Table 6.
Sensitivity analysis number |
Purpose of sensitivity analysis | Method employed | Summary of results of sensitivity analysis |
1 | To adjust for multiple comparisons | When re-estimating the models in tables 4 and 5 and well as figures 1 and 2, we employed false discovery rate procedures. | In total, there were 427 p values in which 159 were significant in the original analysis. After the false discovery, p value correction, 127 of the 159 significant p values (80%) remained statistically significant (online supplemental tables 2 and 3 and online supplemental figure 2). Results were robust for comparisons between foreign-born and US-born NHW adults and for most results for comparisons with adults of Mexican and Puerto Rican heritage compared with NHW adults. |
2 | To investigate how results would be affected if we did not consider nativity/birthplace as a modifier of racial/ethnic differences in sleep | We combined both US-born and foreign-born participants; we then compared sleep characteristics among adults of Hispanic/Latino heritage versus NHW adults. | Combining foreign-born and US-born participants across both Hispanic/Latino heritage and NHW race/ethnicity would have missed important differences by nativity status (online supplemental table 3). For instance, the lower prevalence of non-recommended sleep duration observed among foreign-born Mexican versus US-born NHW adults (table 2) would either have been underestimated or not have been observed if participants were not stratified by birthplace. |
3 | To investigate how results would be affected if we considered sex/gender and age as potential modifiers39 | We stratified the original models by sex/gender (men, women) and by age category (18–30 years, 31–49 years, ≥50 years), separately. In models that were also stratified by language acculturation, we combined low and medium acculturation to increase sample sizes and improve statistical stability. | After stratification by sex/gender (online supplemental table 3), point estimates were slightly stronger among men versus women for sleep quality across comparisons with foreign-born NHW adults and for very short as well as short sleep across comparisons with non-US born Mexican adults. Sex/gender did not modify the remaining associations among Mexican or Puerto Rican adults. The differences among both foreign-born NHW and Mexican adults compared with US-born NHW adults that were observed in the main analysis were greater among younger and middle versus older aged adults (online supplemental table 4). Across comparisons with non-US-born NHW adults, there was little variation by sex/gender for Mexican and Puerto Rican adults, but the differences were greater among younger versus older aged adults (online supplemental tables 5 and 6). In analyses stratified by language acculturation, lower prevalence of shorter sleep duration among foreign-born Mexican compared with NHW adults was stronger for men versus women and for younger versus older adults (online supplemental tables 7 and 8). |
4 | To investigate how results would be affected if we adjusted for time in the USA in the comparisons between foreign-born Hispanic/Latino heritage groups and their NHW counterparts9 19 37 | Across comparisons of foreign-born Hispanic/Latino heritage groups with their foreign-born NHW counterparts, we additionally adjusted for time in the USA. | Results (online supplemental table 9) were consistent with the main analysis (table 3), which suggested that time spent in the USA was not a strong confounder across comparisons between foreign-born Hispanic/Latino heritage groups and their NHW counterparts. |
5 | To investigate how results would be affected if we used a different measure of acculturation in models9 19 | We separated foreign-born NHW adults and Hispanic/Latino heritage groups by a different metric of acculturation, time lived in the USA (<15 years in the USA, ≥15 years in the USA),9 19 37 when compared with US-born NHW adults. | Results (online supplemental table 10) were consistent with those of the language acculturation-stratified analyses (figure 1). |
NHW, non-Hispanic white.