2323-P: African Immigrants Arriving in the United States as Children Have Poor Sleep Quality in Adulthood
Abstract
Introduction and Objective: Poor sleep quality adversely affects cardiometabolic health. As cardiometabolic health declines in 330 African immigrants after arrival in the United States, factors affecting sleep quality in immigrants need elucidation. We determined in African immigrants how age, age at immigration, stress and income affect sleep quality.
Methods: All 330 participants were enrolled in the Africans in America study and ≥20y old at study entry (Male: 57%; age: 39±11 (mean±SD), range 20 - 70y, BMI: 28.0±4.7, range 19.3 to 46.2 kg/m2). Age at immigration was defined as arriving in the US 5. The 7 components of the PSQI were evaluated separately. Low income was defined as 5 was determined with logistic regression with age, age at immigration, PSS and income as independent variables.
Results: Child-Arrivals were 18% (58/330) of the cohort and Adult-Arrivals were 82% (272/330). PSQI was higher in Child-Arrival than Adult-Arrival (6.0±3.5 vs 4.9± 2.9, P=0.01). PSQI>5 was also more frequent in Child-Arrival (52% vs 37%, P=0.03). Subjective sleep quality, sleep disturbance and daytime dysfunction were worse in Child-Arrivals than Adult-Arrivals (all P0.7). The odds of PSQI>5 were higher for Child-Arrivals (OR 2.54, 95% CI: 1.33, 4.85, P40y (OR 1.74, 95% CI: 1.05, 2.89, P=0.03) and PSS (OR1.11, 95% CI: 0.07, 1.16, P<0.01); but not by income <45k (OR 1.25, 95% CI: 0.77, 2.03, P=0.37).
Conclusion: Sleep quality is worse in African immigrants who arrived in the US as…
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