@article{e91a5c088e3c428bbf6e4534837a1e4f,
title = "Employment status and the association of sociocultural stress with sleep in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)",
abstract = "Study Objectives We examined the association of sociocultural stress severity (i.e. acculturation stress, ethnic discrimination) and chronic stress burden with multiple dimensions of sleep in a population-based sample of US Hispanics/Latinos. We also explored whether employment status modified stress-sleep associations. Methods We conducted survey linear regressions to test the cross-sectional association of sociocultural stress severity and stress burden with sleep dimensions using data collected between 2010 and 2013 from individuals who participated in both the Hispanic Community Health Study/Study of Latinos Suen{\~o} and Sociocultural Ancillary studies (N = 1192). Results Greater acculturation stress (B = 0.75, standard error [SE] = 0.26, p <.01) and chronic psychosocial stress burden (B = 1.04, SE = 0.18, p <.001) were associated with greater insomnia symptoms but were not associated with actigraphic measures of sleep. Ethnic discrimination was not associated with any of the sleep dimensions. The association of acculturation stress with insomnia severity was greater in unemployed (B = 2.06, SE = 0.34) compared to employed (B = 1.01, SE = 0.31) participants (p-interaction =.08). Conclusions Acculturation stress severity and chronic stress burden are important and consistent correlates of insomnia, but not actigraphically measured sleep dimensions. If replicated, future research should test whether interventions targeting the resolution of sociocultural stress improve sleep quality in Hispanics/Latinos.",
keywords = "Hispanic, actigraphy, employment status, insomnia, psychosocial factors, sleep, social determinants, sociocultural, stress",
author = "Carmela Alc{\'a}ntara and Gallo, {Linda C.} and Jia Wen and Dudley, {Katherine A.} and Wallace, {Douglas M.} and Yasmin Mossavar-Rahmani and Daniela Sotres-Alvarez and Zee, {Phyllis C.} and Ramos, {Alberto R.} and Petrov, {Megan E.} and Casement, {Melynda D.} and Hall, {Martica H.} and Susan Redline and Patel, {Sanjay R.}",
note = "Funding Information: The Hispanic Community Health Study/Study of Latinos was carried out as a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236),and San Diego State University (N01-HC65237). The following Institutes/ Centers/Offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Center on Minority Health and Health Disparities, the National Institute on Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. The HCHS/SOL SCAS was funded by NHLBI RC2HL101649; The HCHS/SOL Sue{\~n}o was funded by HL098297. C.A. is supported by K23 HL125748 and S.R.P. is supported by HL127307 from the National Heart, Lung, and Blood Institute, and M.D.C. is supported by K01 MH103511 from the National Institute of Mental Health, of the National Institutes of Health. Conflict of interest statement. None declared. Publisher Copyright: {\textcopyright} 2019 Sleep Research Society. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved.",
year = "2019",
month = apr,
day = "1",
doi = "10.1093/sleep/zsz002",
language = "English (US)",
volume = "42",
journal = "Sleep",
issn = "0161-8105",
publisher = "American Academy of Sleep Medicine",
number = "4",
}