Acculturation associated with sleep duration, sleep quality, and sleep disorders at the US–Mexico border

Sadia B. Ghani, Marcos E. Delgadillo, Karla Granados, Ashley C. Okuagu, Pamela Alfonso-Miller, Orfeu M. Buxton, Sanjay R. Patel, John Ruiz, Sairam Parthasarathy, Patricia L. Haynes, Patricia Molina, Azizi Seixas, Natasha Williams, Girardin Jean-Louis, Michael A. Grandner

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Sleep disparities exist among Hispanics/Latinos, although little work has characterized individuals at the United States (US)–Mexico border, particularly as it relates to acculturation. This study examined the association of Anglo and Mexican acculturation to various facets of sleep health among those of Mexican descent at the US–Mexico border. Data were collected from N = 100 adults of Mexican descent in the city of Nogales, Arizona (AZ). Surveys were presented in English or Spanish. Acculturation was assessed with the Acculturation Scale for Mexican-Americans (ARSMA-II). Insomnia was assessed with the Insomnia Severity Index (ISI), sleepiness was assessed with the Epworth Sleepiness Scale (ESS), sleep apnea risk was assessed with the Multivariable Apnea Prediction (MAP) index, weekday and weekend sleep duration and efficiency were assessed with the Sleep Timing Questionnaire, sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI), and sleep duration and sleep medication use were assessed with PSQI items. No associations were found between Mexican acculturation and any sleep outcomes in adjusted analyses. Anglo acculturation was associated with less weekend sleep duration and efficiency, worse insomnia severity and sleep quality, and more sleep apnea risk and sleep medication use. These results support the idea that sleep disparities may depend on the degree of acculturation, which should be considered in risk screening and interventions.

Original languageEnglish (US)
Article number7138
Pages (from-to)1-11
Number of pages11
JournalInternational journal of environmental research and public health
Issue number19
StatePublished - Oct 1 2020


  • Acculturation
  • Health disparities
  • Hispanic/Latino
  • Insomnia
  • Medication use
  • Sleep
  • Sleep disparities
  • Sleep duration

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


Dive into the research topics of 'Acculturation associated with sleep duration, sleep quality, and sleep disorders at the US–Mexico border'. Together they form a unique fingerprint.

Cite this