The association between active smoking, smokeless tobacco, second-hand smoke exposure and insufficient sleep.

The association between active smoking, smokeless tobacco, second-hand smoke exposure and insufficient sleep.
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DOI:
10.1016/j.sleep.2010.09.002
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发表时间:
2011-01
期刊:
影响因子:
4.8
通讯作者:
Shankar, Anoop
Shankar, Anoop
中科院分区:
医学2区
文献类型:
--
作者:
Sabanayagam, Charumathi;Shankar, Anoop

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研究表明,吸烟与普通人群的睡眠障碍有关。但有关无烟烟草使用、二手烟暴露和休息/睡眠不足之间关系的研究还很有限。我们在州级 2008 年行为危险因素监测系统中研究了 20 岁以上成年人吸烟、无烟烟草使用 (n=83,072)、二手烟暴露 (n=28,557) 和休息/睡眠不足之间的关联。接触二手烟的定义是在过去 7 天内在家中或工作场所吸烟超过 1 天。休息/睡眠不足定义为过去 30 天内每天没有得到足够的休息/睡眠。与从不无烟烟草使用者相比,以前和现在的使用者中休息/睡眠不足的比值比(OR;95%置信区间[CI])分别为1.16(1.00-1.36)和1.74(1.37-2.22)。与不吸烟者/非无烟烟草使用者相比,当前吸烟者和当前无烟烟草使用者的休息/睡眠不足的 OR (95% CI) 为 2.21 (1.66–2.94)。关于非吸烟者的二手烟暴露情况,接触二手烟的人比不接触二手烟的人休息/睡眠不足的几率更高。相比之下,无论是否接触二手烟,当前吸烟者休息/睡眠不足的几率相似。在美国成年人的多种族样本中,与不吸烟者/非无烟烟草使用者相比,当前吸烟者和当前无烟烟草使用者的睡眠不足几率是其两倍。二手烟暴露与非吸烟者休息/睡眠不足有关。
Studies have shown that cigarette smoking is associated with sleep disorders in the general population. But studies examining the association between smokeless tobacco use, secondhand smoke exposure and insufficient rest/sleep are limited. We examined the association between smoking, smokeless tobacco use (n=83,072), secondhand smoke exposure (n=28,557) and insufficient rest/sleep among adults aged ≥20 years in the state-based 2008 Behavioral Risk Factor Surveillance System. Exposure to secondhand smoke was defined as >1 day of exposure to cigarette smoking either at home or in the workplace in the preceding 7 days. Insufficient rest/sleep was defined as not getting enough rest/sleep everyday in the preceding 30 days. Compared to never smokeless tobacco users, the odds ratio (OR; 95% confidence interval [CI]) of insufficient rest/sleep was 1.16 (1.00–1.36) and 1.74 (1.37–2.22) among former and current users. Compared to non-smokers/non-smokeless tobacco users, the OR (95% CI) of insufficient rest/sleep for those who were both current smokers and current smokeless tobacco users was 2.21 (1.66–2.94). Regarding secondhand smoke exposure among non-smokers, those with second-hand smoke exposure had higher odds for insufficient rest/sleep than those without. In contrast, the odds of insufficient rest/sleep were similar among current smokers with or without secondhand smoke exposure. In a multiethnic sample of US adults, compared to non-smokers/non-smokeless tobacco users, those who were both current smokers and current smokeless tobacco users had twice the odds of insufficient sleep. Secondhand smoke exposure was associated with insufficient rest/sleep among non-smokers.
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