Latinx Sleep Health Disparities in Primary Care: The Role of Patient-Provider Communication

Author

Amy L. Fraire, University of DenverFollow

Date of Award

Summer 8-24-2024

Document Type

Dissertation

Degree Name

Ph.D.

Organizational Unit

Morgridge College of Education, Counseling Psychology

First Advisor

Julia Roncoroni

Second Advisor

Jesse Owen

Third Advisor

Yixiao Dong

Fourth Advisor

Eric Chess

Fifth Advisor

Alejandro Cerón

Copyright Statement / License for Reuse

All Rights Reserved.

Keywords

Latinx sleep health, Patient-provider communication, Primary care, Sleep health disparities

Abstract

Poor sleep is linked to various adverse health outcomes, and Latinx often experience shorter and poorer sleep relative to non-Hispanic whites (NHWs). Despite growing attention to racial/ethnic sleep health disparities, there is a notable dearth in the literature on patient-provider communication about sleep (Sleep Communication) during primary care visits, particularly among Latinx patients. To address this gap, this study provides initial insights into the incidence of Sleep Communication among Latinx and NHW primary care patients (N = 210), as well as if patient race/ethnicity and Sleep Communication collectively relate to patient satisfaction with their PCP or perceptions of culturally sensitive health care. Results showed no significant differences in Sleep Communication between Latinx and NHW primary care patients. Patients’ race/ethnicity and Sleep Communication neither collectively or independently explained the variance in patient satisfaction with their PCP or perceptions of culturally sensitive health care after controlling for covariates. Findings highlight the complexity of the relationships amongst variables of interest, while also highlighting the scarcity of research on Sleep Communication, particularly with Latinx primary care patients. Furthermore, study limitations carry important implications relative to construct measurement in racial/ethnic health disparities research.

Copyright Date

8-2024

Publication Statement

Copyright is held by the author. User is responsible for all copyright compliance.

Rights Holder

Amy L. Fraire

Provenance

Received from Author

File Format

application/pdf

Language

English (eng)

Extent

170 pgs

File Size

1.5 MB

Recommended Citation

Fraire, Amy L., "Latinx Sleep Health Disparities in Primary Care: The Role of Patient-Provider Communication" (2024). Electronic Theses and Dissertations. 2457.
https://digitalcommons.du.edu/etd/2457