Evidence map›Paper›PMID 34922392›Full record

Trial reportSleep2022

The association of acculturative stress with self-reported sleep disturbance and sleep duration among Asian Americans.

Sunmin Lee, Soomin Ryu, Grace E Lee, Ichiro Kawachi, Brittany N Morey, Natalie Slopen

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Sleep, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03481296 (Culturally Adapted Multilevel Decision Support Navigation Trial To Reduce Colorectal Cancer Disparity Among At-Risk Asian American Primary Care Patients), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03481296 nacompletednot on this map

Culturally Adapted Multilevel Decision Support Navigation Trial To Reduce Colorectal Cancer Disparity Among At-Risk Asian American Primary Care Patients

TypeinterventionalSponsorUniversity of California, IrvineRan2018 to 2021Enrolled400ConditionsColorectal CancerArmsAdvanced Control, Culturally-Adapted Decision Support Navigation Intervention
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Eyes Wide Open: Sleep as a Potential Contributor to Racial and Ethnic Disparities in Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Review
  8. Article
  9. Observational
  10. Sleep disparities in Asian Americans: a comprehensive review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Sleep disparities in the first month of college: implications for academic achievement.Sleep advances : a journal of the Sleep Research Society · 2022
    Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Sunmin LeeDepartment of Medicine, School of Medicine, University of California-Irvine, Irvine, CA, USA.
Soomin RyuSchool of Public Policy, University of Maryland, College Park, MD, USA.ORCID 0000-0003-0695-414X
Grace E LeeDepartment of Medicine, School of Medicine, University of California-Irvine, Irvine, CA, USA.
Ichiro KawachiDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Brittany N MoreyDepartment of Health, Society, & Behavior, Program in Public Health, University of California-Irvine, Irvine, CA, USA.ORCID 0000-0002-2637-1227
Natalie SlopenDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
University of California, Irvine · USHarvard University · USUniversity of Maryland, College Park · US

Funding

Culturally Adapted Multilevel Decision Support Navigation Trial to Reduce Colorectal Cancer Disparity among At-Risk Asian American Primary Care PatientsR01MD012778 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI LEE, SUNMIN · 2017 to 2022
$4.0M
NIH HHS R01MD012778NIMHD NIH HHSNIMHD NIH HHS R01 MD012778
6 · The paper itself

Abstract

STUDY

objectivesThis study aims to examine associations between acculturative stress-defined as the psychological impact, or stress reaction, of adapting to a new cultural context-and self-reported sleep outcomes among Chinese and Korean immigrants in the United States.

methodsIn this cross-sectional study, acculturative stress was assessed using a 9-item scale, and sleep disturbance was measured using the 8-item scale. Sleep duration was self-reported. Poisson and linear regression analyses were conducted to examine the associations between acculturative stress, sleep disturbance, and sleep duration.

resultsOur sample consists of 400 participants (females: 52%, Chinese: 50%, Koreans: 50%, the mean of age = 58.4). 81.8% of them were classified as having no sleep disturbance, whereas 18.2% were classified as having sleep disturbance. Poisson models revealed that greater acculturative stress was associated with a higher prevalence of sleep disturbance (Prevalence Ratio (PR): 1.18, 95% confidence interval (CI): 1.06% to 1.31%). In linear models, a one-unit increase in acculturative stress was associated with 0.08 hr less sleep (p < .05). Interaction tests indicated effect modification for sleep disturbance by sex and ethnic identity: only women had a significant association between acculturative stress and sleep disturbance (PR: 1.30; 95% CI: 1.13 to 1.49), while the association was significant for individuals identifying as "very Asian" (PR: 1.21; 95% CI: 1.08 to 1.35), but not for those identifying as "mostly Asian" or "bicultural/western".

conclusionsIf findings are replicated, we suggest developing intervention programs for Asian immigrants to minimize acculturative stress and bolster protective factors that decrease the risk for poor sleep outcomes.Information on Clinical Trial: Name: Screening To Prevent ColoRectal Cancer (STOP CRC) among At-Risk Asian American Primary Care Patients NCT Number: NCT03481296 URL: https://clinicaltrials.gov/ct2/show/NCT03481296?term=Sunmin+Lee&draw=2&rank=1.

Indexed as

Emigrants and ImmigrantsSleep Wake DisordersAcculturationAsianCross-Sectional StudiesFemaleHumansMaleMiddle AgedSelf ReportSleepStress, PsychologicalUnited Statesacculturative stressAsian Americansemigrants and immigrantssleep

Identifiers

PMID34922392
PMCPMC8996032
OpenAlexW4200342068

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.