Journal
JOURNAL OF IMMIGRANT AND MINORITY HEALTH
Volume 22, Issue 4, Pages 736-745Publisher
SPRINGER
DOI: 10.1007/s10903-019-00926-1
Keywords
Sleep duration; Acculturative stress; Gender differences; Korean American immigrants
Categories
Funding
- NCATS NIH HHS [UL1 TR001863] Funding Source: Medline
- NIMHD NIH HHS [U54 MD000538] Funding Source: Medline
- NINR NIH HHS [P20 NR014126] Funding Source: Medline
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Korean American immigrants (KAIs) face diverse sociocultural stressors in the acculturation process. While stress is known to cause short sleep, little is known about how acculturative stress affects sleep differently for KAI men and women. The purpose of this cross-sectional study was to examine gender differences in the association between diverse domains of acculturative stress and sleep duration among KAIs. Middle-aged KAIs were recruited in community settings and online. KAIs completed validated measures of acculturative stress (homesickness, social isolation, employment barriers, discrimination, civic disengagement, and family problems) and sleep duration. Multiple linear regression analysis was performed and stratified by gender. 343 KAIs participated (mean age = 41 +/- 10 years, 47% female, 11% short sleepers [< 6 h]). After adjustment for covariates, higher homesickness (beta = - 23.19, p < 0.05) and lower civic disengagement (beta = 17.75, p < 0.05) were associated with shorter sleep duration in women, while higher isolation was associated with shorter sleep duration in men (beta = - 13.73, p < 0.05). Discussion: Results suggest gender-specific associations between acculturative stress and sleep duration. Future research should take into account gender differences in the experience and effects of acculturative stress when developing interventions to improve sleep health in KAIs.
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