Sleep Quality and Alcohol-Use Disorders in a Select Population of Young-Adult Mexican Americans

Ehlers, Cindy L.; Gilder, David A.; Criado, José R.; Caetano, Raúl

doi:10.15288/jsad.2010.71.879

Cited by 43 publications

(38 citation statements)

References 51 publications

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“…In our current study, the use of alcoholic beverages approached significance (OR 1.29, p = 0.05) as a predictor of poor sleep quality only in HMD. Recently, Ehlers et al, evaluated a group of young Hispanic men (ages 18 to 30) in San Diego County and reported that life time diagnosis of alcoholuse disorder, family history of alcohol dependence, acculturation stress, and lifetime diagnoses of major depressive disorder were all correlated with significantly poorer sleep quality as measured by the global score on the PSQI, [48] which appears to agree with our finding. Similar to our findings, some published datashow that women more frequently report poor sleep quality [49][50][51].…”

Section: Discussionsupporting

confidence: 90%

Sleep Quality among Hispanics of Mexican Descent and Non-Hispanic Whites: Results from the Sleep Health and Knowledge in US Hispanics Study

Soler¹,

Díaz-Piedra²,

Bardwell³

et al. 2013

OJRD

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Objectives: To investigate differences in sleep quality between Hispanics of Mexican descent (HMD) and Non-Hispanic Whites (NHW) and evaluate the effect of acculturation to the US lifestyle in sleep health. We hypothesize that the detrimental effect of acculturation on health outcomes will impact sleep quality among HMD. Design: We performed a population-based random digit dialing telephone survey to determine sleep quality in HMD and NHW. We collected from 3667 subjects, demographics, previous diagnosis of depression or anxiety, past treatment for sleep disorders, the Pittsburgh Sleep Quality Index (PSQI) and the Short Acculturation Scale for Hispanics. Results: The prevalence of poor sleep quality (PSQI > 5) was 64.4% for HMD and 64.3% for NHW (p = 0.93). A prior diagnosis of depression or anxiety was an independent predictor of poor sleep quality in both groups (OR 3.4 and 2.7 for HMD and NHW. Ethnicity was not a predictor of poor sleep quality in HMD or NHW. Acculturation was not a predictor of poor sleep quality in HMD. However, highly acculturated young HMD males had significantly more prevalence of poor sleep quality compared to NHW (64.8% vs. 49.8%, p < 0.001). Conclusion: The absence of sleep quality differences in a large sample of HMD and NHW living in San Diego County is contrary to current data of having poorer sleep quality among Latinos. We found that neither ethnicity nor acculturation were predictors of poor sleep quality in HMD. However, we demonstrated a highly prevalent poor sleep quality among the two ethnic groups. The finding of significantly lower sleep quality in young highly acculturated HMD men may represent the heterogeneity of ethnicity related to sleep. Programs to improve sleep quality in subjects with depression and/or anxiety, and in young highly-acculturated HMD seems warranted.

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Section: Discussionsupporting

confidence: 90%

Sleep Quality among Hispanics of Mexican Descent and Non-Hispanic Whites: Results from the Sleep Health and Knowledge in US Hispanics Study

Soler¹,

Díaz-Piedra²,

Bardwell³

et al. 2013

OJRD

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“…These findings were partially confirmed in a study that evaluated sleep quality using the PSQI in a young adult Mexican American population. 41 In that study we also found that substance dependence was significantly correlated with how long it took to fall asleep, major depressive disorder with the number of hours spent sleeping a night, and anxiety disorders and major depressive disorder with waking up in the early morning or middle of the night. These findings, that substance use disorders are associated with reduced sleep quality in the early part of the night, also finds support from studies demonstrating that alcohol dependence is more likely to be associated with deficits in slow wave sleep, especially during the first half of the night, in human.…”

Section: Discussionmentioning

confidence: 67%

Sleep Quality in an Adult American Indian Community Sample

Ehlers

Wills

Lau

et al. 2017

Journal of Clinical Sleep Medicine

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Study Objectives: Epidemiological studies have found that insufficient sleep (< 7 h/night) is more common among American Indians/Alaska Natives (AI/AN). In this study we sought to identify specific demographic, clinical, and cultural factors that may be associated with reduced sleep quality in an American Indian community sample. Methods: Information on demography along with personal medical, psychiatric, and drinking history was obtained using the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA). Sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI). Results:The adult participants (n = 386, 54% women) had a mean ± standard deviation age of 31.35 ± 14.4 y. Higher degrees of AI ancestry, but not cultural identification, being older than 30 y, and having a high school diploma all were factors predictive of having a short sleep duration (< 6 h). The global score on the PSQI was significantly higher in those participants with a lifetime diagnosis of substance use disorders, anxiety disorders, and affective disorders. Alcohol use disorders and affective disorders were significant predictors of sleep latency whereas anxiety and affective disorders were correlated with waking more often in the night/early morning. Nicotine dependence was associated with having trouble breathing, and alcohol use disorders and anxiety disorders with bad dreams. Conclusions: Alcohol use disorders are associated with poorer quality of sleep in this population and substance use disorders were associated with different aspects of sleep than anxiety and depressive disorders. These findings add to the understanding of the interactions between sleep and substance use, anxiety, and affective disorders in an understudied and underserved population. Keywords: alcohol dependence, American Indians, anxiety disorders, BMI, drug dependence, major depressive disorders, PSQI, sleep Citation: Ehlers CL, Wills DN, Lau P, Gilder DA. Sleep quality in an adult American Indian community sample. J Clin Sleep Med. 2017;13(3):385-391. I NTRO DUCTI O NOver the past decade there has been a growing body of literature that has explored the potential overlap between health disparities research and sleep medicine.1 A number of epidemiological studies have reported poorer quality sleep and a higher prevalence of short and/or long sleep in non-White adults, particularly from lower socioeconomic status groups, in comparison with White adults. [2][3][4][5] This research has provided crucial information on disparities in such factors as selfreported sleep duration, daytime sleepiness, and symptoms of sleep disordered breathing across ethnic groups, geographical location, and socioeconomic status. However, the underlying racial/ethnic specific factors that may lead to these disparities in sleep health are less well understood.6 It has been suggested that studies using a multilevel approach that includes examination of factors such as level of acculturation, comorbid medical and psychiatric conditions, neighborhood conditions, and cultural ...

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“…These rates of inadequate and problematic sleep are on the rise among young adults (Hicks et al, 2001;Wolfson, 2010). Furthermore, adolescents and young adults may be especially prone to both mental health and sleep problems (Chorney et al, 2008;Ehlers et al, 2010;Hicks and Garcia, 1987). In fact, disturbances in sleep and self-reported sleep dissatisfaction represent core symptoms of depression (Brooks et al, 2009;Mayers et al, 2009;Moo-Estrella et al, 2005;Riemann et al, 2001).…”

Section: Mental Health and Sleepmentioning

confidence: 99%

Mental Health, Sleep Quality, Drinking Motives, and Alcohol-Related Consequences: A Path-Analytic Model

Kenney

Lac

LaBrie

et al. 2013

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Poor mental health, sleep problems, drinking motivations, and high-risk drinking are prevalent among college students. However, research designed to explicate the interrelationships among these health risk behaviors is lacking. This study was designed to assess the direct and indirect infl uences of poor mental health (a latent factor consisting of depression, anxiety, and stress) to alcohol use and alcohol-related consequences through the mediators of global sleep quality and drinking motives in a comprehensive model. Method: Participants were 1,044 heavy-drinking college students (66.3% female) who completed online surveys. Results: A hybrid structural equation model tested hypotheses involving relations leading from poor mental health to drinking motives and poorer global sleep quality to drinking outcomes. Results showed that poor mental health signifi cantly predicted all four subscales of drinking motivations (social, coping, conformity, and enhancement) as well as poor sleep. Most of the drinking motives and poor sleep were found to explain alcohol use and negative alcohol consequences. Poor sleep predicted alcohol consequences, even after controlling for all other variables in the model. The hypothesized mediational pathways were examined with tests of indirect effects. Conclusions: This is the fi rst study to assess concomitantly the relationships among three vital health-related domains (mental health, sleep behavior, and alcohol risk) in college students. Findings offer important implications for college personnel and interventionists interested in reducing alcohol risk by focusing on alleviating mental health problems and poor sleep quality. (J. Stud. Alcohol Drugs, 74, 841-851, 2013)

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Sleep Quality and Alcohol-Use Disorders in a Select Population of Young-Adult Mexican Americans

Cited by 43 publications

References 51 publications

Sleep Quality among Hispanics of Mexican Descent and Non-Hispanic Whites: Results from the Sleep Health and Knowledge in US Hispanics Study

Sleep Quality among Hispanics of Mexican Descent and Non-Hispanic Whites: Results from the Sleep Health and Knowledge in US Hispanics Study

Sleep Quality in an Adult American Indian Community Sample

Mental Health, Sleep Quality, Drinking Motives, and Alcohol-Related Consequences: A Path-Analytic Model

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