Sleep and health disparities among Asian Americans: roles of stressors and protective factors

亚裔美国人的睡眠和健康差异：压力源和保护因素的作用

• 批准号: 10388377
• 负责人: SUNMIN LEE
• 金额: $ 67.48万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-08 至 2026-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10388377
• 关键词: Adult; Affect; African American population; American; Asian; Asian Americans; Asian population; Blood; Body mass index; Buffers; COVID-19; COVID-19 impact; COVID-19 stress; Chinese; Chinese American; Cholesterol; Chronic Disease; Communities; Conflict (Psychology); Data; Data Reporting; Development; Diabetes Mellitus; Diagnosis; Dimensions; Drowsiness; Emotional; Environment; Ethnic group; Future; Glycosylated hemoglobin A; Goals; Hate; Health; High Prevalence; Hispanic Populations; Hypertension; Immigrant; Immigration; Individual; Interleukin-6; Intervention; Japanese American; Koreans; Light; Limited English Proficiency; Link; Longitudinal Studies; Low Prevalence; Measures; Mediating; Metabolic syndrome; Minority Groups; Neighborhoods; Obesity; Outcome; Patient Self-Report; Perception; Politics; Population; Psyche structure; Psychological Impact; Psychological Stress; Religion and Spirituality; Reporting; Research; Research Personnel; Risk; Role; Sampling; Sleep; Sleep Apnea Syndromes; Sleep Deprivation; Sleep Disorders; Sleep disturbances; Sleeplessness; Social support; Speech; Spottings; Stress; Subgroup; TNF gene; Testing; Time; Waist-Hip Ratio; War; base; biological adaptation to stress; cardiometabolic risk; cardiometabolism; experience; follow-up; health disparity; high body mass index; inflammatory marker; innovation; multi-ethnic; neighborhood disadvantage; novel; perceived stress; poor sleep; protective factors; psychosocial stressors; racial and ethnic; racism; rapid growth; sleep health; social cohesion; sociodemographics; stressor; study population; Adult; Affect; African American population; American; Asian; Asian Americans; Asian population; Blood; Body mass index; Buffers; COVID-19; COVID-19 impact; COVID-19 stress; Chinese; Chinese American; Cholesterol; Chronic Disease; Communities; Conflict (Psychology); Data; Data Reporting; Development; Diabetes Mellitus; Diagnosis; Dimensions; Drowsiness; Emotional; Environment; Ethnic group; Future; Glycosylated hemoglobin A; Goals; Hate; Health; High Prevalence; Hispanic Populations; Hypertension; Immigrant; Immigration; Individual; Interleukin-6; Intervention; Japanese American; Koreans; Light; Limited English Proficiency; Link; Longitudinal Studies; Low Prevalence; Measures; Mediating; Metabolic syndrome; Minority Groups; Neighborhoods; Obesity; Outcome; Patient Self-Report; Perception; Politics; Population; Psyche structure; Psychological Impact; Psychological Stress; Religion and Spirituality; Reporting; Research; Research Personnel; Risk; Role; Sampling; Sleep; Sleep Apnea Syndromes; Sleep Deprivation; Sleep Disorders; Sleep disturbances; Sleeplessness; Social support; Speech; Spottings; Stress; Subgroup; TNF gene; Testing; Time; Waist-Hip Ratio; War; base; biological adaptation to stress; cardiometabolic risk; cardiometabolism; experience; follow-up; health disparity; high body mass index; inflammatory marker; innovation; multi-ethnic; neighborhood disadvantage; novel; perceived stress; poor sleep; protective factors; psychosocial stressors; racial and ethnic; racism; rapid growth; sleep health; social cohesion; sociodemographics; stressor; study population

PROJECT SUMMARY Asian Americans have more sleep deficiencies compared to Whites or Hispanics. However, most studies of sleep disparities have focused on African Americans and Hispanics, and research on Asians remains scarce. Our preliminary study among Chinese, Korean, and Vietnamese Americans found that acculturative stress was inversely associated with sleep duration and positively associated with sleep disturbance and risk of sleep apnea. Importantly, COVID-19 has adversely affected health, including sleep, with minority populations being disproportionately affected. Additionally, increasing hate speech and racist attacks against Asians have been reported, leading to increased mental and emotional toll in this population. Findings from the preliminary study also demonstrated that sleep duration was inversely associated with diabetes, and sleep apnea was positively associated with hypertension and obesity. The overarching goal of this innovative longitudinal study is to understand: (1) mechanisms of sleep disparities in relation to immigrant stressors and protective factors; and (2) consequences of sleep disparities on health outcomes, in a sample of community-dwelling Chinese, Korean, and Vietnamese adults (n=750). This study includes several innovations such as novel measures on anti-Asian racism due to COVID-19, the adverse impact of COVID-19, and multi-dimensional sleep health; use of dried blood spots; purposive sampling of 3 Asian subgroups; and considering ethnic enclaves as a protective factor. Over the 5-year project period, the investigators will collect and analyze two waves of data in order to: (1) Determine the longitudinal association between immigrant stressors (e.g., acculturative stress, psychological stress and adverse impact of COVID-19, anti-Asian racism, and neighborhood disadvantage) and sleep health (a multi- dimensional assessment of sleep health and disturbance); (2) Evaluate the moderating effect of potential protective factors (e.g., social support, religious involvement, ethnic enclaves, and neighborhood social cohesion) on the associations between immigrant stressors and sleep health; (3) Examine the longitudinal association between sleep health and markers of cardiometabolic risk; and (4) Test whether specific dimensions of sleep health will mediate the association between immigrant stressors and health outcomes. This will be one of the first longitudinal studies to investigate mechanisms of sleep disparities in relation to immigrant stressors and the consequences of sleep disparities on health outcomes among Asians, an understudied minority population which displays poorer sleep outcomes relative to other groups. This study is timely considering the rapid growth of Asians in the U.S., and the current hostile environment for Asians and immigrants, including COVID-19. This innovative study will elucidate health issues of this understudied group and identify modifiable factors that will serve as targets for intervention to reduce sleep disparities among Asians.

项目摘要 与白人或西班牙裔相比，亚裔美国人的睡眠不足更多。但是，大多数研究 睡眠差异集中在非裔美国人和西班牙裔上，对亚洲人的研究仍然很少。 我们对中国，韩国和越南美国人的初步研究发现，适应性压力是 与睡眠持续时间成反比，与睡眠障碍和睡眠呼吸暂停的风险正相关。 重要的是，Covid-19具有不利影响的健康，包括睡眠，少数人口是 受到不成比例的影响。此外，对亚洲人的仇恨言论和种族主义攻击已经增加 报道说，导致这一人群的心理和情感损失增加。初步研究的结果 还证明睡眠持续时间与糖尿病成反比，睡眠呼吸暂停是积极的 与高血压和肥胖有关。 这项创新纵向研究的总体目标是理解：（1）睡眠差异的机制 与移民压力源和保护因素有关； （2）睡眠差异对健康的后果 结果，在社区中国，韩国和越南成年人的样本中（n = 750）。这项研究 包括几项创新，例如关于Covid-19引起的反亚洲种族主义的新措施，不利影响 Covid-19和多维睡眠健康；使用干斑； 3个亚洲人的目的抽样 亚组；并将族裔飞地视为保护因素。 在5年的项目期间，研究人员将收集和分析两个数据浪潮，以：（1） 确定移民压力源之间的纵向关联（例如，适应性压力，心理压力 COVID-19，反亚洲种族主义和社区劣势的不利影响）和睡眠健康 睡眠健康和干扰的维度评估）； （2）评估潜力的调节作用 保护因素（例如，社会支持，宗教参与，族裔飞地和社区社会凝聚力） 关于移民压力源与睡眠健康之间的关联； （3）检查纵向关联 在睡眠健康和心脏代谢风险的标记之间； （4）测试是否特定的睡眠尺寸 健康将调解移民压力源与健康成果之间的关联。 这将是研究与相关的睡眠差异机制的首批纵向研究之一 移民压力源以及睡眠差异对亚洲人健康结果的后果， 研究的少数群体相对于其他群体显示出较差的睡眠预后。这项研究是 及时考虑亚洲人在美国的迅速发展，以及当前亚洲人的敌对环境和 移民，包括Covid-19。这项创新的研究将阐明该研究研究小组的健康问题，并 确定可修改的因素，这些因素将作为干预措施的目标，以减少亚洲人的睡眠差异。