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- 저자 : Tanya M. Spruill (검색결과 2 건)
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Acculturation, discrimination, and 24-hour activity in Asian American women
Chorong Park,Tanya M. Spruill 한국성인간호학회 2021 성인간호학회 학술대회 Vol.2021 No.8
Aim(s): Asian American women have elevated cardiovascular disease (CVD) risk but are an understudied minority group. Physical activity, sedentary behavior, and sleep duration are recognized as independent CVD risk factors, yet these behaviors have not been well described in this population. The study's purpose was to describe Asian American women’s 24-hour activity behaviors and examine associations of acculturation and discrimination with objectively measured 24-hour activity and sleep quality in Asian American women. Method(s): Participants were middle-aged normotensive Asian American immigrant women born in East, Southeast or South Asia and currently living in New York City. They completed self-reported measures of acculturation (ethnicity, English proficiency, and years of U.S. residency), discrimination (Everyday Discrimination Scale), and sleep quality. They completed 7days of wrist and hip actigraphy to measure their 24-hour activity including moderate-vigorous physical activity (MVPA), light intensity physical activity (LIPA), sedentary behavior, and sleep duration. MVPA, LIPA and sedentary behavior were classified by Freedson(1998)’s cut-points and sleep duration was identified by applying the Cole-Kripke algorithm consulting with sleep diaries. Linear regression analysis was conducted controlling for demographic variables (age, body mass index [BMI], education). Result(s): A total of 75 women completed actigraphy monitoring (age = 61.5 ± 7.9, BMI = 25.4 ± 3.7, 58.9% college or higher). Their 24-hour behavior was composed of 0.5 hours of MVPA, 6.2 hours of LIPA, 10 hours of sedentary behavior, and 5.3 hours of sleep. South Asian subgroup was related to less MVPA (B = -30.73, p = 0.01) and LIPA (B = -121.92, p = 0.02), and longer sedentary behavior (B = 169.26, p <0.01). Higher English proficiency was related to less MVPA (B = -19.66, p = 0.03) and LIPA (B = -109.3, p < 0.01). Longer U.S. residency was related to longer sedentary behavior (B = 77.31, p = 0.07). Discrimination was related to shorter sleep duration (B= -2.36, p = 0.03) and poorer sleep quality (B = -0.03, p = 0.06). Conclusion(s): Asian American immigrant women had suboptimized 24-hour activity patterns, which differed by Asian subgroup and were associated with acculturation and discrimination. Larger, prospective studies are needed to explore the heterogeneity in 24-hour behaviors within this minority group and explore negative effects of acculturation and discrimination. Culturally tailored strategies may be needed to improve 24-hour behaviors in Asian American women.
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Erdong Chen,Martha Sajatovic,Hongyan Liu,Ashley Bukach,Curtis Tatsuoka,Elisabeth Welter,Samantha S. Schmidt,Yvan A. Bamps,Shelley C. Stoll,Tanya M. Spruill,Daniel Friedman,Charles E. Begley,Ross Shego 대한신경과학회 2018 Journal of Clinical Neurology Vol.14 No.2
Background and Purpose Epilepsy is a chronic neurological disease that represents a tremendousburden on both patients and society in general. Studies have addressed how demographicvariables, socioeconomic variables, and psychological comorbidity are related to thequality of life (QOL) of people with epilepsy (PWE). However, there has been less focus on howthese factors may differ between patients who exhibit varying degrees of seizure control. Thisstudy utilized data from the Managing Epilepsy Well (MEW) Network of the Centers for DiseaseControl and Prevention with the aim of elucidating differences in demographic variables,depression, and QOL between adult PWE. Methods Demographic variables, depression, and QOL were compared between PWE whoexperience clinically relevant differences in seizure occurrence. Results Gender, ethnicity, race, education, income, and relationship status did not differ significantlybetween the seizure-frequency categories (p>0.05). People with worse seizure controlwere significantly younger (p=0.039), more depressed (as assessed using the Patient HealthQuestionnaire) (p=0.036), and had lower QOL (as determined using the 10-item Quality of Lifein Epilepsy for Adults scale) (p<0.001). Conclusions The present results underscore the importance of early screening, detection, andtreatment of depression, since these factors relate to both seizure occurrence and QOL in PWE.
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