Department of Psychology, Oklahoma State University, Stillwater, OK, USA.
University of Missouri School of Medicine, Columbia, MO, USA.
J Sleep Res. 2020 Jun;29(3):e12902. doi: 10.1111/jsr.12902. Epub 2019 Sep 4.
Poor sleep health is associated with numerous health concerns, and sleep problems are exacerbated by cigarette smoking. Although rates of traditional tobacco use are declining, rates of electronic cigarette (e-cigarette) use are comparatively high and growing. Given that nicotine is a primary mechanism by which smoking negatively impacts sleep health, e-cigarette use may also be linked to poor sleep health; however, no research has investigated this association. Participants were 1,664 college students, 40.9% of whom reported ever trying or currently using an e-cigarette. Questionnaires assessed demographic information, sleep health and e-cigarette use status and patterns. All measures were completed remotely via a secure online survey. Analysis of covariance was used to compare the sleep health of daily/non-daily e-cigarette users to (a) non-users and (b) users of combustible cigarettes. Gender and drinks per week were included as covariates in analyses. Current combustible and e-cigarette users reported significantly more sleep difficulties than never users. Users of e-cigarettes reported greater use of sleep medication than combustible cigarette users. Similar to combustible cigarette smoking, e-cigarette use (vs. non-use) was associated with worse sleep health, even among non-daily e-cigarette users. These findings may indicate a need for assessment of and education on the role of e-cigarette use in sleep health among individuals who report experimentation with or current use of e-cigarettes. Future research should examine these relationships prospectively.
睡眠健康不佳与许多健康问题有关，而吸烟会使睡眠问题恶化。尽管传统烟草使用的比例正在下降，但电子烟的使用比例相对较高且呈增长趋势。鉴于尼古丁是吸烟对睡眠健康产生负面影响的主要机制，电子烟的使用也可能与睡眠健康不佳有关；然而，目前还没有研究调查这种关联。参与者为 1664 名大学生，其中 40.9%的人报告曾尝试或目前使用电子烟。问卷调查评估了人口统计学信息、睡眠健康和电子烟使用状况和模式。所有措施均通过安全的在线调查远程完成。协方差分析用于比较每日/非每日电子烟使用者的睡眠健康与(a)非使用者和(b)可燃香烟使用者的睡眠健康。性别和每周饮酒量作为分析中的协变量。目前使用可燃香烟和电子烟的人报告的睡眠困难明显多于从未使用者。电子烟使用者比可燃香烟使用者更多地使用睡眠药物。与可燃香烟吸烟类似，即使是在非每日使用电子烟的人群中，电子烟的使用（与不使用相比）也与睡眠健康状况不佳有关。这些发现可能表明需要评估和教育电子烟使用在报告使用电子烟或正在使用电子烟的个体的睡眠健康中的作用。未来的研究应该前瞻性地研究这些关系。
