Relationships Between Smoking and Sleep Problems in Black and White Adolescents
Relationships Between Smoking and Sleep Problems in Black and White Adolescents
复制标题
DOI：
10.1093/sleep/zsw031
复制
发表时间：
2017-01-01
期刊：
影响因子：
5.6
通讯作者：
Simons-Morton, Bruce
中科院分区：
文献类型：
--
作者：
Bellatorre, Anna;Choi, Kelvin;Simons-Morton, Bruce
研究目的：青春期睡眠和吸烟之间的关系仍然不清楚，而且可能很复杂。我们的目标是评估非西班牙裔白人(NHW)和非西班牙裔黑人(NHB)年轻人之间睡眠问题、睡眠持续时间和吸烟之间的纵向相互关系。设计：前瞻性队列研究背景：下一代健康研究参与者：在2009年(第一波)至2012年(第三波)期间，每年对全国范围内的NHB和NHW 10年级学生(N=1394)进行调查。干预：N/AM测量和结果：每波均测量吸烟史30d、慢性入睡困难、近期入睡困难、工作日和周末睡眠时间。使用结构方程模型，我们观察到睡眠问题和睡眠持续时间随着时间的推移具有显著的自相关性。我们发现吸烟和睡眠问题之间存在显著的互惠的、预期的关系。这种关系的强度因种族而异，NHB的睡眠问题与随后吸烟之间的关联比NHW年轻人更强。相反，观察到NHW的吸烟和随后的睡眠问题之间的关联比NHB青年更强。这些关联与人口统计学、打鼾症或睡眠呼吸暂停、体重指数、抑郁症状、饮酒和喝苏打水无关。结论：在NHW和NHB青少年中，青少年吸烟、睡眠问题和持续时间存在双向和前瞻性的关系。需要进一步的研究来揭示尼古丁的直接影响、可能将吸烟和睡眠问题联系在一起的生活方式选择以及种族差异之间的复杂关系。
Study Objectives: The relationship between sleeping and smoking during adolescence remains unclear and is likely complex. We aim to evaluate the longitudinal reciprocal associations between sleep problems, sleep duration, and smoking among non-Hispanic white (NHW) and non-Hispanic black (NHB) youth.Design: Prospective cohort studySetting: NEXT Generation Health StudyParticipants: A national sample (N = 1394) of NHB and NHW 10th graders were surveyed annually between 2009 (Wave 1) and 2012 (Wave 3). Interventions: N/AMeasurements and Results: Past 30-day smoking, chronic difficulty falling asleep, recent difficulty falling asleep, difficulty staying asleep, and weekday and weekend sleep duration were measured at each wave. Using structural equation models, we observed significant autocorrelations over time for sleep problems and sleep duration. We found significant reciprocal, prospective relationships between smoking and sleep problems. The strengths of the relationships differed by race, with a stronger association between sleep problems and subsequent smoking for NHB than NHW youth. Conversely, a stronger association between smoking and subsequent sleep problems for NHW than NHB youth was observed. These association were independent of demographics, snoring or sleep apnea, body mass index, depressive symptoms, alcohol use, and soda consumption.Conclusions: Reciprocal and prospective relationships exist for youth smoking and sleep problems and duration in both NHW and NHB youth. Further research is needed to unravel the complex relationship between the direct effects of nicotine, lifestyle choices that may link smoking and sleep problems, and racial differences.