Pengpid Supa, Peltzer Karl
Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Tob Induc Dis. 2023 Jan 20;21:02. doi: 10.18332/tid/156844. eCollection 2023.
Tobacco use may be associated with incident insomnia. The aim of the study was to investigate the association between tobacco use and incident sleep parameters in a longitudinal study in South Africa.
Longitudinal data from two consecutive waves of middle-aged and older adults in 2014-2015 (n=5059) and 2018-2019 (n=4176) in rural South Africa were analyzed. Tobacco use and sleep parameters were assessed by self-report. The associations between tobacco use and incident sleep parameters were estimated with multivariable logistic regression.
The prevalence of baseline sleep parameters was poor sleep quality 6.5%, sleep disturbance 13.6%, restless sleep 32.9%, and breathing stops 7.0%. In the fully adjusted model for people without poor sleep quality at baseline, daily tobacco smoking, smoking ≥10 units of tobacco products, current tobacco use and current smokeless tobacco use did not increase the odds of incident poor sleep quality. Smoking ≥10 units of tobacco products in a day (AOR=3.83; 95% CI: 1.77-8.28), current tobacco use (AOR=1.65; 95% CI: 1.09-2.51), and daily tobacco smoking (AOR=2.16; 95% CI: 1.15-4.07), were significantly positively associated with incident sleep disturbance. Furthermore, incident restless sleep was significantly positively associated with smoking ≥10 units of tobacco products in a day (AOR=3.97; 95% CI: 1.18-13.37), current smokeless tobacco use (AOR=2.78; 95% CI: 1.17-6.62) and current tobacco use (AOR=2.00; 95% CI: 1.00-4.00). Incident breathing stops were significantly positively associated with daily smoking tobacco (AOR=2.08; 95% CI: 1.11-3.34), smoking 1-9 units of tobacco products in a day (AOR=2.17; 95% CI: 1.20-3.94), and current tobacco use (AOR=1.77; 95% CI: 1.16-2.72).
Higher tobacco use was independently associated with incident sleep disturbance, incident restless sleep, and incident breathing stops, but not with incident poor sleep quality.
使用烟草可能与新发失眠症有关。本研究的目的是在南非的一项纵向研究中调查烟草使用与新发睡眠参数之间的关联。
对2014 - 2015年（n = 5059）和2018 - 2019年（n = 4176）南非农村地区连续两波中年及老年成年人的纵向数据进行了分析。通过自我报告评估烟草使用情况和睡眠参数。使用多变量逻辑回归估计烟草使用与新发睡眠参数之间的关联。
基线睡眠参数的患病率分别为：睡眠质量差6.5%，睡眠障碍13.6%，睡眠不安32.9%，呼吸暂停7.0%。在基线时无睡眠质量差的人群的完全调整模型中，每日吸烟、吸烟≥10单位烟草制品、当前吸烟和当前使用无烟烟草并未增加新发睡眠质量差的几率。每天吸烟≥10单位烟草制品（比值比[AOR]=3.83；95%置信区间[CI]：1.77 - 8.28）、当前吸烟（AOR = 1.65；95% CI：1.09 - 2.51）和每日吸烟（AOR = 2.16；95% CI：1.15 - 4.07）与新发睡眠障碍显著正相关。此外，新发睡眠不安与每天吸烟≥10单位烟草制品（AOR = 3.97；95% CI：1.18 - 13.37）、当前使用无烟烟草（AOR = 2.78；95% CI：1.17 - 6.62）和当前吸烟（AOR = 2.00；95% CI：1.00 - 4.00）显著正相关。新发呼吸暂停与每日吸烟（AOR = 2.08；95% CI：1.11 - 3.34）、每天吸烟1 - 9单位烟草制品（AOR = 2.17；95% CI：1.20 - 3.94）和当前吸烟（AOR = 1.77；95% CI：1.16 - 2.72）显著正相关。
较高的烟草使用量与新发睡眠障碍、新发睡眠不安和新发呼吸暂停独立相关，但与新发睡眠质量差无关。
