Combustible and electronic cigarette use and insufficient sleep among U.S. high school students.

Combustible and electronic cigarette use and insufficient sleep among U.S. high school students.
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DOI:
10.1016/j.ypmed.2021.106505
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发表时间:
2021-06
影响因子:
5.1
通讯作者:
Mahabee-Gittens EM
Mahabee-Gittens EM
中科院分区:
医学2区
文献类型:
--
作者:
Merianos AL;Jandarov RA;Choi K;Fiser KA;Mahabee-Gittens EM

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该研究旨在调查美国青少年当前仅使用电子烟、仅吸烟以及同时使用电子烟和可燃香烟与睡眠不足之间的关系。我们对 2017 年青少年风险行为调查(包括 11,296 名美国高中生)进行了二次数据分析。当前(过去 30 天)的烟草使用群体包括专门使用电子烟的使用者、专门吸烟者和双产品使用者。我们进行了加权未调整和调整逻辑回归分析。睡眠不足定义为每晚<8 小时和<7 小时/晚。总体而言,73.4% 的青少年表示每晚睡眠不足 8 小时。与非烟草使用者相比,专门电子烟使用者更有可能报告睡眠不足<8小时/晚(比值比[OR]=1.55,95%CI=1.12-2.14;调整后OR[aOR]=1.57,95%CI=1.01-2.43)和<7小时/晚(OR=1.55,95%CI=1.19-2.01; aOR=1.61,95%CI=1.16–2.24)。与非烟草使用者相比,双产品使用者报告睡眠不足 <8 小时/晚(OR=3.15,95%CI=1.87–5.32)和 <7 小时/晚(OR=2.64,95%CI=1.87–3.72;aOR=1.73,95%CI=1.14–2.62)的几率更高。与不吸烟者相比,仅吸烟者报告睡眠不足<8小时/晚的可能性较小(aOR=0.49,95%CI=0.29-0.84),但没有发现睡眠不足<7小时/晚的差异。比较当前使用组时,在协变量调整后,与仅吸烟者相比,仅使用电子烟的用户报告睡眠不足 <8 小时/晚的几率增加 3.20 (95%CI=1.65–6.22),双产品使用者报告睡眠不足的几率增加 3.26 (95%CI=1.51–7.03)。与只吸烟者相比,双产品使用者报告每晚睡眠不足 7 小时的可能性高出 1.89 倍 (95%CI=1.01–3.51)。以学校为基础的烟草使用预防工作可能会促进青少年充足的睡眠。
The study aimed to investigate the relationships between current exclusive e-cigarette use, exclusive combustible cigarette smoking, and dual use of e-cigarettes and combustible cigarettes, and insufficient sleep among U.S. adolescents. We conducted a secondary data analysis of the 2017 Youth Risk Behavior Survey including 11,296 U.S. high school students. Current (past 30-day) tobacco use groups included exclusive e-cigarette users, exclusive combustible cigarette smokers, and dual-product users. We performed weighted unadjusted and adjusted logistic regression analyses. Insufficient sleep was defined as <8 hours/night and <7 hours/night. Overall, 73.4% of adolescents reported insufficient sleep <8 hours/night. Compared with non-tobacco users, exclusive e-cigarette users were more likely to report insufficient sleep <8 hours/night (odds ratio [OR]=1.55, 95%CI=1.12–2.14; adjusted OR [aOR]=1.57, 95%CI=1.01–2.43) and <7 hours/night (OR=1.55, 95%CI=1.19–2.01; aOR=1.61, 95%CI=1.16–2.24). Dual-product users were at increased odds to report insufficient sleep <8 hours/night (OR=3.15, 95%CI=1.87–5.32) and <7 hours/night (OR=2.64, 95%CI=1.87–3.72; aOR=1.73, 95%CI=1.14–2.62) than non-tobacco users. Exclusive combustible cigarette smokers were less likely to report insufficient sleep <8 hours/night (aOR=0.49, 95%CI=0.29–0.84) than non-tobacco users, but no differences were found based on insufficient sleep <7 hours/night. When comparing current use groups, exclusive e-cigarette users were at 3.20 increased odds (95%CI=1.65–6.22) and dual-product users were at 3.26 increased odds (95%CI=1.51–7.03) to report insufficient sleep <8 hours/night when compared with exclusive combustible cigarette smokers after covariate adjustment. Dual-product users were 1.89 times more likely (95%CI=1.01–3.51) to report insufficient sleep <7 hours/night when compared with exclusive combustible cigarette smokers. School-based prevention efforts for tobacco use may promote sufficient sleep in youth.
DOI: 10.15585/mmwr.mm6806e1
发表时间: 2019-02-15
影响因子: 33.9
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