Skip to main content

Advertisement

Log in

A Mixed Method Examination of Sleep Patterns and Barriers to Sleep in Hispanic Women

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Research on Hispanic sleep (1) remains far behind research on non-Hispanic White sleep, and (2) seldom focuses solely on Hispanic women. A convergent parallel mixed-methods study design was used to examine (1) sleep quantity, quality, and habits; (2) the association of sleep and health; and (3) perceived barriers to healthy sleep in middle-aged Hispanic women living in [a large Midwest city]. A total of 78 Hispanic women were surveyed, and 27 of these Hispanic women participated in focus groups. Participants had: poor sleep quantity, quality, and sleep hygiene. In focus groups, participants identified three barriers to healthy sleep: poor sleep hygiene, responsibilities and related stress, and additional mental health concerns. While poor sleep quantity and quality have serious health consequences for Hispanic women, sleep disorders in Hispanic women have been understudied. This study underscores barriers to healthy sleep and the associations between sleep and health in Hispanic women.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Loredo JS, Soler X, Bardwell W, Ancoli-Israel S, Dimsdale JE, Palinkas LA. Sleep health in U.S. hispanic population. Sleep. 2010;33(7):962–7. https://doi.org/10.1093/sleep/33.7.962.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Gaston SA, Park Y-M, McWhorter KL, Sandler DP, Jackson CL. Multiple poor sleep characteristics and metabolic abnormalities consistent with metabolic syndrome among white, black, and Hispanic/Latina women: modification by menopausal status. Diabetol Metab Syndr. 2019;11(1):17. https://doi.org/10.1186/s13098-019-0413-2.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Roncoroni J, Wu Whitaker S, Wippold G. Sociodemographic and health correlates of sleep in U.S. Hispanic older adults. Sleep Med. 2020;68:213–7. https://doi.org/10.1016/j.sleep.2020.01.007.

    Article  PubMed  Google Scholar 

  4. Patel SR, Sotres-Alvarez D, Castañeda SF, et al. Social and health correlates of sleep duration in a US Hispanic population: results from the Hispanic community health study/study of Latinos. Sleep. 2015;38(10):1515–22. https://doi.org/10.5665/sleep.5036.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Chen X, Wang R, Zee P, et al. Racial/ethnic differences in sleep disturbances: the multi-ethnic study of atherosclerosis (MESA). Sleep. 2015;38(6):877–88. https://doi.org/10.5665/sleep.4732.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Ertel KA, Berkman LF, Buxton OM. Socioeconomic status, occupational characteristics, and sleep duration in African/Caribbean immigrants and US White Health Care workers. Sleep. 2011;34(4):509–18. https://doi.org/10.1093/sleep/34.4.509.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Jackson CL, Redline S, Emmons KM. Sleep as a potential fundamental contributor to disparities in cardiovascular health. Annu Rev Public Health. 2015;36(1):417–40. https://doi.org/10.1146/annurev-publhealth-031914-122838.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Whinnery J, Jackson N, Rattanaumpawan P, Grandner MA. Short and long sleep duration associated with race/ethnicity, sociodemographics, and socioeconomic position. Sleep. 2014;37(3):601–11. https://doi.org/10.5665/sleep.3508.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Williams NJ, Grandner MA, Snipes SA, et al. Racial/ethnic disparities in sleep health and health care: importance of the sociocultural context. Sleep Health. 2015;1(1):28–35. https://doi.org/10.1016/j.sleh.2014.12.004.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Chen X, Wang R, Zee P, et al. Racial/ethnic differences in sleep disturbances: the multi-ethnic study of atherosclerosis (MESA). Sleep. 2015. https://doi.org/10.5665/sleep.4732.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Redline S, Sotres-Alvarez D, Loredo J, et al. Sleep-disordered breathing in Hispanic/Latino individuals of diverse backgrounds. The Hispanic community health study/study of Latinos. Am J Respir Crit Care Med. 2014;189(3):335–44. https://doi.org/10.1164/rccm.201309-1735OC.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Alcántara C, Cabassa LJ, Suglia S, et al. Disaggregating Latina/o surveillance health data across the lifecourse: barriers, facilitators, and exemplars. Published online 2017:68.

  13. Grandner MA, Patel NP, Gehrman PR, et al. Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints. Sleep Med. 2010;11(5):470–8. https://doi.org/10.1016/j.sleep.2009.10.006.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Mallampalli MP, Carter CL. Exploring sex and gender differences in sleep health: A society for women’s health research report. J Womens Health. 2014;23(7):553–62. https://doi.org/10.1089/jwh.2014.4816.

    Article  Google Scholar 

  15. Ohayon MM, Reynolds CF, Dauvilliers Y. Excessive sleep duration and quality of life. Ann Neurol. 2013;73(6):785–94. https://doi.org/10.1002/ana.23818.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Family Caregiver Alliance. (2006). Caregiver health. Retrieved from https://www.caregiver.org/resource/caregiver-health/.

  17. Jackson CL, Hu FB, Redline S, Williams DR, Mattei J, Kawachi I. Racial/ethnic disparities in short sleep duration by occupation: the contribution of immigrant status. Soc Sci Med. 2014;118:71–9. https://doi.org/10.1016/j.socscimed.2014.07.059.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Jackson CL, Walker JR, Brown MK, Das R, Jones NL. A workshop report on the causes and consequences of sleep health disparities. Sleep. 2020;43(8):zsaa037. https://doi.org/10.1093/sleep/zsaa037.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999;131(7):485. https://doi.org/10.7326/0003-4819-131-7-199910050-00002.

    Article  CAS  PubMed  Google Scholar 

  20. Morin CM, Belleville G, Bélanger L, Ivers H. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34(5):601–8. https://doi.org/10.1093/sleep/34.5.601.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Lauderdale DS, Knutson KL, Yan LL, Liu K, Rathouz PJ. Self-reported and measured sleep duration: how similar are they? Epidemiol Camb Mass. 2008;19(6):838–45. https://doi.org/10.1097/EDE.0b013e318187a7b0.

    Article  Google Scholar 

  22. National Sleep Foundation. 10 Tips for a Better Night’s Sleep. Published May 5, 2020. https://www.thensf.org/10-sleep-tips-sleep-quality/. Accessed 20 Jun 2021.

  23. Dudley KA, Weng J, Sotres-Alvarez D, et al. Actigraphic sleep patterns of U.S. Hispanics: the Hispanic community health study/study of Latinos. Sleep. 2017;40(2):zsw049. https://doi.org/10.1093/sleep/zsw049.

    Article  Google Scholar 

  24. Hale L, Do DP. Racial differences in self-reports of sleep duration in a population-based study. Sleep. 2007;30(9):1096–103. https://doi.org/10.1093/sleep/30.9.1096.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Johnson DA, Brown DL, Morgenstern LB, Meurer WJ, Lisabeth LD. The association of neighborhood characteristics with sleep duration and daytime sleepiness. Sleep Health. 2015;1(3):148–55. https://doi.org/10.1016/j.sleh.2015.06.002.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Krueger PM, Friedman EM. Sleep duration in the United States: a cross-sectional population-based study. Am J Epidemiol. 2009;169(9):1052–63. https://doi.org/10.1093/aje/kwp023.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Grandner MA, Petrov MER, Rattanaumpawan P, Jackson N, Platt A, Patel NP. Sleep symptoms, race/ethnicity, and socioeconomic position. J Clin Sleep Med. 2013;09(09):897–905. https://doi.org/10.5664/jcsm.2990.

    Article  Google Scholar 

  28. National Center on Sleep Disorders Research. National Institutes of Sleep Disorders Research Plan. National Institutes of Health; 2011. https://www.nhlbi.nih.gov/files/docs/ncsdr/201101011NationalSleepDisordersResearchPlanDHHSPublication11-7820.pdf. Accessed 9 Feb 2021.

  29. Pandi-Perumal SR, Abumuamar AM, Spence DW, Chattu VK, Moscovitch A, BaHammam AS. Racial/ethnic and social inequities in sleep medicine: the tip of the iceberg? J Natl Med Assoc. 2017;109(4):279–86. https://doi.org/10.1016/j.jnma.2017.04.005.

    Article  PubMed  Google Scholar 

  30. Williams NJ, Grandne MA, Snipes A, et al. Racial/ethnic disparities in sleep health and health care: importance of the sociocultural context. Sleep Health. 2015;1(1):28–35. https://doi.org/10.1016/j.sleh.2014.12.004.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Piccolo RS, Yang M, Bliwise DL, Yaggi HK, Araujo AB. Racial and socioeconomic disparities in sleep and chronic disease: results of a longitudinal investigation. Ethn Dis. 2013;23(4):499–507.

    PubMed  Google Scholar 

  32. Patel NP, Grandner MA, Xie D, Branas CC, Gooneratne N. “Sleep disparity” in the population: poor sleep quality is strongly associated with poverty and ethnicity. BMC Public Health. 2010;10(1):475. https://doi.org/10.1186/1471-2458-10-475.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Buxton OM, Marcelli E. Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States. Soc Sci Med. 2010;71(5):1027–36. https://doi.org/10.1016/j.socscimed.2010.05.041.

    Article  PubMed  Google Scholar 

  34. Grandner MA, Petrov MER, Rattanaumpawan P, Jackson N, Platt A, Patel NP. Sleep symptoms, race/ethnicity, and socioeconomic position. J Clin Sleep Med. 2013;9(9):897–905. https://doi.org/10.5664/jcsm.2990.

    Article  PubMed  PubMed Central  Google Scholar 

  35. National Institutes of Health [NIH]. National Institutes of Health Sleep Disorders Research Plan. Published online 2011:34.

  36. Bautista L, Reininger B, Gay JL, Barroso CS, McCormick JB. Perceived barriers to exercise in Hispanic adults by level of activity. J Phys Act Health. 2011;8(7):916–25. https://doi.org/10.1123/jpah.8.7.916.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Mier N, Medina AA, Ory MG. Mexican Americans with type 2 diabetes: perspectives on definitions, motivators, and programs of physical activity. Prev Chronic Dis. 2007;4(2):A24.

    PubMed  PubMed Central  Google Scholar 

  38. Eyler AE, Wilcox S, Matson-Koffman D, et al. Correlates of physical activity among women from diverse racial/ethnic groups. J Womens Health Gend Based Med. 2002;11(3):239–53. https://doi.org/10.1089/152460902753668448.

    Article  PubMed  Google Scholar 

  39. Evenson K. Personal, social, and environmental correlates of physical activity in North Carolina Latina immigrants. Am J Prev Med. 2003;25(3):77–85. https://doi.org/10.1016/S0749-3797(03)00168-5.

    Article  PubMed  Google Scholar 

  40. Im E-O, Teng H, Lee Y, et al. Physical activities and sleep-related symptoms in 4 major racial/ethnic groups of midlife women. Fam Community Health. 2014;37(4):307–16. https://doi.org/10.1097/FCH.0000000000000041.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Reid KJ, Weng J, Ramos AR, et al. Impact of shift work schedules on actigraphy-based measures of sleep in Hispanic workers: results from the Hispanic Community Health Study/Study of Latinos ancillary Sueño study. Sleep. 2018. https://doi.org/10.1093/sleep/zsy131.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Berger MT, Guidroz K. The intersectional approach: transforming the academy through race, class, and gender. Chapel Hill: University of North Carolina Press; 2010.

    Google Scholar 

  43. Caiola C, Docherty SL, Relf M, Barroso J. Using an intersectional approach to study the impact of social determinants of health for African American mothers living with HIV. ANS Adv Nurs Sci. 2014;37(4):287–98. https://doi.org/10.1097/ANS.0000000000000046.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Billings ME, Cohen RT, Baldwin CM, et al. Disparities in sleep health and potential intervention models. Chest. 2021;159(3):1232–40. https://doi.org/10.1016/j.chest.2020.09.249.

    Article  PubMed  Google Scholar 

  45. Lo JC, Groeger JA, Cheng GH, Dijk D-J, Chee MWL. Self-reported sleep duration and cognitive performance in older adults: a systematic review and meta-analysis. Sleep Med. 2016;17:87–98. https://doi.org/10.1016/j.sleep.2015.08.021.

    Article  PubMed  Google Scholar 

Download references

Funding

This work was supported by the University of Denver Faculty Research Fund.

Author information

Authors and Affiliations

Authors

Contributions

Conceptualization: JR, PhD, and RIP, MD; Methodology: JR, PhD, and RIP, MD; Formal analysis and investigation: JR, PhD, and RIP, MD; Data collection: JR, PhD, and PG, MA; Writing—original draft preparation: JR, PhD, and MSP, MSW; Writing—review and editing: JR, PhD; Funding acquisition: JR, PhD.

Corresponding author

Correspondence to Julia Roncoroni.

Ethics declarations

Conflict of interest

Authors have no conflict of interest to declare.

Informed Consent

All participants in this study consented to participating in the study and to their data being published, in a de-identified manner.

Research Involving Human and/or Animal Participants

This research was conducted in accordance with the principles of research ethics of the American Psychological Association regarding research with human subjects and with approval from the University of Denver Institutional Review Board. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Roncoroni, J., Pereira, R.I., Patel, M.S. et al. A Mixed Method Examination of Sleep Patterns and Barriers to Sleep in Hispanic Women. J Immigrant Minority Health 24, 673–681 (2022). https://doi.org/10.1007/s10903-021-01269-6

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-021-01269-6

Keywords

Navigation