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Acculturation Associated with Sleep Duration, Sleep Quality, and Sleep Disorders at the US–Mexico Border

Ghani, Sadia B. and Delgadillo, Marcos E. and Granados, Karla and Okuagu, Ashley C. and Alfonso-Miller, Pamela and Buxton, Orfeu M. and Patel, Sanjay R. and Ruiz, John and Parthasarathy, Sairam and Haynes, Patricia L. and Molina, Patricia and Seixas, Azizi and Williams, Natasha and Jean-Louis, Girardin and Grandner, Michael A. (2020) Acculturation Associated with Sleep Duration, Sleep Quality, and Sleep Disorders at the US–Mexico Border. International Journal of Environmental Research and Public Health, 17 (19). p. 7138. ISSN 1660-4601

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Sleep disparities exist among Hispanics/Latinos, although little work has characterized individuals at the United States (US)–Mexico border, particularly as it relates to acculturation. This study examined the association of Anglo and Mexican acculturation to various facets of sleep health among those of Mexican descent at the US–Mexico border. Data were collected from N = 100 adults of Mexican descent in the city of Nogales, Arizona (AZ). Surveys were presented in English or Spanish. Acculturation was assessed with the Acculturation Scale for Mexican-Americans (ARSMA-II). Insomnia was assessed with the Insomnia Severity Index (ISI), sleepiness was assessed with the Epworth Sleepiness Scale (ESS), sleep apnea risk was assessed with the Multivariable Apnea Prediction (MAP) index, weekday and weekend sleep duration and efficiency were assessed with the Sleep Timing Questionnaire, sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI), and sleep duration and sleep medication use were assessed with PSQI items. No associations were found between Mexican acculturation and any sleep outcomes in adjusted analyses. Anglo acculturation was associated with less weekend sleep duration and efficiency, worse insomnia severity and sleep quality, and more sleep apnea risk and sleep medication use. These results support the idea that sleep disparities may depend on the degree of acculturation, which should be considered in risk screening and interventions.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Ghani, Sadia B.
Delgadillo, Marcos E.
Granados, Karla
Okuagu, Ashley C.
Alfonso-Miller, Pamela
Buxton, Orfeu M.
Patel, Sanjay
Ruiz, John
Parthasarathy, Sairam
Haynes, Patricia L.
Molina, Patricia
Seixas, Azizi
Williams, Natasha
Jean-Louis, Girardin
Grandner, Michael A.
Date: 29 September 2020
Date Type: Publication
Journal or Publication Title: International Journal of Environmental Research and Public Health
Volume: 17
Number: 19
Publisher: MDPI AG
Page Range: p. 7138
DOI or Unique Handle: 10.3390/ijerph17197138
Schools and Programs: School of Medicine > Medicine
Refereed: Yes
Uncontrolled Keywords: acculturation, sleep, sleep disparities, Hispanic/Latino, health disparities, sleep duration
ISSN: 1660-4601
Official URL:
Funders: University of Arizona Health Sciences
Article Type: Research Article
Date Deposited: 27 Jun 2022 18:17
Last Modified: 27 Jun 2022 18:17


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