Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Department of Molecular and Cellular Therapeutics, Royal College of Surgeons in Ireland, Dublin, Ireland.
J Public Health (Oxf). 2018 Sep 1;40(3):517-526. doi: 10.1093/pubmed/fdx102.
The prevalence of sleep disturbance is high and increasing. The study investigated whether active, former and passive smoking were associated with sleep disturbance.
This cross-sectional study used data from the UK Biobank: a cohort study of 502 655 participants, of whom 498 208 provided self-reported data on smoking and sleep characteristics. Multivariable multinomial and logistic regression models were used to examine the associations between smoking and sleep disturbance.
Long-sleep duration (>9 h) was more common among current smokers [odds ratio (OR): 1.47; 95% confidence interval (CI): 1.17-1.85; probability value (P) = 0.001] than never smokers, especially heavy (>20/day) smokers (OR: 2.85; 95% CI: 1.66-4.89; P < 0.001). Former heavy (>20/day) smokers were also more likely to report short (<6 h) sleep duration (OR: 1.41; 95% CI: 1.25-1.60; P < 0.001), long-sleep duration (OR: 1.99; 95% CI: 1.47-2.71; P < 0.001) and sleeplessness (OR: 1.47; 95% CI: 1.38-1.57; P < 0.001) than never smokers. Among never smokers, those who lived with more than one smoker had higher odds of long-sleep duration than those not cohabitating with a smoker (OR: 2.71; 95% CI: 1.26-5.82; P = 0.011).
Active and passive exposure to high levels of tobacco smoke are associated with sleep disturbance. Existing global tobacco control interventions need to be enforced.
睡眠障碍的患病率很高且呈上升趋势。本研究旨在调查主动吸烟、曾经吸烟和被动吸烟是否与睡眠障碍有关。
本横断面研究使用了英国生物库的数据：一项对 502655 名参与者的队列研究，其中 498208 名参与者提供了关于吸烟和睡眠特征的自我报告数据。多变量多项和逻辑回归模型用于检验吸烟与睡眠障碍之间的关联。
与从不吸烟者相比，当前吸烟者（OR：1.47；95%CI：1.17-1.85；概率值（P）=0.001）更常出现长睡眠时间（>9 小时），尤其是重度吸烟者（OR：2.85；95%CI：1.66-4.89；P < 0.001）。曾经重度吸烟者（OR：1.41；95%CI：1.25-1.60；P < 0.001）也更有可能报告短睡眠时间（<6 小时）、长睡眠时间（OR：1.99；95%CI：1.47-2.71；P < 0.001）和失眠（OR：1.47；95%CI：1.38-1.57；P < 0.001）。在从不吸烟者中，与不与吸烟者同居的人相比，与多名吸烟者同居的人长睡眠时间的几率更高（OR：2.71；95%CI：1.26-5.82；P = 0.011）。
主动和被动接触高水平的烟草烟雾与睡眠障碍有关。需要加强现有的全球烟草控制干预措施。
