Examining the indirect effects of acculturation stress on insomnia through rumination and alcohol use among Latinx women and men.

IF 3.2 2区心理学 Q1 ETHNIC STUDIES Cultural Diversity & Ethnic Minority Psychology Pub Date : 2024-10-07 DOI:10.1037/cdp0000723

Luciana Andrea Giorgio Cosenzo, Carmela Alcántara

{"title":"Examining the indirect effects of acculturation stress on insomnia through rumination and alcohol use among Latinx women and men.","authors":"Luciana Andrea Giorgio Cosenzo, Carmela Alcántara","doi":"10.1037/cdp0000723","DOIUrl":null,"url":null,"abstract":"Objectives: Acculturation stress, a type of sociocultural stress, is positively associated with insomnia among Latinxs; however, the mechanisms of this association remain elusive. We tested the indirect effects of acculturation stress on insomnia through rumination and alcohol use, two coping strategies associated with insomnia, and explored these effects in gender-stratified models among Latinxs.Method: We analyzed cross-sectional data from 187 Latinxs participating in the Latino Sleep and Health study in New York City in 2016-2019. We conducted bias-corrected boot-strap tests of mediation with case resampling (1,000 replications) in aggregate and gender-stratified models. Acculturation stress and insomnia were measured continuously using the Hispanic Stress Inventory and Insomnia Severity Index (ISI). Rumination was measured using a subscale of the Ruminative Response Scale. The Quantity-Frequency Index was used to measure alcohol use. Covariates included age, New York City poverty threshold, and perceived stress.Results: Participants were Mage 37.43 (SD = 13.67). Most participants were women (64.17%). The average ISI was 6.65 (SD = 5.51). The indirect effect of acculturation stress on insomnia through rumination was statistically significant (b = 0.02, 95% BCa CI [0.01, 0.03]). Among women, this indirect effect had slightly larger coefficients than among men (b = 0.02, 95% BCa CI [0.01, 0.04]; b = 0.01, 95% BCa CI [0.004, 0.04]). Alcohol use was not a statistically significant mediator (b = -0.001, 95% BCa CI [-0.004, 0.0002]).Conclusion: These findings suggest that psychological interventions focused on reducing rumination in response to acculturation stress may promote healthy sleep among Latinxs, particularly among Latina women. Future studies should use longitudinal study designs to determine the causal relationships among these variables. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":48151,"journal":{"name":"Cultural Diversity & Ethnic Minority Psychology","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cultural Diversity & Ethnic Minority Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/cdp0000723","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ETHNIC STUDIES","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: Acculturation stress, a type of sociocultural stress, is positively associated with insomnia among Latinxs; however, the mechanisms of this association remain elusive. We tested the indirect effects of acculturation stress on insomnia through rumination and alcohol use, two coping strategies associated with insomnia, and explored these effects in gender-stratified models among Latinxs.

Method: We analyzed cross-sectional data from 187 Latinxs participating in the Latino Sleep and Health study in New York City in 2016-2019. We conducted bias-corrected boot-strap tests of mediation with case resampling (1,000 replications) in aggregate and gender-stratified models. Acculturation stress and insomnia were measured continuously using the Hispanic Stress Inventory and Insomnia Severity Index (ISI). Rumination was measured using a subscale of the Ruminative Response Scale. The Quantity-Frequency Index was used to measure alcohol use. Covariates included age, New York City poverty threshold, and perceived stress.

Results: Participants were M_age 37.43 (SD = 13.67). Most participants were women (64.17%). The average ISI was 6.65 (SD = 5.51). The indirect effect of acculturation stress on insomnia through rumination was statistically significant (b = 0.02, 95% BCa CI [0.01, 0.03]). Among women, this indirect effect had slightly larger coefficients than among men (b = 0.02, 95% BCa CI [0.01, 0.04]; b = 0.01, 95% BCa CI [0.004, 0.04]). Alcohol use was not a statistically significant mediator (b = -0.001, 95% BCa CI [-0.004, 0.0002]).

Conclusion: These findings suggest that psychological interventions focused on reducing rumination in response to acculturation stress may promote healthy sleep among Latinxs, particularly among Latina women. Future studies should use longitudinal study designs to determine the causal relationships among these variables. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

研究文化适应压力通过反刍和饮酒对拉丁裔男女失眠的间接影响。

研究目的文化适应压力是一种社会文化压力，在拉丁裔中与失眠呈正相关；然而，这种关联的机制仍不明确。我们通过反刍和饮酒这两种与失眠相关的应对策略，测试了文化适应压力对失眠的间接影响，并在拉丁裔人群的性别分层模型中探讨了这些影响：我们分析了 2016-2019 年参与纽约市拉丁裔睡眠与健康研究的 187 名拉丁裔的横截面数据。我们在总体模型和性别分层模型中使用个案重采样（1000 次重复）进行了偏差校正自举中介检验。文化适应压力和失眠采用西班牙裔压力量表和失眠严重程度指数（ISI）进行连续测量。反刍采用反刍反应量表的一个分量表进行测量。数量-频率指数用于测量饮酒情况。协变量包括年龄、纽约市贫困线和感知压力：参与者年龄为 37.43 岁（SD = 13.67）。大多数参与者为女性（64.17%）。平均 ISI 为 6.65（标准差 = 5.51）。文化适应压力通过反刍对失眠的间接影响在统计学上有显著意义（b = 0.02，95% BCa CI [0.01，0.03]）。在女性中，这一间接效应的系数略大于男性（b = 0.02，95% BCa CI [0.01，0.04]；b = 0.01，95% BCa CI [0.004，0.04]）。饮酒在统计学上不是一个显著的中介因素（b = -0.001，95% BCa CI [-0.004，0.0002]）：这些研究结果表明，针对文化适应压力而采取以减少反刍为重点的心理干预措施可以促进拉丁裔，尤其是拉丁裔女性的健康睡眠。未来的研究应采用纵向研究设计来确定这些变量之间的因果关系。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Cultural Diversity & Ethnic Minority Psychology Multiple-

CiteScore

5.90

自引率

6.10%

发文量

101

期刊介绍： Cultural Diversity & Ethnic Minority Psychology seeks to publish theoretical, conceptual, research, and case study articles that promote the development of knowledge and understanding, application of psychological principles, and scholarly analysis of social–political forces affecting racial and ethnic minorities.