epidemiology Study of Alcohol and Related Conditions III, assessed discrimination using the Experiences of Discrimination scale. Discrimimation was classified as low, moderate, and high. Regression models were used to examine self-reported sleep duration and difficulty. Results In bivariate analyses, individuals with high discrimination had the shortest sleep and reported sleep difficulty most often. Using linear models adjusted for sociodemographic and health characteristics, moderate and high discrimination were associated with 9 minutes (standard error [SE]: 4.8, p <0.10) and 14.4 minutes (SE: 6.0, p <0.05) less sleep, respectively, relative to low discrimination. Individuals with moderate and high discrimination had higher prevalence of sleep difficulty compared to those with low discrimination (prevalence ratio [PR]: 1.51, 95% confidence interval [CI]: 1.14-1.99 and PR: 1.73, 95% CI: 1.33-2.24, respectively). Interaction effect was observed in sleep difficulty by nativity and EI, but not duration. The association between discrimination and sleep difficulty was stronger among US-born relative to foreign-born participants. Among participants with low EI, moderate and high discrimination were associated with sleep difficulty, whereas among those with high EI, only high discrimination displayed this association. Conclusions Discrimination is associated with sleep duration and difficulty, and varies by nativity and EI. Research is needed to improve sleep among APIs that experience discrimination.[

Fear of Crime among Female North Korean Defectors in South Korea

2021 ◽  
pp. 0306624X2199236
Author(s):  
Jaeyong Choi ◽  
Tay Hack ◽  
Julak Lee
Keyword(s):  
South Korea ◽  
Language Proficiency ◽  
Acculturative Stress ◽  
Fear Of Crime ◽  
The United States ◽  
Korean Immigrants ◽  
South Korean ◽  
The North ◽  
North Korean Defectors ◽  
Smooth Transitions

Although some studies have focused on immigrants’ fear of crime in the United States, it is important to point out that the number of North Korean defectors to South Korea has rapidly increased since the 1990s. Therefore, understanding factors associated with fear of crime for North Korean immigrants, especially female defectors, is important for ensuring their successful transitions into South Korean culture. The present study used existing survey data from a sample of female North Korean defectors to explore factors related to fear of crime. Results indicate that the number of North Korean friends, language proficiency, and patriarchal attitudes toward gender were significant predictors of fear of crime for the North Korean female defectors. Findings are described and discussed as a potential source for policymaking to reduce North Korean immigrants’ acculturative stress and fear of crime and to encourage smooth transitions into new cultures.

534 Food Insecurity and Sleep Health by Race/Ethnicity and Age Group in the United States

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A211-A211
Author(s):  
Nyree Riley ◽  
Dana Alhasan ◽  
W Braxton Jackson ◽  
Chandra Jackson
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Sleep Duration ◽  
Sleep Disturbances ◽  
The United States ◽  
Poor Sleep ◽  
High Food ◽  
Short Sleep Duration ◽  
Sleep Health ◽  
Falling Asleep

Abstract Introduction Food insecurity may influence sleep through poor mental health (e.g., depression) and immune system suppression. Although prior studies have found food insecurity to be associated with poor sleep, few studies have investigated the food security-sleep association among racially/ethnically diverse participants and with multiple sleep dimensions. Methods Using National Health Interview Survey data, we examined overall, age-, sex/gender-, and racial/ethnic-specific associations between food insecurity and sleep health. Food security was categorized as very low, low, marginal, and high. Sleep duration was categorized as very short (<6 hours), short (<7 hours), recommended (7–9 hours), and long (≥9 hours). Sleep disturbances included trouble falling and staying asleep, insomnia symptoms, waking up feeling unrested, and using sleep medication (all ≥3 days/times in the previous week). Adjusting for sociodemographic characteristics and other confounders, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (95% CI) for sleep dimensions by very low, low, and marginal vs. high food security. Results The 177,435 participants’ mean age was 47.2±0.1 years, 52.0% were women, 68.4% were Non-Hispanic (NH)-White. Among individuals reporting very low food security, 75.4% had an annual income of <$35,000 and 60.3% were ≥50 years old. After adjustment, very low vs. high food security was associated with a higher prevalence of very short (PR=2.61 [95%CI: 2.44–2.80]) and short (PR=1.66 [95% CI: 1.60–1.72]) sleep duration. Very low vs. high food security was associated with both trouble falling asleep (PR=2.21 [95% CI: 2.12–2.30]) and trouble staying asleep (PR=1.98 [95% CI: 1.91–2.06]). Very low vs. high food security was associated with higher prevalence of very short sleep duration among Asians (PR=3.64 [95% CI: 2.67–4.97]), Whites (PR=2.73 [95% CI: 2.50–2.99]), Blacks (PR=2.03 [95% CI: 1.80–2.31]), and Hispanic/Latinxs (PR=2.65 [95% CI: 2.30–3.07]). Conclusion Food insecurity was associated with poor sleep in a diverse sample of the US population. Support (if any):

scholarly journals Sleep Duration and Sleep Quality as Predictors of Health in Elderly Individuals

2018 ◽  
Vol 10 (11) ◽  
pp. 3918 ◽  
Author(s):  
Lovro Štefan ◽  
Vlatko Vučetić ◽  
Goran Vrgoč ◽  
Goran Sporiš
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Self Rated Health ◽  
Study Participants

The main purpose of the present study was to explore the associations of sleep duration and sleep quality with self-rated health. In this cross-sectional study, participants were 894 elderly individuals. Self-rated health, sleep duration, and sleep quality were self-reported. The associations were examined using multiple logistic regression analyses.After adjusting for sex, physical activity, smoking consumption, alcohol consumption, psychological distress, socioeconomic status, and chronic disease/s, sleeping <6 h (OR (Odds ratio) = 3.21; 95% CI (95 percent confident interval) 1.61 to 6.39), 6–7 h (OR = 2.47; 95% CI 1.40 to 4.36), 8–9 h (OR = 3.26; 95% CI 1.82 to 5.83), and >9 h (OR = 3.62; 95% CI 1.57 to 8.34) and having ‘poor’ sleep quality (≥5 points; OR = 2.33; 95% CI 1.46 to 3.73) were associated with ‘poor’ self-rated health. When sleep duration and sleep quality were entered simultaneously into the model, the same associations remained. Our findings provide evidence that both ‘short’ and ‘long’ sleep and ‘poor’ sleep quality are associated with ‘poor’ self-rated health. Thus, interventions that promote healthy sleep hygiene in the elderly are warranted.

scholarly journals CUSTOMER RELATIONSHIP MANAGEMENT SCALE FOR THE B2C MARKET: A CROSS-CULTURAL COMPARISON

2017 ◽  
Vol 18 (3) ◽  
pp. 42-69 ◽  
Author(s):  
GISELA DEMO ◽  
ELUIZA ALBERTO DE MORAIS WATANABE ◽  
DANIELLE CHRISTINE VASCONCELOS CHAUVET ◽  
KÉSIA ROZZETT
Keyword(s):  
Customer Service ◽  
Customer Relationship Management ◽  
External Validity ◽  
Cultural Context ◽  
Relationship Management ◽  
The United States ◽  
Customer Relationship ◽  
Measurement Instruments ◽  
Cross Sectional Survey ◽  
Cross Sectional

ABSTRACT Purpose: The objectives of this study were to validate the Customer Relationship Management Scale (CRMS) in France, and to compare the French model to both Brazilian and American ones. Originality/gap/relevance/implications: Based on the premise that scientific measurement instruments may be used to reflect customers' perception about the organization actions and effectiveness, it is important to validate a scale within a multidimensional cultural context. Therefore, the applicability of the instrument shall be possible in different contexts, longitudinally, with diverse subjects, thus providing external validity and generalization. Key methodological aspects: This is a descriptive, instrumental, quantitative, cross-sectional survey where we used the Customer Relationship Management Scale (CRMS). The sampling method was non-probabilistic convenience and the total of answered questionnaires added up to 454. We carried out a quantitative research through Exploratory and Confirmatory Factor Analysis. Summary of key results: The results obtained in the analyses allow us to conclude that the relation between clients and companies is really two-dimensional and it involves two distinct factors, namely Loyalty and Customer Service. The scale validated in Brazil and in the United States remained stable, in terms of validity (quality of items) and reliability, when validated in a distinct context, that is, France. This makes its application in French organizations possible, improving its external validity and generalization. Key considerations/conclusions: The main objective of this study was reached and an instrument to assess what aspects French customers rank as relevant regarding CRM was produced showing theoretical consistency, reliability and construct validity as well.

scholarly journals Behavioral Health Risk and Resilience among International Students in the United States: A Study of Socio-demographic Differences

2019 ◽  
Vol 9 (1) ◽  
pp. 282-305
Author(s):  
Youn Kyoung Kim ◽  
Arati Maleku ◽  
Catherine M Lemieux ◽  
Xi Du ◽  
Zibei Chen
Keyword(s):  
Academic Success ◽  
International Students ◽  
Health Risk ◽  
Behavioral Health ◽  
Acculturative Stress ◽  
Well Being ◽  
The United States ◽  
Cross Sectional Study ◽  
Risk And Resilience ◽  
Cross Sectional

Using a resilience framework, the current cross-sectional study examined indicators of behavioral health risk and resilience among U.S. international students (N=322) across key socio-demographic characteristics. A multimethod approach was used to collect data with both an online platform and paper-based survey instrument. Results showed that higher levels of acculturative stress were reported by older students, females, undergraduates, students who lived with their families, and those who had resided in the US longer than 2 years. Findings underscore the importance of culturally-relevant screening and prevention strategies that target resilience and other protective factors to reduce health risk and encourage well-being and academic success among international students.

scholarly journals Mediating role of resilience between successful aging and acculturation among older Korean immigrants In the United States

2020 ◽  
Vol 7 (5) ◽  
pp. 117-133
Author(s):  
Jaewon Lee
Keyword(s):  
Los Angeles ◽  
Acculturative Stress ◽  
Successful Aging ◽  
Healthy Aging ◽  
The United States ◽  
Korean Immigrants ◽  
Future Research ◽  
Weak Correlation ◽  
Cross Sectional Survey ◽  
Older Korean Immigrants

Background: This study was to investigate how acculturative stress affects older Korean immigrants' successful aging and whether resilience can play a mediator's role to the sample population's successful aging or not. The research design was a cross-sectional survey using three valid and reliable scales such as Successful Aging Scale, Acculturative Stress Scale, and Resilience Scale. A research shows that there is no or minimum correlation between acculturative stress and successful aging (Choi & Thomas, 2009). However, it was hypothesized that although there was a weak correlation between acculturative stress and successful aging, once the resilience involved as a mediator, the correlation would be stronger. Methods: The study was designed as a self-administered survey research using the scales mentioned above. One hundred and two (N=102) older Koreans who currently enrolled in Adult Health Care Centers in Los Angeles, CA, participated in this study. Multiple Regression, Correlation, ANOVA, and t-test was administered to analyze the collected data. Results: The results indicated that there was a positive but weak correlation between acculturative stress and the sample population's successful aging rate (r = .252, p<.05). Interestingly, when resilience intervened as a mediator, the correlation between acculturation and successful aging was increased to (r = .622, p<.05). Therefore, the study discovered that the resilience was able to play a mediator's role between acculturative stress and successful aging among the older Korean immigrants. Implications: The findings can be directed to social work researchers and practitioners to help educate the ethnic older adults in the community on the social and behavioral importance of the positive aspects of aging such as successful aging and healthy aging to increase the chance of community member's longevity. Future research will include other ethnic and immigrant older populations in the community to show internal and external validity of the study related to successful aging, acculturative stress, and resilience.

scholarly journals Association of physical activity with sleep health: A systematic review

2019 ◽  
Vol 23 ◽  
pp. 1-26
Author(s):  
Andrea Wendt ◽  
Thaynã Ramos Flores ◽  
Inácio Crochemore Mohnsam Silva ◽  
Fernando César Wehrmeister
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Undergraduate Students ◽  
Data Extraction ◽  
Activity Measurement ◽  
Poor Sleep ◽  
Long Term Effects ◽  
Sleep Health ◽  
Cross Sectional

The aim of this study was to systematically examine the literature on physical activity and sleep in non-clinical and population-based settings. The inclusion criteria were original studies testing the association between physical activity (as exposure) and sleep (as outcome) in representative samples of the general population, workers, or undergraduate students. Sleep health included sleep duration, sleep quality and insomnia. Studies evaluating samples including only individuals with some disease or a health condition were excluded. A search was performed in the PubMed, Scopus, Lilacs, CINAHL, and SPORTdiscus databases in March 2018. Data extraction was performed using the following items: year, author, country, population, age group, sample size, study design, sleep measurement/definition, physical activity measurement/definition, adjustment and main results. A total of 57 studies were selected, which markedly used heterogeneous instruments to measure physical activity and sleep. The majority were conducted in high-income countries and with cross-sectional design. Physical activity was associated with lower odds of insomnia (observed in 10 of 17 studies), poor sleep quality (observed in 12 of 19 studies) and long sleep duration (observed in 7 of 11 studies). The results about short sleep or continuous sleep duration remain unclear. Physical activity seems to be associated with sleep quality and insomnia, especially among adult and elderly populations in which these outcomes are more usually measured. The short- and long-term effects of physical activity intensities and dose-response on sleep should be better evaluated.

190 Changing national trends in sleep and related features among Korean adults between 2009 and 2018

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A76-A77
Author(s):  
Jee-Eun Yoon ◽  
Daeyoung Kim ◽  
Kwang Ik Yang ◽  
Min Kyung Chu ◽  
Chang-Ho Yun
Keyword(s):  
Phase I ◽  
Sleep Duration ◽  
Adult Population ◽  
Population Level ◽  
Nationwide Survey ◽  
Study Phase ◽  
Poor Sleep ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
Korean Adults

Abstract Introduction Sleep patterns have been linked to various heath disease. Evaluating population-level trend of sleep could provide a comprehensive population health-forecasting model that has the potential to inform targeted interventions. Therefore, we aimed to examine the cross-sectional differences in sleep characteristics among Korean adults during a 9-year period of 2009-2018. Methods The data in this study were derived from two nationwide survey regarding sleep and headache in the representative sample of Korean adult population, namely the Korean Sleep Headache Study phase I (2009) and II (2018). The survey was conducted through door-to-door visit and face-to-face interview by using structured questionnaires. Total of 2,836 participants from Phase I (47.9±16.4 years old; female, 50.2%) and 2,501 participants (47.9±16.4 years old; female, 50.3%) from Phase II gave informed consents and completed the survey. For this study, we excluded those who worked as shift workers and missing data. From the MCTQ, we collected participants’ sleep schedule during workdays and free days over the past four weeks. Average sleep duration was a weighted mean of sleep duration on workdays and free days. Poor sleep quality was defined as PSQI &gt;5. Excessive daytime sleepiness and Depression are performed with ESS and PHQ-9, respectively. Results During the 9 years, average sleep duration decreased by 21 minutes, especially more reduction on free days (workday: 7:17±1:58 vs. 7:06±1:06, p &lt;0.001; free days 8:04±2:32 vs. 7:49±1:23, p &lt;0.001). People go to sleep and wake up earlier on workday (workday 23:39±1:50 vs. 23:25±1:30, p &lt;0.001; free days 23:51±2:11 vs. 23:25±2:11, p &lt;0.001), whereas they go to bed earlier and wake up later on free days compared to past (workday 6:52±1:36 vs. 6:37±1:11, p &lt;0.001; 7:42±2:04 vs. 7:49±1:42 p =0.023). Social jetlag was increased by 5 minutes (0:46±1:35 vs. 0:51±0:52, p =0.028). There was the difference of age on the habitual sleep-wake rhythm and sleep related symptoms. Also, short or long sleep duration was associated with a significant increase in each health outcomes. Conclusion Decreased sleep duration seems to be on the rise in the general adult population, which lead to a poor health status. Interventions to promote adequate sleep is urgently needed. Support (if any):

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