{"doi":"10.1177/10436596241297982","title":"How Acculturation Shapes Sleep in Thai Women in the United States During Menopausal Transition: A Mediation and Moderation Analysis","abstract":"Introduction: This study examines acculturation’s impact on sleep quality, efficiency, and obstructive sleep apnea (OSA) risk among Thai women in the United States transitioning through menopause. Methodology: This cross-sectional descriptive study recruited 120 Thai women aged 40 to 65. Questionnaires assessed sleep quality (Pittsburgh Sleep Quality Index [PSQI]), OSA risk (Berlin), menopausal symptoms (Menopause Rating), acculturation (Suinn-Lew Asian Self-Identity Scale), and anxiety (Patient-Reported Outcome Measurement Information System). Data were analyzed using bivariate correlations, multivariable regression, and mediation/moderation analyses. Results: Mean age was 51.53 ( SD = 7.73) years. Most were good sleepers (PSQI <5: 80.83%) and 14.17% at high risk of OSA. Acculturation was associated with better sleep quality ( B = −1.086, p = .027) and higher sleep efficiency ( B = 2.425, p = .021). Mediation analysis indicated that length of stay in the United States indirectly affected sleep quality ( B = −0.022, p = .026) and efficiency ( B = 0.051, p = .018) via acculturation. Discussion: Acculturation significantly affects sleep among Thai women; higher acculturation correlates with better sleep quality and efficiency. Acculturation did not affect OSA risk, suggesting context-specific influences that may benefit sleep through increased social integration. Future research should explore underlying mechanisms in immigrant populations.","journal":"Journal of Transcultural Nursing","year":2024,"id":462828,"datarank":0.10397207708399181,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.0,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9507,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":422602,"name":"Sirimon Reutrakul","orcid":"0000-0002-0686-1069","position":1,"is_corresponding":false},{"id":287347,"name":"Patricia E. Hershberger","orcid":null,"position":2,"is_corresponding":false},{"id":1003618,"name":"Chang Park","orcid":"0000-0002-2630-469X","position":3,"is_corresponding":false},{"id":791708,"name":"Lauretta Quinn","orcid":null,"position":4,"is_corresponding":false},{"id":413616,"name":"Kylea L. Liese","orcid":"0000-0003-1330-0136","position":5,"is_corresponding":false},{"id":375742,"name":"Bilgay Izci‐Balserak","orcid":"0000-0003-0416-7142","position":6,"is_corresponding":false},{"id":1143860,"name":"Manassawee Srimoragot","orcid":"0000-0002-7488-8239","position":0,"is_corresponding":true}],"reference_count":65,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:04:24.680035Z","pmid":"39600069","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}