Discrimination in Middle Eastern and North African Americans predicts Worse Mental Health as Mediated by Sleep.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-09-03 DOI:10.1007/s40615-024-02149-z

Pedram Rastegar, Philip Zendels, Amy Peterman

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Abstract

Discrimination is a salient stressor linked with a variety of health outcomes including depression and anxiety among Middle Eastern and North African Americans (MENA). Among other minoritized racial and ethnic groups, sleep difficulties have been identified as potential mechanisms that explain the relationship between discrimination and mental health. However, this has not been explored within MENA samples. Thus, the focus of this study is to examine if two sleep measures (e.g., sleep disturbance and sleep-related impairment) mediate the relationship between discrimination and two mental health outcomes: depression and anxiety. We recruited 126 MENA adults from across the USA through Prolific. Findings revealed that sleep-related impairment fully mediated the relationship between discrimination and mental health outcomes, whereas sleep disturbances only partially mediated these outcomes. Results suggest sleep difficulties are one pathway that could explain the relationship between discrimination and mental health among MENA. Future work should continue to explore this relationship, as well as investigate discrimination and sleep as possible places of intervention to protect the health of MENA individuals.

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中东和北非裔美国人受到的歧视会导致心理健康状况不佳，而睡眠则是其中的中介。

在中东和北非裔美国人（MENA）中，歧视是一种与抑郁和焦虑等多种健康后果相关联的突出压力源。在其他少数种族和民族群体中，睡眠困难被认为是解释歧视与心理健康之间关系的潜在机制。然而，在中东和北非样本中尚未对此进行过探讨。因此，本研究的重点是探讨两种睡眠测量指标（如睡眠障碍和睡眠相关损伤）是否能调节歧视与两种心理健康结果（抑郁和焦虑）之间的关系。我们通过 Prolific 从美国各地招募了 126 名中东和北非成年人。研究结果表明，与睡眠相关的损伤完全介导了歧视与心理健康结果之间的关系，而睡眠障碍仅部分介导了这些结果。结果表明，睡眠障碍是解释中东和北非地区歧视与心理健康之间关系的一个途径。今后的工作应继续探讨这种关系，并研究歧视和睡眠问题，将其作为保护中东和北非人健康的可能干预因素。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.