scholarly journals 0836 BORN IN THE USA OR BORN IN MEXICO? IMPLICATIONS FOR SLEEP DURATION, SLEEP QUALITY, SLEEP DISORDERS SYMPTOMS AT THE US-MEXICO BORDER

SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A309-A310
Author(s):  
A Okuagu ◽  
K Granados ◽  
P Alfonso-Miller ◽  
O Buxton ◽  
S Patel ◽  
...  
Author(s):  
Sadia B. Ghani ◽  
Marcos E. Delgadillo ◽  
Karla Granados ◽  
Ashley C. Okuagu ◽  
Pamela Alfonso-Miller ◽  
...  

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.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A143-A144
Author(s):  
S Ghani ◽  
M E Delgadillo ◽  
W D Killgore ◽  
C C Wills ◽  
M A Grandner

Abstract Introduction Previous studies have shown that people who consume culturally consistent foods have improved cardiometabolic profiles. Few studies have examined whether this finding extends to sleep health. Methods Data were collected from N=100 adults (age 18-60, 53% female) of Mexican descent in the city of Nogales, AZ (66% not born in the US, 33% 1st-generation). Surveys were presented in English or Spanish. Acculturation was assessed with the Acculturation Scale for Mexican-Americans (ARSMA-II), which has separate scales for Mexican and Anglo acculturation (subscale range 0-4). A supplemental ARSMA item asks how often “My family cooks Mexican foods.” Responses were coded as either frequent or infrequent. Insomnia was assessed with the Insomnia Severity Index (ISI), Sleepiness with the Epworth Sleepiness Scale (ESS), Sleep quality with the Pittsburgh Sleep Quality Index (PSQI), and Sleep duration and sleep medication use with PSQI items. Regression analyses examined these outcomes relative to whether individuals frequently consumed Mexican foods. Covariates included age, sex, and acculturation scores. Parental education level was also included, as an indicator of childhood socioeconomic status and since food culture likely involves parents. Results Regular consumption of Mexican foods was associated with 1.41 more hours of sleep, on average (95%CI 0.19,2.62, p<0.05). It was also associated with a decreased likelihood of snoring (oOR=0.25; 95%CI 0.07,0.93; p<0.05). No differences were seen for PSQI, ISI, or ESS score. Conclusion Individuals of Mexican descent at the US-Mexico border who regularly consume culturally consistent food report overall more sleep and less snoring. Previous studies show that Mexican acculturation may be associated with improved sleep sufficiency; it is possible that this reflects an overall healthier lifestyle that also includes a culturally consistent diet. Further studies would be beneficial to help determine the role acculturation plays in sleep and diet and how it effects cardiometabolic risk. Support Dr. Grandner is supported by R01MD011600. This work was supported by a UAHS grant.


SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A310-A310
Author(s):  
K Granados ◽  
A Okuagu ◽  
O Buxton ◽  
S Patel ◽  
J Ruiz ◽  
...  

2009 ◽  
Vol 29 (5/6) ◽  
pp. 287-304 ◽  
Author(s):  
Sara E. Grineski

PurposeThe purpose of this paper is to investigate children's vulnerability to asthma and its relationship with marginalized locations. More specifically, the effects of zip code level social predictors on children's asthma and their conditionality on location in the Texas‐Mexico border region are explored. The border region is perhaps the most marginalized in the USA.Design/methodology/approachData for analysis comes from the State of Texas and the US Bureau of the Census. Negative binomial regression models are used to predict asthma hospitalizations using a set of social predictors. Then, interaction effects are used to test if social predictors are conditional on border location.FindingsWithin the state of Texas, location in a metropolitan area, location along the US‐Mexico border, percent Hispanic, percent African American and percent Native American are positive and significant predictors of asthma hospitalizations; social class is negative and significant. The effects of proportion of Hispanics who were foreign born, median year of home construction, and percent of homes with inadequate heating are conditional on a zip code's location relative to the US‐Mexico border, with the slopes being steeper in border locations. Findings in general suggest that locational and social factors intersect in marginalized places (i.e. border regions of Texas) to create vulnerability to asthma hospitalizations.Research limitations/implicationsThis study is conducted solely in the USA.Originality/valueAs sociologists continue to consider space as a factor in health inequalities, this paper demonstrates the utility of considering space as operating at more than one scale.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A85-A86
Author(s):  
Sadia Ghani ◽  
Marcos Delgadillo ◽  
Karla Granados ◽  
Ashley Okuagu ◽  
Chloe Wills ◽  
...  

Abstract Introduction Previous studies have linked sleep to risk of diabetes and obesity, at least partially via alterations in food intake. Diabetes and obesity are common among Hispanics/Latinos, and studies are needed to better clarify the role of sleep for health among this group. Methods Data were collected from N=100 adults (age 18-60, 47% female) of Mexican descent in the city of Nogales, AZ (34% not born in the US). Surveys were presented in English or Spanish. Eating Patterns were assessed with the Three-Factor Eating Questionnaire (TFEQ), which resulted in a total score and subscales for “cognitive restraint,” “uncontrolled eating, “and “emotional eating.” Insomnia was assessed with the use of the Insomnia Severity Index (ISI), Sleepiness with the use of the Epworth Sleepiness Scale (ESS), Sleep quality with the use of the Pittsburgh Sleep Quality Index (PSQI), and weekday and weekend sleep duration with the use of the Sleep Timing Questionnaire (STQ). Covariates included: age, sex, Body Mass Index (BMI), education and immigrant status. Results When adjusted for age, sex and immigrant status (model-1), eating patterns were associated with greater insomnia (95%CI:[0.066,1.095];p=0.027), poorer sleep quality (95%CI:[0.170,1.456];p=0.014), sleepiness (95%CI[0.032,1.026];p=0.037), and weekend (but not weekday) sleep duration (95%CI:[-0.031,0.003];p=0.015). Further adjustment for education (model-2) revealed similar significant associations. Additional adjustment for BMI (model-3) revealed a change in daytime sleepiness, where no association was seen (95%CI:[-0.202,0.805];p=0.238). Regarding subscale scores, relationships were generally seen between sleep and both emotional eating and uncontrolled eating, but not cognitive restraint. However, after adjustment for BMI, there was a significant association between cognitive restraint and weekend sleep duration (95%CI:[-0.015,-0.001];p=0.030). Conclusion Greater insomnia, poorer sleep quality, increased daytime sleepiness and decreased weekend sleep duration were associated with eating patterns at the US Mexico border, particularly in terms of uncontrolled eating and emotional eating. This suggests possible mechanisms linking sleep and obesity in Hispanic/Latinos. Support (if any) Supported by T32HL007249, R01MD011600, R01DA051321


BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Sadia B. Ghani ◽  
Krishna Taneja ◽  
Chloe C. A. Wills ◽  
Andrew S. Tubbs ◽  
Marcos E. Delgadillo ◽  
...  

Abstract Background Existing studies show that consuming food consistent with one’s culture reduces cardiometabolic risk. However, few studies have assessed whether these dietary choices influence sleep health. Accordingly, this study assessed how Mexican food consumption by individuals of Mexican descent residing at the US-Mexico border, was associated with various measures of sleep, after accounting for acculturation. Methods Data were provided by 100 adults between the ages of 18–60, in the city of Nogales, AZ. Questionnaires were provided in either Spanish or English. Acculturation was assessed with the Acculturation Scale for Mexican-Americans (ARSMA-II), with an additional question, asking how often “my family cooks Mexican foods.” Frequency of cooking Mexican food was coded as either “yes” or “no.” Sleep was assessed, using validated measures that include the Insomnia Severity Index (ISI), the Epworth Sleepiness Scale (ESS), the Pittsburgh Sleep Quality Index (PSQI), and sleep duration with the item “how many hours of actual sleep did you get at night?” Regression models estimated the associations between sleep health variables as outcomes and consumption of Mexican food as the independent variable. Covariates included age, sex, and acculturation scores. Parental education level was also included, as an indicator of childhood socioeconomic status and since food culture likely involves parents. Result We found that among individuals who identified as Mexican-Americans who consumed culturally-consistent foods, was associated with, on average, 1.41 more hours of sleep (95% CI 0.19, 2.62; p = 0.024) and were less likely to report snoring (OR: 0.25; 95% CI 0.07, 0.93; p = 0.039). Consuming Mexican food was not associated with sleep quality, insomnia severity or sleepiness. Conclusion Individuals of Mexican descent residing at the US-Mexico border who regularly consumed Mexican food, reported more sleep and less snoring. Mexican acculturation has been shown previously to improve sleep health. This is likely due to consumption of a culturally- consistent diet. Future studies should examine the role of acculturation in sleep health, dietary choices, and subsequent cardiometabolic risk.


Author(s):  
Roberto Alvarez

I utilize my situated position as anthropologist, academician, and citizen to argue not only that we should “think” California, but also that we should “rethink” our state—both its condition and its social cartography. To be clear, I see all my research and endeavors—my research on the US/Mexico border; my time among the markets and entrepreneurs I have worked and lived with; my focus on those places in which I was raised: Lemon Grove, Logan Heights; the family network and my community ethnographic work—as personal. I am in this academic game and the telling of our story because it is personal. When Lemon Grove was segregated, it was about my family; when Logan Heights was split by the construction of Interstate 5 and threatened by police surveillance, it was about our community; when the border was sanctioned and militarized it again was about the communities of which I am a part. A rethinking California is rooted in the experience of living California, of knowing and feeling the condition and the struggles we are experiencing and the crises we have gone through. We need to rethink California, especially the current failure of the state. This too is ultimately personal, because it affects each and every one of us, especially those historically unrepresented folks who have endured over the decades.


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