School of Human Services, University of Cincinnati, P.O. Box 210068, Cincinnati, OH 45221, USA.
Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Prev Med. 2023 Oct;175:107712. doi: 10.1016/j.ypmed.2023.107712. Epub 2023 Sep 25.
Nicotine use can influence inadequate sleep, but less is known about the associations of exclusive and dual use of electronic cigarettes (e-cigarettes) with combustible cigarettes in U.S. young adults. This study assessed the associations between current exclusive e-cigarette use, exclusive cigarette smoking, and dual e-cigarette and combustible cigarette use and inadequate sleep duration among U.S. young adults.
We performed a secondary analysis of 2020 Behavioral Risk Factor Surveillance System (BRFSS) data including 13,978 U.S. young adults ages 18-24 years. Inadequate sleep duration was assessed categorically using the National Sleep Foundation's age-specific recommendations that define <7 h as inadequate sleep. Weighted logistic regression models were performed while adjusting for participants' sex, race/ethnicity, education level, annual household income level, body mass index, current physical activity, mental health status, disability status, current alcohol use, and current smokeless tobacco use.
Concerning use patterns, 11.8% of young adults were exclusive e-cigarette users, 4.7% were exclusive cigarette smokers, and 3.8% were dual e-cigarette and combustible cigarette users. Exclusive e-cigarette users (adjusted odds ratio [AOR] = 1.41, 95% confidence interval [CI] = 1.16-1.72), exclusive cigarette smokers (AOR = 1.63, 95%CI = 1.22-2.18), and dual product users (AOR = 2.03, 95%CI = 1.44-2.86) were at increased odds of having inadequate sleep duration compared to non-users, while adjusting for the covariates. Additionally, dual product users were at increased odds (AOR = 1.52, 95%CI = 1.06-2.19) of reporting inadequate sleep duration compared to exclusive e-cigarette users, while adjusting for the covariates.
Current e-cigarette and cigarette use may influence inadequate sleep among U.S. young adults. Tobacco cessation efforts may encourage increased sleep health.
尼古丁的使用会影响睡眠质量，但目前人们对美国年轻成年人中电子烟（e-cigarettes）和可燃香烟的单独使用和双重使用与睡眠质量之间的关系知之甚少。本研究评估了当前电子烟的单独使用、香烟的单独使用，以及电子烟和可燃香烟的双重使用与美国年轻成年人睡眠时间不足之间的关系。
我们对 2020 年行为风险因素监测系统（BRFSS）的数据进行了二次分析，包括 13978 名年龄在 18-24 岁的美国年轻成年人。睡眠时间不足是通过美国国家睡眠基金会（National Sleep Foundation）根据年龄制定的标准进行分类评估的，即<7 小时为睡眠时间不足。在调整了参与者的性别、种族/民族、教育程度、家庭年收入水平、体重指数、当前体力活动水平、心理健康状况、残疾状况、当前饮酒量和当前无烟烟草使用量后，我们使用加权逻辑回归模型进行分析。
在使用模式方面，11.8%的年轻人是电子烟的单独使用者，4.7%是香烟的单独使用者，3.8%是电子烟和可燃香烟的双重使用者。与非使用者相比，电子烟的单独使用者（调整后的优势比 [AOR] = 1.41，95%置信区间 [CI] = 1.16-1.72）、香烟的单独使用者（AOR = 1.63，95%CI = 1.22-2.18）和双重产品使用者（AOR = 2.03，95%CI = 1.44-2.86）都更有可能睡眠时间不足，而调整了协变量后，双重产品使用者（AOR = 1.52，95%CI = 1.06-2.19）与电子烟的单独使用者相比，睡眠时间不足的可能性更高。
目前电子烟和香烟的使用可能会影响美国年轻成年人的睡眠质量。烟草戒断努力可能会鼓励增加睡眠健康。
