How much does sleep vary from night-to-night? A quantitative summary of intraindividual variability in sleep by age, gender, and racial/ethnic identity across eight-pooled datasets

2021 ◽  
Author(s):  
Brett Messman ◽  
Joshua F. Wiley ◽  
Yi Yang Yap ◽  
Natasha Yan Chi Tung ◽  
Isamar M Almeida ◽  
...  
Keyword(s):  
Ethnic Identity ◽  
Sleep Duration ◽  
Minority Groups ◽  
Intraindividual Variability ◽  
Normative Values ◽  
Data Sets ◽  
Strongly Correlated ◽  
Study Results ◽  
International Data ◽  
Racial Ethnic

Study Objectives: Habitual sleep duration and efficiency vary widely by age, gender, and racial/ethnic identity. Despite growing research on the importance of night-to-night, intraindividual variability (IIV) in sleep, few studies have examined demographic differences in sleep IIV. The present study describes typical sleep IIV overall and by demographics among healthy sleepers. Methods: Eight international data sets of healthy sleepers (N = 2404; 26,121 total days of sleep data) were synthesized to examine age, gender, and racial/ethnic identity differences in sleep IIV measured via diaries, actigraphy, and electroencephalography. Sleep IIV estimates included the intraindividual standard deviation (iSD), root mean square of successive differences (RMSSD), coefficient of variation (CV), and a validated Bayesian Variability Model (BVM). Results: Sleep duration and efficiency varied widely from night-to-night within people (duration iSD: 67.04–85.80 minutes; duration RMSSD: 91.93–118.91 minutes; duration CV: 18.57–19.19%; duration BVM: 48.60–60.60 minutes; efficiency iSD: 5.18–6.46%, efficiency RMSSD: 7.01–8.44%; efficiency CV: 5.80–8.14%; efficiency BVM: 3.40–4.16%). Different metrics of IIV were strongly correlated for sleep duration (rs .58–.97) and sleep efficiency (rs .53–1.00). Younger adults had more IIV in diary and actigraphy sleep duration. Gender differences were inconsistent. White and non-Hispanic/Latinx adults had less IIV in sleep duration and efficiency compared to racial/ethnic minority groups. Conclusions: Even among healthy sleepers, sleep varies widely from night-to-night. Like mean sleep, there also may be disparities in IIV in sleep by demographic characteristics. Study results help characterize normative values of sleep IIV in healthy sleepers.

ARE HEALTH INSURANCE ITEM ALLOCATIONS IN THE AMERICAN COMMUNITY SURVEY MISSING COMPLETELY AT RANDOM?

2013 ◽  
pp. 1-7
Author(s):  
C. SIORDIA
Keyword(s):  
Health Insurance ◽  
Minority Groups ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Community Survey ◽  
American Community Survey ◽  
Data Sets ◽  
Missing Responses ◽  
Missing Completely At Random ◽  
Racial Ethnic

Background:Item allocation (the assignment of plausible values to missing or illogical responses insurvey studies) is at times necessary in the production of complete data sets. In the American Community Survey(ACS), missing responses to health insurance coverage questions are allocated. Objectives:Because allocationrates may vary as a function of compositional characteristics, this project investigates how seven different healthinsurance coverage items vary in their degree of allocation along basic demographic variables. Methods: Datafrom the ACS 2010 1-year Public Use Microdata Sample file are used in a logistic regression model and tocalculate allocations rates. Results:The findings reveal that: males; people aged 65 and older; those who speakEnglish “very well” or “well”; US citizens; those out-of-poverty; and all racial/ethnic minority groups havehigher odds of experiencing a health insurance item allocation relative to their counterparts. Conclusions: Sincehealth insurance coverage allocations vary by demographic characteristics, further research is needed toinvestigate their mechanisms of missingness and how these may have implications for frailty related research.

Perspectives and Experiences of Obstetricians Who Provide Labor and Delivery Care for Micronesian Women in Hawai‘i: What Is Driving Cesarean Delivery Rates?

2020 ◽  
Vol 30 (14) ◽  
pp. 2291-2302
Author(s):  
Rebecca Delafield ◽  
Jennifer Elia ◽  
Ann Chang ◽  
Bliss Kaneshiro ◽  
Tetine Sentell ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Minority Groups ◽  
Mode Of Delivery ◽  
Delivery Care ◽  
Labor And Delivery ◽  
Structured Interviews ◽  
Medical Risk ◽  
Medical Risk Factors ◽  
Study Results ◽  
Racial Ethnic

Access to cesarean delivery is vital for quality obstetrical care, but the procedure can increase maternal mortality, morbidity, and complications in subsequent deliveries. The objective of this study was to describe obstetrician–gynecologists’ (OB-GYNs) perspectives on labor and delivery care for Micronesian women in Hawai‘i and possible factors contributing to higher cesarean delivery rates among that racial/ethnic group. The Framework Method guided the analysis of 13 semi-structured interviews with OB-GYNs. Study results indicated that OB-GYNs were more likely to attribute racial/ethnic differences in mode of delivery to challenges resulting from nonmedical factors, particularly communication and negative attitudes toward Micronesian patients, than to medical risk factors. In this study, we explored aspects of care that cannot be captured in medical charts or clinical data, but may impact health outcomes for this population. The findings could help improve care for Micronesian women, with lessons applicable to other racial/ethnic minority groups.

scholarly journals 0361 Birthplace Moderates Racial/Ethnic Disparities in Multiple Sleep Characteristics Among Non-Hispanic Whites and Hispanic/Latino Heritage Groups in the United States

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A138-A138
Author(s):  
S A Gaston ◽  
E E Martinez-Miller ◽  
S Nguyen-Rodriguez ◽  
A Aiello ◽  
J McGrath ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Minority Groups ◽  
Ethnic Disparities ◽  
The United States ◽  
Poor Sleep ◽  
Foreign Born ◽  
Poor Sleep Quality ◽  
Environmental Health Sciences ◽  
Racial Ethnic

Abstract Introduction Sleep duration disparities by Hispanic/Latino heritage exist; however, few studies have additionally investigated sleep quality disparities by heritage and birthplace, nor have studies compared foreign-born to US-born Non-Hispanic Whites (NHWs). Methods Using pooled 2004-2017 National Health Interview Survey data, we investigated whether sleep disparities varied by birthplace among adult NHWs and Hispanic/Latino heritage groups. Adjusting for sociodemographic and behavioral/clinical characteristics, survey-weighted Poisson regressions with robust variance estimated prevalence ratios (PRs) and 95% confidence intervals (CIs) of self-reported sleep characteristics. Sleep characteristics were compared among foreign-born NHWs and Hispanic/Latino heritage groups vs. US-born NHWs. Sleep characteristics were also compared across Hispanic/Latino heritage groups vs. foreign-born NHWs. Results Among 254,699 participants (Meanage±SE: 47±0.9 years; 49% female), 81% self-identified as NHW (n=207,154), 12% Mexican (n=30,100), 2% Puerto Rican n=5,077), 1% Cuban(n=2,518), 1% Dominican (n=1,658), and 3% Central/South American (n=8,162). Compared to US-born NHWs, foreign-born NHWs were more likely to report >9-hours sleep duration (PR=1.11[95% CI: 1.01-1.21]) and poor sleep quality (e.g., PRtrouble staying asleep=1.27[1.17-1.37]), and US-born Mexicans were no more likely to report shorter sleep duration while foreign-born Mexicans were less likely (PR<6-hours=0.52[0.47-0.57], PR6-<7-hours=0.72[0.68-0.76]). Although US-born and foreign-born Mexicans had lower prevalence of poor sleep quality compared to US-born NHWs, PRs were lowest for foreign-born Mexicans. Compared to foreign-born NHWs, US-born Mexicans were more likely to report shorter sleep duration, but foreign-born Mexicans were no more likely. Regardless of birthplace, Puerto Ricans were more likely (e.g., PR<6-hours=1.37[1.24-1.60]) and Cubans were less likely (e.g., PR<6-hours=0.81[0.68-0.96]) to report shorter sleep duration vs. US-born NHWs. Compared to US-born NHWs, Dominicans reported better sleep duration and quality. Sleep duration and quality did not differ among Dominicans vs. foreign-born NHWs. Conclusion Sleep disparities varied by birthplace and Hispanic/Latino heritage. Birthplace of both NHWs and racial/ethnic minority groups should be considered in disparities research. Support This work was funded by the Intramural Program at the National Institutes of Health (NIH), National Institute of Environmental Health Sciences (NIEHS, Z1AES103325-01) and the Division of Intramural Research, National Institute on Minority Health and Health Disparities.

Sitting in the Pews: Theological Beliefs and Racial/Ethnic Identity Among African American Adolescents

2021 ◽  
pp. 0044118X2110466
Author(s):  
Pamela P. Martin ◽  
Sheretta T. Butler-Barnes ◽  
Meredith O. Hope
Keyword(s):  
African American ◽  
Ethnic Identity ◽  
African Americans ◽  
Church Attendance ◽  
African American Youth ◽  
African American Adolescents ◽  
Negative Stereotypes ◽  
Study Results ◽  
Biblical Principles ◽  
Racial Ethnic

Church attendance, prayer, and faith practices play a significant role in the life experiences among African Americans, especially youth. Few studies on religious behaviors among African American youth investigate the relationship between theological orientations and racial identity. These orientations include biblical principles, other-worldliness, and social legacy. A total of 187 African American adolescents ( Mage = 15) attending 18 predominantly Black churches in two Midwestern cities participated in the study. Results provided support for two theological orientations that were associated with racial/ethnic identity in distinct ways. More specifically, other-worldliness was linked to more negative feelings about the appearance of African American adolescents and being more likely to endorse negative stereotypes about African Americans. Adolescents who perceived their church as communicating a theology based upon biblical principles reported rejecting negative stereotypes about African Americans. Study findings suggest theological orientations may be associated with shaping racial/ethnic identity attitudes among African American adolescents.

Collective References and Identity Threat among Lebanese and Lebanese-Armenians in the Context of Continuous Intergroup Conflict

2019 ◽  
Vol 9 (3) ◽  
Author(s):  
Lucy R. Tavitian ◽  
Michael Bender ◽  
Fons J. R. Van de Vijver ◽  
Athanasios Chasiotis ◽  
Hrag A. Vosgerichian
Keyword(s):  
Ethnic Identity ◽  
Identity Management ◽  
Minority Groups ◽  
Minority Group ◽  
Intergroup Conflict ◽  
Identity Threat ◽  
Identity Processes ◽  
Identity Threats ◽  
History Of ◽  
Sectarian Group

How people deal with adversity, in terms of threats to their social or ethnic identity has been extensively investigated. However, most studies have focused on samples (e.g. minority groups) from prototypical Western contexts. It is unclear how individuals perceive and deal with identity threats within non-Western plural contexts characterized by intergroup conflict. We therefore assess whether self-affirmation by recalling a past success can buffer against identity threat in the plural, non-Western context of Lebanon. In two studies we investigate how threats are negotiated at a national (Lebanon) (Study 1) and ethnic minority (Armenian) level (Study 2). In Study 1, we show that in a context characterized by a history of intergroup conflict, a superordinate national identity is non-salient. When investigating the content of memories of a sectarian group in Study 2, we find a hypersalient and chronically accessible ethnic identity, a pattern specific to Armenian Lebanese. We suggest that this hyper-salience is employed as a spontaneous identity management strategy by a minority group coping with constant continuity threat. Our findings point to the importance of expanding the study of identity processes beyond the typically Western contexts and in turn, situating them within their larger socio-political and historical contexts.

What Does It Mean To Be Mexican (American)? Exploring Youth Ethnic Identity

2021 ◽  
pp. 001100002098530
Author(s):  
Halleh Hashtpari ◽  
Karen W. Tao ◽  
Kritzia Merced ◽  
Joél Arvizo-Zavala ◽  
James Hernández
Keyword(s):  
Ethnic Identity ◽  
Thematic Analysis ◽  
Perspective Taking ◽  
Academic Outcomes ◽  
Mexican American ◽  
Interview Protocol ◽  
Ethnic Pride ◽  
Mexican American Youth ◽  
Racial Ethnic ◽  
Minimal Research

Children’s racial (e.g., Black, White, Indigenous) and ethnic (e.g., Mexican) identity can influence psychological, social, and academic outcomes. Despite evidence that awareness of racial–ethnic marginalization begins during preadolescence, there is minimal research examining how children talk about identity at this age. The purpose of this study was to examine how preadolescent Mexican American youth conceptualize “who they are.” Specifically, we used the Ethnic-Perspective Taking Ability interview protocol to explore how Mexican American youth, ages 9–11, understand their ethnicity. Thematic analysis revealed four themes: Self as “Other,” Self as Invisible, Self as a Politicized Being, and Self as Community. Participants discussed feeling out of place, often feeling excluded by Whiteness, and needing to code switch. These experiences also were juxtaposed with a sense of ethnic pride and comfort. Implications for practice, advocacy, education, and research are offered.

Culturally Sensitive Assessment of Anxious-Depressive Distress in Vietnam: Avoiding Category Truncation

2018 ◽  
Vol 55 (3) ◽  
pp. 384-404 ◽  
Author(s):  
Devon E. Hinton ◽  
Amie Alley Pollack ◽  
Bahr Weiss ◽  
Lam T. Trung
Keyword(s):  
Psychiatric Symptoms ◽  
Anxiety And Depression ◽  
Strongly Correlated ◽  
General Survey ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Study Results ◽  
Standing Up ◽  
Patient Health ◽  
Highly Correlated

The present study investigated what complaints are prominent in psychologically distressed Vietnamese in Vietnam beyond standard symptoms assessed by Western diagnostic instruments for anxiety and depression. To form the initial Vietnamese Symptom and Cultural Syndrome Addendum (VN SSA), we reviewed the literature, consulted experts, and conducted focus groups. The preliminary VN SSA was then used in a general survey (N = 1004) of five provinces in Vietnam. We found that the VN SSA items were highly and significantly correlated with a measure of anxious-depressive psychopathology (a composite measure of the General Anxiety Disorder-7; Posttraumatic Diagnostic Scale; and Patient Health Questionnaire-9). The VN SSA item most highly correlated to anxious-depressive psychopathology was “thinking a lot” ( r = .54), reported by 15.8% of the sample. Many other symptoms in the addendum also were prominent, such as orthostatic dizziness (i.e., dizziness upon standing up; r = .41), reported by 22.9% of the sample. By way of comparison, somatic complaints more typically assessed to profile Western anxious-depressive distress, such as palpitations, were less prominent, as evidenced by being less strongly correlated to Western psychiatric symptoms and being less frequent (e.g., palpitations: r = .31, 7.1% of the sample). Study results suggest that to avoid category truncation when profiling anxious-depressive distress among Vietnamese that items other than those in standard psychopathology measures should also be assessed.

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