How stress, discrimination, acculturation and the gut microbiome affect depression, anxiety and sleep among Chinese and Korean immigrants in the USA: a cross-sectional pilot study protocol.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
21 07 2021
Historique:
entrez: 22 7 2021
pubmed: 23 7 2021
medline: 5 8 2021
Statut: epublish

Résumé

Although a considerable proportion of Asians in the USA experience depression, anxiety and poor sleep, these health issues have been underestimated due to the model minority myth about Asians, the stigma associated with mental illness, lower rates of treatment seeking and a shortage of culturally tailored mental health services. Indeed, despite emerging evidence of links between psychosocial risk factors, the gut microbiome and depression, anxiety and sleep quality, very few studies have examined how these factors are related in Chinese and Korean immigrants in the USA. The purpose of this pilot study was to address this issue by (a) testing the usability and feasibility of the study's multilingual survey measures and biospecimen collection procedure among Chinese and Korean immigrants in the USA and (b) examining how stress, discrimination, acculturation and the gut microbiome are associated with depression, anxiety and sleep quality in this population. This is a cross-sectional pilot study among first and second generations of adult Chinese and Korean immigrants in the greater Atlanta area (Georgia, USA). We collected (a) gut microbiome samples and (b) data on psychosocial risk factors, depression, anxiety and sleep disturbance using validated, online surveys in English, Chinese and Korean. We aim to recruit 60 participants (30 Chinese, 30 Korean). We will profile participants' gut microbiome using 16S rRNA V3-V4 sequencing data, which will be analysed by QIIME 2. Associations of the gut microbiome and psychosocial factors with depression, anxiety and sleep disturbance will be analysed using descriptive and inferential statistics, including linear regression. This study has been approved by the Institutional Review Board at Emory University (IRB ID: STUDY00000935). Results will be made available to Chinese and Korean community members, the funder and other researchers and the broader scientific community.

Identifiants

pubmed: 34290066
pii: bmjopen-2020-047281
doi: 10.1136/bmjopen-2020-047281
pmc: PMC8296781
doi:

Substances chimiques

RNA, Ribosomal, 16S 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e047281

Subventions

Organisme : NIMH NIH HHS
ID : K08 MH103443
Pays : United States
Organisme : NINR NIH HHS
ID : K99 NR017897
Pays : United States
Organisme : NINR NIH HHS
ID : R00 NR017897
Pays : United States

Informations de copyright

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Sangmi Kim (S)

Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.

Wenhui Zhang (W)

Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Center for Data Science, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.

Victoria Pak (V)

Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.

Jasmine Ko Aqua (JK)

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Vicki Stover Hertzberg (VS)

Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Center for Data Science, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.

Chandler M Spahr (CM)

Department of Psychology, University of California, Riverside, Riverside, CA, USA.

George M Slavich (GM)

Cousins Center for Psychoneuroimmunology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA.

Jinbing Bai (J)

Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA jinbing.bai@emory.edu.
Winship Cancer Institute, Emory University, Atlanta, GA, USA.

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