Baiden Philip, Spoor Samantha P, Nicholas Julia K, Brown Fawn A, LaBrenz Catherine A, Spadola Christine
The University of Texas at Arlington, School of Social Work, 211 S. Cooper St, Box 19129, Arlington, TX, 76019, USA.
University of Wyoming, Department of Psychology, 1000 E. University Ave, Laramie, WY, 82071, USA.
Sleep Med. 2023 Jan;101:19-27. doi: 10.1016/j.sleep.2022.10.005. Epub 2022 Oct 19.
Although studies have investigated the association between cigarette smoking and sleep outcomes among adolescents in the United States, few studies have examined the association between electronic vaping products (EVPs) use and insufficient sleep among adolescents. The objective of this study was to investigate the cross-sectional association between the use of EVPs and insufficient sleep among adolescents.
Data were pooled from the 2017 and 2019 Youth Risk Behavior Survey. An analytic sample of 28,135 adolescents (51.2% female) was analyzed using binary logistic regression. The dependent variable investigated was insufficient sleep, and the main independent variable was the use of EVPs.
Of the 28,135 adolescents, 22.6%, 19.2%, and 58.2% were current, former, and never users of EVPs, respectively. More than three in four adolescents (76.5%) did not obtain the recommended 8 h of sleep on an average school night. Controlling for demographic factors and other covariates, adolescents who currently used EVPs had 1.33 times higher odds of having insufficient sleep (AOR = 1.33, p < .001, 95% CI = 1.16-1.52), and adolescents who previously used EVPs had 1.29 times higher odds of having insufficient sleep (AOR = 1.29, p < .001, 95% CI = 1.15-1.44) when compared to adolescents who had never used EVPs. Adolescents were more likely to get insufficient sleep if they were older, non-Hispanic Black, had symptoms of depression, experienced suicidal ideation, engaged in excessive screen-time behaviors, or currently used alcohol. Physical activity had a protective effect on insufficient sleep.
This study found that EVPs use was associated with insufficient sleep among adolescents over and above demographic and other covariates. As EVP use increases among adolescents, it is important to consider the potential impact on multiple domains, including sleep. Future studies that employ longitudinal designs may offer additional insight into the mechanisms underlying the association between EVPs use and insufficient sleep.
尽管已有研究调查了美国青少年吸烟与睡眠状况之间的关联，但很少有研究探讨电子雾化产品（EVP）使用与青少年睡眠不足之间的关联。本研究的目的是调查青少年使用EVP与睡眠不足之间的横断面关联。
数据来自2017年和2019年青少年风险行为调查。使用二元逻辑回归分析了一个包含28135名青少年（51.2%为女性）的分析样本。所调查的因变量是睡眠不足，主要自变量是EVP的使用情况。
在28135名青少年中，分别有22.6%、19.2%和58.2%为EVP的当前使用者、既往使用者和从未使用者。超过四分之三的青少年（76.5%）在平均上学日晚上未获得建议的8小时睡眠。在控制了人口统计学因素和其他协变量后，与从未使用过EVP的青少年相比，当前使用EVP的青少年睡眠不足的几率高1.33倍（调整后比值比[AOR]=1.33，p<.001，95%置信区间[CI]=1.16 - 1.52），既往使用EVP的青少年睡眠不足的几率高1.29倍（AOR = 1.29，p<.001，95% CI = 1.15 - 1.44）。年龄较大、非西班牙裔黑人、有抑郁症状、有自杀意念、有过度屏幕时间行为或当前饮酒的青少年更有可能睡眠不足。体育活动对睡眠不足有保护作用。
本研究发现，在人口统计学因素和其他协变量之外，青少年使用EVP与睡眠不足有关。随着青少年中EVP使用的增加，重要的是要考虑其对包括睡眠在内的多个领域的潜在影响。采用纵向设计的未来研究可能会对EVP使用与睡眠不足之间关联的潜在机制提供更多见解。
