School of Human Services, University of Cincinnati, Cincinnati, OH, USA.
Division of Biostatistics and Bioinformatics, Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, 162 Kettering Lab Building, 160 Panzeca Way, Cincinnati, OH 45267-0056, USA.
Prev Med. 2021 Jun;147:106505. doi: 10.1016/j.ypmed.2021.106505. Epub 2021 Mar 3.
The study aimed to investigate the relationships between current exclusive e-cigarette use, exclusive combustible cigarette smoking, and dual use of e-cigarettes and combustible cigarettes, and insufficient sleep among U.S. adolescents. We conducted a secondary data analysis of the 2017 Youth Risk Behavior Survey including 11,296 U.S. high school students. Current (past 30-day) tobacco use groups included exclusive e-cigarette users, exclusive combustible cigarette smokers, and dual-product users. We performed weighted unadjusted and adjusted logistic regression analyses. Insufficient sleep was defined as <8 h/night and < 7 h/night. Overall, 73.4% of adolescents reported insufficient sleep <8 h/night. Compared with non-tobacco users, exclusive e-cigarette users were more likely to report insufficient sleep <8 h/night (odds ratio [OR] = 1.55, 95%CI = 1.12-2.14; adjusted OR [aOR] = 1.57, 95%CI = 1.01-2.43) and < 7 h/night (OR = 1.55, 95%CI = 1.19-2.01; aOR = 1.61, 95%CI = 1.16-2.24). Dual-product users were at increased odds to report insufficient sleep <8 h/night (OR = 3.15, 95%CI = 1.87-5.32) and < 7 h/night (OR = 2.64, 95%CI = 1.87-3.72; aOR = 1.73, 95%CI = 1.14-2.62) than non-tobacco users. Exclusive combustible cigarette smokers were less likely to report insufficient sleep <8 h/night (aOR = 0.49, 95%CI = 0.29-0.84) than non-tobacco users, but no differences were found based on insufficient sleep <7 h/night. When comparing current use groups, exclusive e-cigarette users were at 3.20 increased odds (95%CI = 1.65-6.22) and dual-product users were at 3.26 increased odds (95%CI = 1.51-7.03) to report insufficient sleep <8 h/night when compared with exclusive combustible cigarette smokers after covariate adjustment. Dual-product users were 1.89 times more likely (95%CI = 1.01-3.51) to report insufficient sleep <7 h/night when compared with exclusive combustible cigarette smokers. School-based prevention efforts for tobacco use may promote sufficient sleep in youth.
本研究旨在调查美国青少年中当前仅使用电子烟、仅使用可燃香烟以及同时使用电子烟和可燃香烟、以及睡眠不足之间的关系。我们对包括 11296 名美国高中生在内的 2017 年青少年风险行为调查进行了二次数据分析。当前（过去 30 天）的烟草使用群体包括仅使用电子烟者、仅使用可燃香烟者和同时使用两种产品者。我们进行了加权未调整和调整后的逻辑回归分析。睡眠不足定义为每晚<8 小时和<7 小时。总体而言，73.4%的青少年报告每晚睡眠不足<8 小时。与非烟草使用者相比，仅使用电子烟者更有可能报告每晚睡眠不足<8 小时（比值比 [OR] = 1.55，95%CI = 1.12-2.14；调整后的比值比 [aOR] = 1.57，95%CI = 1.01-2.43）和<7 小时/晚（OR = 1.55，95%CI = 1.19-2.01；aOR = 1.61，95%CI = 1.16-2.24）。双产品使用者报告每晚睡眠不足<8 小时的可能性增加（OR = 3.15，95%CI = 1.87-5.32）和<7 小时/晚（OR = 2.64，95%CI = 1.87-3.72；aOR = 1.73，95%CI = 1.14-2.62）的可能性均高于非烟草使用者。与非烟草使用者相比，仅可燃香烟使用者报告每晚睡眠不足<8 小时的可能性较低（aOR = 0.49，95%CI = 0.29-0.84），但在每晚睡眠不足<7 小时方面无差异。在比较当前使用群体时，与仅可燃香烟使用者相比，仅使用电子烟者报告每晚睡眠不足<8 小时的可能性增加了 3.20 倍（95%CI = 1.65-6.22），双产品使用者报告每晚睡眠不足<8 小时的可能性增加了 3.26 倍（95%CI = 1.51-7.03）。与仅可燃香烟使用者相比，双产品使用者报告每晚睡眠不足<7 小时的可能性增加了 1.89 倍（95%CI = 1.01-3.51）。学校为预防烟草使用而开展的工作可能会促进青少年充足睡眠。
