How Acculturation Shapes Sleep in Thai Women in the United States During Menopausal Transition: A Mediation and Moderation Analysis
Issued Date
2024-01-01
Resource Type
ISSN
10436596
eISSN
15527832
Scopus ID
2-s2.0-85210384012
Journal Title
Journal of Transcultural Nursing
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SCOPUS
Bibliographic Citation
Journal of Transcultural Nursing (2024)
Suggested Citation
Srimoragot M., Reutrakul S., Hershberger P.E., Park C., Quinn L., Liese K.L., Balserak B.I. How Acculturation Shapes Sleep in Thai Women in the United States During Menopausal Transition: A Mediation and Moderation Analysis. Journal of Transcultural Nursing (2024). doi:10.1177/10436596241297982 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/102278
Title
How Acculturation Shapes Sleep in Thai Women in the United States During Menopausal Transition: A Mediation and Moderation Analysis
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Abstract
Introduction: This study examines acculturation’s impact on sleep quality, efficiency, and obstructive sleep apnea (OSA) risk among Thai women in the United States transitioning through menopause. Methodology: This cross-sectional descriptive study recruited 120 Thai women aged 40 to 65. Questionnaires assessed sleep quality (Pittsburgh Sleep Quality Index [PSQI]), OSA risk (Berlin), menopausal symptoms (Menopause Rating), acculturation (Suinn-Lew Asian Self-Identity Scale), and anxiety (Patient-Reported Outcome Measurement Information System). Data were analyzed using bivariate correlations, multivariable regression, and mediation/moderation analyses. Results: Mean age was 51.53 (SD = 7.73) years. Most were good sleepers (PSQI <5: 80.83%) and 14.17% at high risk of OSA. Acculturation was associated with better sleep quality (B = −1.086, p =.027) and higher sleep efficiency (B = 2.425, p =.021). Mediation analysis indicated that length of stay in the United States indirectly affected sleep quality (B = −0.022, p =.026) and efficiency (B = 0.051, p =.018) via acculturation. Discussion: Acculturation significantly affects sleep among Thai women; higher acculturation correlates with better sleep quality and efficiency. Acculturation did not affect OSA risk, suggesting context-specific influences that may benefit sleep through increased social integration. Future research should explore underlying mechanisms in immigrant populations.