Acculturation and depression are associated with short and long sleep duration among Mexican Americans in NHANES 2005–2018

Acculturation and depression are linked to poor sleep quality and sleep problems that may explain ongoing health disparities for Hispanics/Latinos. We examined the associations of acculturation, depression, and sleep duration among the Mexican American population. We used a multinomial logistic regr...

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Main Authors: Cameron K. Ormiston, Diana Lopez, Francisco A. Montiel Ishino, Timothy S. McNeel, Faustine Williams
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221133552200225X
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author Cameron K. Ormiston
Diana Lopez
Francisco A. Montiel Ishino
Timothy S. McNeel
Faustine Williams
author_facet Cameron K. Ormiston
Diana Lopez
Francisco A. Montiel Ishino
Timothy S. McNeel
Faustine Williams
author_sort Cameron K. Ormiston
collection DOAJ
description Acculturation and depression are linked to poor sleep quality and sleep problems that may explain ongoing health disparities for Hispanics/Latinos. We examined the associations of acculturation, depression, and sleep duration among the Mexican American population. We used a multinomial logistic regression model on cross-sectional data from the 2005–2018 National Health and Nutrition Examination Survey on 4,700 Mexican American adults aged ≥18 years old. The outcome of sleep duration was operationalized as short (≤6 h), optimal (7–8 h), and long (≥9 h). Acculturation was constructed using years living in the U.S. and language(s) spoken at home (majority Spanish, English and Spanish equally, majority English). Depression severity was assessed using the 9-item Patient Health Questionnaire. Covariates included gender, age, marital status, income, and U.S. citizenship. Speaking majority English (Adjusted Odds Ratio (AOR) = 1.23; 95% Confidence Interval (CI) = 1.00–1.52) and mild (AOR = 1.63; 95%CI = 1.32–2.01), moderate (AOR = 1.94; 95%CI = 1.43–2.63), and moderately severe/severe (AOR = 2.58; 95%CI = 1.72–3.88) levels of depression were significantly associated with short sleep duration. Living in the U.S. for ≥10 years (AOR = 1.61; 95%CI = 1.17–2.23) and moderately severe/severe depression (AOR = 2.30; 95%CI = 1.34–3.93) were significantly associated with long sleep duration. Our results provide additional evidence of a link between acculturation, depression, and short and long sleep duration among the Mexican American population. Understanding the sleep health of this population is important for informing future public health interventions and research. Additional investigation into the relationship between acculturation/depression and other sleep health measures among this population is warranted.
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spelling doaj.art-328a8652873042d29d1b55d1cec0b7142022-12-22T04:03:25ZengElsevierPreventive Medicine Reports2211-33552022-10-0129101918Acculturation and depression are associated with short and long sleep duration among Mexican Americans in NHANES 2005–2018Cameron K. Ormiston0Diana Lopez1Francisco A. Montiel Ishino2Timothy S. McNeel3Faustine Williams4Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA; Corresponding author at: Division of Intramural Research, National Institute on Minority Health and Health Disparities, 7201 Wisconsin Avenue, Room 533N, Bethesda, MD 20814, USA.Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USADivision of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USAInformation Management Services, Inc., Calverton, MD, USADivision of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USAAcculturation and depression are linked to poor sleep quality and sleep problems that may explain ongoing health disparities for Hispanics/Latinos. We examined the associations of acculturation, depression, and sleep duration among the Mexican American population. We used a multinomial logistic regression model on cross-sectional data from the 2005–2018 National Health and Nutrition Examination Survey on 4,700 Mexican American adults aged ≥18 years old. The outcome of sleep duration was operationalized as short (≤6 h), optimal (7–8 h), and long (≥9 h). Acculturation was constructed using years living in the U.S. and language(s) spoken at home (majority Spanish, English and Spanish equally, majority English). Depression severity was assessed using the 9-item Patient Health Questionnaire. Covariates included gender, age, marital status, income, and U.S. citizenship. Speaking majority English (Adjusted Odds Ratio (AOR) = 1.23; 95% Confidence Interval (CI) = 1.00–1.52) and mild (AOR = 1.63; 95%CI = 1.32–2.01), moderate (AOR = 1.94; 95%CI = 1.43–2.63), and moderately severe/severe (AOR = 2.58; 95%CI = 1.72–3.88) levels of depression were significantly associated with short sleep duration. Living in the U.S. for ≥10 years (AOR = 1.61; 95%CI = 1.17–2.23) and moderately severe/severe depression (AOR = 2.30; 95%CI = 1.34–3.93) were significantly associated with long sleep duration. Our results provide additional evidence of a link between acculturation, depression, and short and long sleep duration among the Mexican American population. Understanding the sleep health of this population is important for informing future public health interventions and research. Additional investigation into the relationship between acculturation/depression and other sleep health measures among this population is warranted.http://www.sciencedirect.com/science/article/pii/S221133552200225XAcculturationDepressionHealth disparitiesHispanics/LatinosMexican AmericansSleep duration
spellingShingle Cameron K. Ormiston
Diana Lopez
Francisco A. Montiel Ishino
Timothy S. McNeel
Faustine Williams
Acculturation and depression are associated with short and long sleep duration among Mexican Americans in NHANES 2005–2018
Preventive Medicine Reports
Acculturation
Depression
Health disparities
Hispanics/Latinos
Mexican Americans
Sleep duration
title Acculturation and depression are associated with short and long sleep duration among Mexican Americans in NHANES 2005–2018
title_full Acculturation and depression are associated with short and long sleep duration among Mexican Americans in NHANES 2005–2018
title_fullStr Acculturation and depression are associated with short and long sleep duration among Mexican Americans in NHANES 2005–2018
title_full_unstemmed Acculturation and depression are associated with short and long sleep duration among Mexican Americans in NHANES 2005–2018
title_short Acculturation and depression are associated with short and long sleep duration among Mexican Americans in NHANES 2005–2018
title_sort acculturation and depression are associated with short and long sleep duration among mexican americans in nhanes 2005 2018
topic Acculturation
Depression
Health disparities
Hispanics/Latinos
Mexican Americans
Sleep duration
url http://www.sciencedirect.com/science/article/pii/S221133552200225X
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