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Employment Status, Decision-Making, and Sleep Among Hispanic and Latinx Dementia Family Caregivers: A Secondary Data Analysis
Abigail A. Poe, Natashia Bibriescas, Chunhong Xiao, Frank Puga. Western Journal of Nursing Research, 2025-06-16
Topic: Risk, prevention and care in population studies
Participants had a mean age of 55.1 years (SD = 14), were predominantly female, and primarily cared for a parent. Caregivers who stopped working due to caregiving were more involved in planning activities (χ² = 20.21, P < .027). Retired caregivers were more involved in meal planning (χ² = 17.34, P < .01), and those who stopped working were more involved in medical decisions (χ² = 35.45, P < .001). Greater decision-making involvement predicted shorter total sleep time (β = −0.198, P < .01). However, the interaction between full-time employment and decision-making involvement was significant (β = 0.235, P = .05), suggesting that full-time employment buffered the negative impact of decision-making involvement on sleep duration. Findings highlight the complex relationship between employment status, decision-making involvement, and sleep among Hispanic and Latinx dementia caregivers. Culturally tailored interventions that consider both caregiving decision-making and employment-related demands may help support caregiver health and well-being.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Poe, A. A., Bibriescas, N., Xiao, C., & Puga, F. (2025). Employment Status, Decision-Making, and Sleep Among Hispanic and Latinx Dementia Family Caregivers: A Secondary Data Analysis. Western Journal of Nursing Research. https://doi.org/10.1177/01939459251343736
Vancouver
Poe AA, Bibriescas N, Xiao C, Puga F. Employment Status, Decision-Making, and Sleep Among Hispanic and Latinx Dementia Family Caregivers: A Secondary Data Analysis. Western Journal of Nursing Research. 2025. doi:10.1177/01939459251343736. PMID: 40521742.
BibTeX
@article{poe2025-40521742,
author = {Poe, Abigail A. and Bibriescas, Natashia and Xiao, Chunhong and Puga, Frank},
title = {{Employment Status, Decision-Making, and Sleep Among Hispanic and Latinx Dementia Family Caregivers: A Secondary Data Analysis}},
journal = {Western Journal of Nursing Research},
year = {2025},
doi = {10.1177/01939459251343736},
pmid = {40521742},
url = {https://doi.org/10.1177/01939459251343736}
}
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Key findings
- Participants had a mean age of 55.1 years (SD = 14), were predominantly female, and primarily cared for a parent.
- Caregivers who stopped working due to caregiving were more involved in planning activities (χ² = 20.21, P < .027).
- Retired caregivers were more involved in meal planning (χ² = 17.34, P < .01), and those who stopped working were more involved in medical decisions (χ² = 35.45, P < .001).
- Greater decision-making involvement predicted shorter total sleep time (β = −0.198, P < .01).
- However, the interaction between full-time employment and decision-making involvement was significant (β = 0.235, P = .05), suggesting that full-time employment buffered the negative impact of decision-making involvement on sleep duration.
Why it matters
This secondary data analysis of Hispanic and Latinx dementia family caregivers found that greater decision-making involvement predicted shorter total sleep time, while full-time employment appeared to buffer this negative impact. The findings concern caregiver sleep and employment, not treating, curing, or preventing Alzheimer's disease.
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Study details
- Evidence strengthLow
How this study scored 32/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Western Journal of Nursing Research) |
| Journal's citation record | 1 / 4 | Western Journal of Nursing Research: journal h-index 109 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Frank Puga: h-index 14 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | University of Alabama at Birmingham: institution h-index 1,118 (OpenAlex) |
| Multicenter collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40521742) |
| Free to read | 2 / 2 | Free to read |
| Total | 32 / 100 | — |
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