TY - JOUR
T1 - Electronic cigarette use and cigarette smoking associated with inadequate sleep duration among U.S. young adults
AU - Merianos, Ashley L.
AU - Mahabee-Gittens, E. Melinda
AU - Hill, Madelyn J.
AU - Olaniyan, Afolakemi C.
AU - Smith, Matthew Lee
AU - Choi, Kelvin
N1 - Funding Information:
This work was supported by the National Institute on Drug Abuse (NIH Grant Number K01DA044313 ) and National Institute of Environmental Health Sciences (NIH Grant Numbers R21ES032161 , R01ES027815 , and R01ES030743 ). Dr. Choi's effort was supported by the Division of Intramural Research, National Institute on Minority Health and Health Disparities . The corresponding author affirms that she has listed everyone who contributed significantly to the work. The comments and opinions expressed belong to the authors and do not necessarily represent those of the U.S. Government, Department of Health and Human Services, National Institutes of Health, and National Institute on Minority Health and Health Disparities.
Funding Information:
This work was supported by the National Institute on Drug Abuse (NIH Grant Number K01DA044313) and National Institute of Environmental Health Sciences (NIH Grant Numbers R21ES032161, R01ES027815, and R01ES030743). Dr. Choi's effort was supported by the Division of Intramural Research, National Institute on Minority Health and Health Disparities. The corresponding author affirms that she has listed everyone who contributed significantly to the work. The comments and opinions expressed belong to the authors and do not necessarily represent those of the U.S. Government, Department of Health and Human Services, National Institutes of Health, and National Institute on Minority Health and Health Disparities.
Publisher Copyright:
© 2023
PY - 2023/10
Y1 - 2023/10
N2 - Objective: 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. Methods: 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. Results: 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. Conclusions: Current e-cigarette and cigarette use may influence inadequate sleep among U.S. young adults. Tobacco cessation efforts may encourage increased sleep health.
AB - Objective: 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. Methods: 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. Results: 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. Conclusions: Current e-cigarette and cigarette use may influence inadequate sleep among U.S. young adults. Tobacco cessation efforts may encourage increased sleep health.
KW - Behavioral risk factor surveillance system
KW - Combustible cigarette smoking
KW - Electronic nicotine delivery systems
KW - Sleep
KW - Young adult
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U2 - 10.1016/j.ypmed.2023.107712
DO - 10.1016/j.ypmed.2023.107712
M3 - Article
C2 - 37758124
AN - SCOPUS:85172266180
SN - 0091-7435
VL - 175
JO - Preventive Medicine
JF - Preventive Medicine
M1 - 107712
ER -