Profiles of community support and challenges associated with insomnia symptoms: Findings from the pilot Bhutanese Community of Central Ohio Health Study.

Autor: Singh R; Laboratory of Epidemiology and Population Sciences, Intramural Research Program, National Institute on Aging, National Institutes of Health, Baltimore, Maryland, USA., Villalobos K; Epidemiology Branch, Division of Intramural Research, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina, USA., Cohen JH; Department of Anthropology, The Ohio State University, Columbus, Ohio, USA., Maleku A; College of Social Work, The Ohio State University, Columbus, Ohio, USA., Pyakurel S; College of Social Work, The Ohio State University, Columbus, Ohio, USA; Internal Medicine, General Internal Medicine and Geriatrics, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Suzuki T; International Studies, Denison University, Granville, Ohio, USA., Raut S; College of Social Work, The Ohio State University, Columbus, Ohio, USA., Troyer M; Division of General Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Jackson CL; Epidemiology Branch, Division of Intramural Research, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina, USA; Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland, USA., Montiel Ishino FA; Epidemiology Branch, Division of Intramural Research, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina, USA. Electronic address: Francisco.MontielIshino@nih.gov.
Jazyk: angličtina
Zdroj: Sleep health [Sleep Health] 2024 Dec; Vol. 10 (6), pp. 722-730. Date of Electronic Publication: 2024 Sep 20.
DOI: 10.1016/j.sleh.2024.08.006
Abstrakt: Study Objectives: We investigated profiles of community support and challenges in relation to insomnia symptoms among the Bhutanese living in the United States.
Methods: Using data from the pilot Bhutanese Community of Central Ohio Health Study (N = 495; 51.5% men, 69.8% aged 18-44years), we used latent class analysis to identify distinct profiles of neighborhood social cohesion, social support, and community challenges (e.g., limited access to healthcare services and transportation, crime and safety issues, substance use, intimate partner violence) and their associations with insomnia symptoms. Insomnia symptoms were self-reported as difficulty falling and staying asleep and dichotomized as "not at all" vs. "some to always." Identified classes/profiles were further differentiated by self-reported sociodemographic, socioeconomic, health, acculturative, and discrimination factors.
Results: Latent class analysis revealed four distinct classes/profiles. The High Cohesion (class 1) profile (30.1% of sample) had the lowest likelihood of insomnia symptoms at 6.5%, followed by class 2 or High Support (23.6%) with a 15.3% likelihood. Class 3 or High Challenges profile (11.5%) had a moderate likelihood of insomnia symptoms at 49%. Class 4 or the Low Cohesion/Support profile (34.7%) had a 100% likelihood of reporting insomnia symptoms. Class 4 when compared to class 1 was more likely to report cardiometabolic conditions, experiences of everyday discrimination, limited English linguistic proficiency, and not using telehealth.
Conclusion: Community social cohesion and support may play an important role in mitigating insomnia symptoms among Bhutanese refugees. Further investigations are warranted.
Competing Interests: Declaration of conflicts of interest The authors declare no conflict of interest.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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