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Johnson LCM, Bosque L, Jagtiani A, Barber LE, Gujral UP, Johnson DA. Attitudes and beliefs about sleep health among a racially and ethnically diverse sample of overweight/obese adults. Sleep Health 2023; 9:846-851. [PMID: 37730475 PMCID: PMC10840752 DOI: 10.1016/j.sleh.2023.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 07/12/2023] [Accepted: 08/14/2023] [Indexed: 09/22/2023]
Abstract
OBJECTIVES To identify and compare how sleep-related attitudes and beliefs vary among racially and ethnically diverse adults with risk factors for cardio-metabolic disease. METHODS This exploratory qualitative study used online focus group discussions (N = 4 groups among 17 individuals) to collect information about sleep attitudes, beliefs, and practices following participation in the Mindfulness Intervention to Improve Sleep and Reduce Diabetes Risk Among a Diverse Sample in Atlanta (MINDS) study. A rapid analyses approach was used to identify shared themes related to attitudes and beliefs about sleep health and sleep practices across participants. RESULTS Participants on average were 31years old, 88% female, and identified as Black/African American (52.9%), White (17.7%), Asian (11.8%), and Hispanic (17.7%). Three themes related to attitudes and beliefs about sleep health were identified: prioritization of sleep to improve one's overall health, re-evaluating sleep needs, and interpersonal barriers to sleep. For Black/African American participants prioritizing sleep was coupled with a want to minimize stress as a long-term health promotion strategy, whereas individuals of other races/ethnicities were more focused on the immediate benefits of getting sufficient sleep. Individuals had reappraised their sleep needs and worked to improve their sleep hygiene accordingly, yet still experienced barriers to sleep. The most common barrier to sleep was sharing a sleep environment with someone who had conflicting sleep routines and practices. CONCLUSION The results of this study suggest perceived benefits of and barriers to sleep vary by race/ethnicity, thus future interventions should be culturally tailored to enhance effectiveness.
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Affiliation(s)
- Leslie C M Johnson
- Department of Family and Preventative Medicine, Emory School of Medicine, Emory University, Atlanta, Georgia, USA.
| | - Laura Bosque
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
| | - Ashna Jagtiani
- Department of Pediatrics, Emory School of Medicine, Emory University, Atlanta, Georgia, USA
| | - Lauren E Barber
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
| | - Unjali P Gujral
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
| | - Dayna A Johnson
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
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Fleming PJ, Patel MR, Green M, Tariq M, Alhawli A, Syed N, Ali A, Bacon E, Goodell S, Smith A, Harper D, Resnicow K. Fear of Deportation and Associations with Mental Health Among Michigan Residents of Middle Eastern & North African Descent. J Immigr Minor Health 2023; 25:382-388. [PMID: 36050543 DOI: 10.1007/s10903-022-01394-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2022] [Indexed: 11/27/2022]
Abstract
Anti-immigrant rhetoric and immigration policy enforcement in the United States over the last 2 decades has increased attention to fear of deportation as a determinant of poor health. We describe its association with mental health outcomes among Middle East and North African (MENA) residents of Michigan. Using a convenience sample of MENA residents in Michigan (n = 397), we conducted bivariate and multiple variable regression to describe the prevalence of deportation worry and examine the relationship between deportation worry and depressive symptoms (PHQ-4 scores). We found that 33% of our sample worried a loved one will be deported. Deportation worry was associated with worse mental health (p < 0.01). Immigration policies are health policies and deportation worry impacts mental and behavioral health.
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Affiliation(s)
- Paul J Fleming
- Department of Health Behavior & Health Education, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA.
| | - Minal R Patel
- Department of Health Behavior & Health Education, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA
- Rogel Cancer Center, University of Michigan, Ann Arbor, MI, USA
| | - Molly Green
- Department of Health Behavior & Health Education, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA
| | - Madiha Tariq
- Arab Community Center for Economic and Social Service, Dearborn, MI, USA
| | - Asraa Alhawli
- Arab Community Center for Economic and Social Service, Dearborn, MI, USA
| | - Nadia Syed
- Arab Community Center for Economic and Social Service, Dearborn, MI, USA
| | - Ali Ali
- Arab Community Center for Economic and Social Service, Dearborn, MI, USA
| | - Elizabeth Bacon
- Rogel Cancer Center, University of Michigan, Ann Arbor, MI, USA
| | | | - Alyssa Smith
- Department of Health Behavior & Health Education, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA
| | - Diane Harper
- Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Kenneth Resnicow
- Department of Health Behavior & Health Education, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA
- Rogel Cancer Center, University of Michigan, Ann Arbor, MI, USA
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