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Sleep. 2018 Dec 13. doi: 10.1093/sleep/zsy246. [Epub ahead of print]

US acculturation and poor sleep among an intergenerational cohort of adult Latinos in Sacramento, California.

Author information

1
Department of Clinical Sciences; University of Texas Southwestern Medical Center; Dallas, Texas.
2
Department of Epidemiology; Gillings School of Global Public Health; University of North Carolina at Chapel Hill; Chapel Hill, North Carolina.
3
Department of Psychiatry; School of Medicine; University of California at San Francisco; San Francisco, California.
4
Department of Sociology; College of Arts and Sciences; University of North Carolina at Chapel Hill; Chapel Hill, North Carolina.
5
Department of Epidemiology & Biostatistics; School of Medicine; University of California at San Francisco; San Francisco, California.

Abstract

Acculturation may shape the disproportionate burden of poor sleep among Latinos in the US. Existing studies are limited by unidimensional acculturation proxies that are incapable of capturing cultural complexities across generations. Understanding how acculturation relates to sleep may lead to the identification of modifiable intervention targets. We used multivariable regression and latent class methods to examine cross-sectional associations between a validated multidimensional scale of US acculturation and self-reported poor sleep measures. We analyzed an intergenerational cohort: first generation (GEN1) older Latinos (Sacramento Area Latino Study on Aging; N=1716; median age: 69.5) and second generation (GEN2) middle-aged offspring and relatives of GEN1 (NiƱos Lifestyle and Diabetes Study; N=670; median age: 54.0) in Sacramento, California. GEN1 with high US acculturation, compared to high acculturation towards another origin/ancestral country, had less restless sleep (PR[95%CI]: 0.67[0.54, 0.84]) and a higher likelihood of being in the best sleep class than the worst (OR[95% CI]: 1.62[1.09, 2.40]), but among non-manual occupations, high intergenerational US acculturation was associated with more general fatigue (PR[95%CI: 1.86[1.11, 3.10]). GEN2 with high intergenerational US acculturation reported shorter sleep (PR[95% CI]: 2.86[1.02, 7.99]). High US acculturation shaped sleep differentially by generation, socioeconomic context, and intergenerational acculturative status. High US acculturation was associated with better sleep among older, lower socioeconomic Latinos, but with shorter sleep duration among middle-aged, higher socioeconomic Latinos; results also differed by parental acculturation status. Upon replication, future studies should incorporate prospective and intergenerational designs to uncover sociobehavioral pathways by which acculturation may shape sleep to ultimately inform intervention efforts.

PMID:
30544165
DOI:
10.1093/sleep/zsy246

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