Two articles have just been released, one that Dr. Jason DeCaro co-authored with former doctoral student Dr. Becky Read-Wahadi in Medical Anthropology Quarterly and another with multiple authors inSleep Health.
Read-Wahidi, Mary Rebecca, and Jason A. DeCaro
2017 Guadalupan Devotion as a Moderator of Psychosocial Stress among Mexican Immigrants in the Rural Southern United States. Medical Anthropology Quarterly. doi:10.1111/maq.12372.
This study considers how shared devotion to the Virgin of Guadalupe among Mexican immigrants in rural Mississippi buffers the effects of immigration stress. Rural destinations lacking social services can quickly compound the already stressful experience of immigration. Guadalupe devotion provides a way of coping with the daily life stressors of immigration. We test the hypothesis that high consonance in the cultural model of Guadalupan devotion will moderate the adverse health effects of immigration stress. Results indicate that as exposure to immigration stressors increased, well-being decreased among those with low consonance, while the effect was eliminated in those with high consonance. Findings demonstrate the advantage of expanding research on coping to incorporate complex models that consider religious and secular elements and also illustrate how a master symbol, characterized as a cultural model of coping with limited local distribution, yields health effects dissimilar to the mediation normally associated with consonance.
Parmelee, Patricia A., Brian S. Cox, Jason A. DeCaro, Francis J. Keefe, and Dylan M. Smith
2017 Racial/ethnic Differences in Sleep Quality among Older Adults with Osteoarthritis. Sleep Health 3(3):162-169.
Objective: To examine racial/ethnic differences in sleep quality and the pain-sleep association among older adults with osteoarthritis of the knee. Design: Baseline interview followed by a 7-day microlongitudinal study using accelerometry and self-reports. Setting: Participants were community residents in western Alabama and Long Island, NY. Participants: Ninety-six African Americans (AAs) and 128 non-Hispanic whites (NHWs) with physician-diagnosed knee osteoarthritis, recruited from a variety of clinical and community settings. Measurements: Self-reports yielded demographics, body mass index, physical health problems, and depressive symptoms. Sleep quality was measured for 3 to 7 nights using wrist-worn accelerometers; pain was self-reported daily over the same period. Results: With demographics and health controlled, AAs displayed poorer sleep efficiency, greater time awake after sleep onset and sleep fragmentation, and marginally more awakenings during the night, but no differences in total sleep time. AAs also showed greater night-to-night variability in number of awakenings and sleep fragmentation, and marginally greater variability in total sleep time and sleep efficiency. Sleep quality was not associated with pain either the day before sleep or the day after. Average daily pain interacted with race, whereas AAs displayed no effect of pain on sleep efficiency, NHWs exhibited better sleep efficiency at higher levels of average pain. Conclusions: These data corroborate previous studies documenting poorer sleep among AAs vs NHWs. The findings of greater night-to-night variability in sleep among AAs, as well as a negative association of pain with sleep quality among NHWs, are unique. Further study is needed to elucidate these findings.