The relationships between care burden and sleep quality in migrant care workers: an evaluation of the mediating factors
Care burden can compromise the sleep quality of migrant care workers (MCW); however, factors that influence this adverse effect remain unknown. This study aims to examine the psychological and behavioral factors that mediate the relationship between care burden and poor sleep quality in MCW in Taiwa...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Critical Public Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/09581596.2025.2530626 |
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| author | I-Ming Chen Jia-Chi Shan Tzu-Yun Lin Jennifer Yi-Ying Chen Po-Chang Tseng Yu-Hsuan Lin Shih-Cheng Liao Hsi-Chung Chen |
| author_facet | I-Ming Chen Jia-Chi Shan Tzu-Yun Lin Jennifer Yi-Ying Chen Po-Chang Tseng Yu-Hsuan Lin Shih-Cheng Liao Hsi-Chung Chen |
| author_sort | I-Ming Chen |
| collection | DOAJ |
| description | Care burden can compromise the sleep quality of migrant care workers (MCW); however, factors that influence this adverse effect remain unknown. This study aims to examine the psychological and behavioral factors that mediate the relationship between care burden and poor sleep quality in MCW in Taiwan. MCW in Taiwan were recruited and interviewed using online computer-assisted data collection system. Care burden was measured based on the total number of psychiatric symptoms in care recipients. Psychological and behavioral factors were evaluated using the Patient Health Questionnaire for depression and the Sleep Hygiene Index for sleep hygiene. Subjective sleep quality was measured using the Pittsburgh Sleep Quality Index. A multiple mediation model was used to estimate the direct effect of care burden and indirect effect of psychological and behavioral mediators on poor sleep quality. The multiple mediation models controlled for various covariates revealed that care burden did not lead to poor sleep quality directly, however, it compromised sleep quality indirectly by contributing to depression and poor sleep hygiene, respectively. The results of this study show that MCW’s care burdens indirectly affect sleep quality through depression and sleep hygiene. Intervention strategies should target depression and sleep hygiene to mitigate the adverse impact of care burdens on sleep quality. |
| format | Article |
| id | doaj-art-15a8c831b0d54edfb6a9bb3a3ba1aa41 |
| institution | Kabale University |
| issn | 0958-1596 1469-3682 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Critical Public Health |
| spelling | doaj-art-15a8c831b0d54edfb6a9bb3a3ba1aa412025-08-20T03:55:53ZengTaylor & Francis GroupCritical Public Health0958-15961469-36822025-12-0135110.1080/09581596.2025.2530626The relationships between care burden and sleep quality in migrant care workers: an evaluation of the mediating factorsI-Ming Chen0Jia-Chi Shan1Tzu-Yun Lin2Jennifer Yi-Ying Chen3Po-Chang Tseng4Yu-Hsuan Lin5Shih-Cheng Liao6Hsi-Chung Chen7Department of Psychiatry, National Taiwan University Hospital, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital, Taipei, TaiwanDepartment of Psychiatry, Far Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Psychiatry, National Taiwan University Hospital, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital, Taipei, TaiwanCare burden can compromise the sleep quality of migrant care workers (MCW); however, factors that influence this adverse effect remain unknown. This study aims to examine the psychological and behavioral factors that mediate the relationship between care burden and poor sleep quality in MCW in Taiwan. MCW in Taiwan were recruited and interviewed using online computer-assisted data collection system. Care burden was measured based on the total number of psychiatric symptoms in care recipients. Psychological and behavioral factors were evaluated using the Patient Health Questionnaire for depression and the Sleep Hygiene Index for sleep hygiene. Subjective sleep quality was measured using the Pittsburgh Sleep Quality Index. A multiple mediation model was used to estimate the direct effect of care burden and indirect effect of psychological and behavioral mediators on poor sleep quality. The multiple mediation models controlled for various covariates revealed that care burden did not lead to poor sleep quality directly, however, it compromised sleep quality indirectly by contributing to depression and poor sleep hygiene, respectively. The results of this study show that MCW’s care burdens indirectly affect sleep quality through depression and sleep hygiene. Intervention strategies should target depression and sleep hygiene to mitigate the adverse impact of care burdens on sleep quality.https://www.tandfonline.com/doi/10.1080/09581596.2025.2530626Migrant care workercare burdendepressionsleep hygienesleep quality |
| spellingShingle | I-Ming Chen Jia-Chi Shan Tzu-Yun Lin Jennifer Yi-Ying Chen Po-Chang Tseng Yu-Hsuan Lin Shih-Cheng Liao Hsi-Chung Chen The relationships between care burden and sleep quality in migrant care workers: an evaluation of the mediating factors Critical Public Health Migrant care worker care burden depression sleep hygiene sleep quality |
| title | The relationships between care burden and sleep quality in migrant care workers: an evaluation of the mediating factors |
| title_full | The relationships between care burden and sleep quality in migrant care workers: an evaluation of the mediating factors |
| title_fullStr | The relationships between care burden and sleep quality in migrant care workers: an evaluation of the mediating factors |
| title_full_unstemmed | The relationships between care burden and sleep quality in migrant care workers: an evaluation of the mediating factors |
| title_short | The relationships between care burden and sleep quality in migrant care workers: an evaluation of the mediating factors |
| title_sort | relationships between care burden and sleep quality in migrant care workers an evaluation of the mediating factors |
| topic | Migrant care worker care burden depression sleep hygiene sleep quality |
| url | https://www.tandfonline.com/doi/10.1080/09581596.2025.2530626 |
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