Associations between e-cigarette use and sleep health among adults in the United States, NHANES 2015-2018.

Sleep Med

Department of Health Administration & Health Policy, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX, USA.

Published: February 2024

AI Article Synopsis

  • The study aimed to investigate the link between e-cigarette use, dual use of e-cigarettes and traditional cigarettes, and sleep issues among U.S. adults, using data from the National Health and Nutrition Examination Survey (NHANES) between 2015-2018.
  • Current e-cigarette users had significantly higher odds of experiencing trouble sleeping compared to those who never used e-cigarettes, with similar trends observed for former users.
  • The findings indicate that both current and former cigarette or dual users are more likely to have short sleep duration and trouble sleeping.

Article Abstract

Objective: To examine the associations between e-cigarette use or dual (e-cigarette and combustible cigarette) use and short sleep duration and trouble sleeping among U.S. adults.

Methods: We used 2015-2018 data from the National Health and Nutrition Examination Survey (NHANES) (n = 11,659). E-cigarette use and dual use were categorized as current, former, and never use. Short sleep duration was defined as sleep duration ≤6 h. Trouble sleeping was self-reported. Weighted logistic regression analyses were performed.

Results: Among those with current e-cigarette use, 53.9 % were with current dual use and 23.8 % were with former dual use. Compared to never e-cigarette use, current e-cigarette use was associated with significantly higher odds of trouble sleeping (OR = 2.16, 95 % CI: 1.49-3.13), adjusting for potential confounders. Significant associations were also observed for former e-cigarette use versus never use with trouble sleeping (OR = 1.54, 95 % CI: 1.15-2.07) after full adjustment. Current cigarette use was associated with both short sleep duration (OR = 1.65, 95 % CI: 1.28-2.14) and trouble sleeping (OR = 1.36, 95 % CI: 1.03-1.79) after full adjustment. Additionally, the fully adjusted ORs for short sleep duration and trouble sleeping were 1.64 (95 % CI: 1.06-2.54) and 2.14 (95 % CI: 1.34-3.42) among those with current dual use, and 1.46 (95 % CI: 1.17-1.81) and 2.11 (95 % CI: 1.66-2.67) among those with former dual use, compared to those without dual use.

Conclusions: Current cigarette use or dual use is associated with significantly higher odds of short sleep duration and trouble sleeping. Moreover, former e-cigarette use or dual use is associated with increased odds of trouble sleeping.

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Source
http://dx.doi.org/10.1016/j.sleep.2024.01.005DOI Listing

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