title: Immigration transition and sleep-related symptoms experienced during menopausal transition.
abstract: The transition due to immigration from one country to another country (referred to as immigration transition henceforth) is inherently stressful, placing an additional dimension of stress to midlife women in the menopausal transition. However, few studies have examined the association of immigration to sleep-related symptoms experienced by midlife women in the menopausal transition. The authors' purpose for this study was to explore the associations of immigration to sleep-related symptoms among four major racial/ethnic groups of 1,054 midlife women in the United States. This was a secondary analysis of data from two national surveys that were collected from 2005 to 2013. The instruments included questions on background characteristics, health and menopausal status, immigration transition, and the Sleep Index for Midlife Women. The data were analyzed using t-tests, chi-square tests, correlation analyses, and hierarchical multiple regression analyses. Immigrants reported fewer total numbers of and lower total severity scores of sleep-related symptoms than non-immigrants (p < .01). Yet, when background characteristics and health and menopausal status were controlled, self-reported racial/ethnic identity was the only significant factor associated with sleep-related symptoms (ΔR2= 0.02, p < .01). Health-care providers need to consider self-reported racial/ethnic identity as a factor significantly related to sleep-related symptoms during the menopausal transition.
authors.affiliation: a School of Nursing, University of Pennsylvania , Philadelphia , Pennsylvania , USA.
authors.forename: Eun-Ok
authors.initials: EO
authors.lastname: Im
authors.affiliation: b College of Nursing, Gachon University , Incheon , South Korea.
authors.forename: Young
authors.initials: Y
authors.lastname: Ko
authors.affiliation: c School of Engineering and Applied Science , University of Pennsylvania , Philadelphia , Pennsylvania , USA.
authors.forename: Eunice
authors.initials: E
authors.lastname: Chee
authors.affiliation: a School of Nursing, University of Pennsylvania , Philadelphia , Pennsylvania , USA.
authors.forename: Wonshik
authors.initials: W
authors.lastname: Chee
mesh_terms: D000069:Acculturation; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian / Q000523:psychology / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D054242:Emigrants and Immigrants / Q000523:psychology*; D004641:Emigration and Immigration; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008593:Menopause / Q000208:ethnology* / Q000523:psychology; D008875:Middle Aged; D012044:Regression Analysis; D012890:Sleep / Q000502:physiology*; D012893:Sleep Wake Disorders / Q000208:ethnology / Q000209:etiology; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data; D016387:Women's Health / Q000208:ethnology*
keywords: Acculturation; ethnicity; immigration; race; sleep; women