Tobacco Smoke Exposure and Sleep Duration among U.S. Adolescents.

IF 2.2 3区医学 Q3 CLINICAL NEUROLOGY

Behavioral Sleep Medicine Pub Date : 2024-03-03 Epub Date: 2023-07-07 DOI:10.1080/15402002.2023.2232498

Ashley L Merianos, Timothy M Stone, E Melinda Mahabee-Gittens, Roman A Jandarov, Kelvin Choi

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引用次数: 0

Abstract

Objectives: Tobacco smoke exposure (TSE) and poor sleep are public health problems with their own set of consequences. This study assessed whether TSE was associated with sleep duration among U.S. adolescents.

Method: We conducted a secondary analysis of 2013-2018 National Health and Nutrition Examination Survey data including 914 nontobacco-using adolescents ages 16-19 years. TSE measures included cotinine and self-reported home TSE groups including no home TSE, thirdhand smoke (THS) exposure, and secondhand smoke (SHS)+THS exposure. Sleep duration was assessed in hours and categorically as insufficient sleep (recommended hours). Weighted multiple linear regression and multinomial regression models were conducted.

Results: Adolescents with higher log-cotinine levels had higher number of sleep hours (β = 0.31, 95%CI = 0.02,0.60) and were at increased odds of reporting excess sleep (AOR = 1.41, 95%CI = 1.40,1.42), but were at reduced odds of reporting insufficient sleep (AOR = 0.88, 95%CI = 0.87,0.89). Compared to adolescents with no home TSE, adolescents with home THS exposure and home SHS+THS exposure were at increased odds of reporting insufficient sleep (AOR = 2.27, 95%CI = 2.26,2.29; AOR = 2.75, 95%CI = 2.72,2.77, respectively) and excess sleep (AOR = 1.89, 95%CI = 1.87,1.90; AOR = 5.29, 95%CI = 5.23,5.34, respectively).

Conclusions: TSE may affect insufficient and excess sleep duration among adolescents. Eliminating TSE may promote adolescent respiratory and sleep health.

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美国青少年的烟草烟雾暴露和睡眠时间。

目的：烟草烟雾暴露（TSE）和睡眠质量差是公共健康问题，会带来一系列后果。本研究评估了 TSE 是否与美国青少年的睡眠时间有关：我们对 2013-2018 年全国健康与营养调查数据进行了二次分析，其中包括 914 名 16-19 岁不吸烟的青少年。TSE测量包括可替宁和自我报告的家庭TSE组，包括无家庭TSE、三手烟（THS）暴露和二手烟（SHS）+THS暴露。睡眠持续时间以小时为单位进行评估，并分类为睡眠不足（建议小时数）。研究采用加权多元线性回归和多项式回归模型：结果：对数可替宁水平较高的青少年睡眠时数较多（β = 0.31，95%CI = 0.02,0.60），报告睡眠过量的几率增加（AOR = 1.41，95%CI = 1.40,1.42），但报告睡眠不足的几率降低（AOR = 0.88，95%CI = 0.87,0.89）。与没有接触家庭TSE的青少年相比，接触家庭THS和家庭SHS+THS的青少年报告睡眠不足（AOR = 2.27，95%CI = 2.26,2.29；AOR = 2.75，95%CI = 2.72,2.77）和睡眠过量（AOR = 1.89，95%CI = 1.87,1.90；AOR = 5.29，95%CI = 5.23,5.34）的几率增加：TSE可能会影响青少年睡眠不足和睡眠时间过长。结论：TSE 可能会影响青少年睡眠不足和睡眠时间过长，消除 TSE 可促进青少年呼吸和睡眠健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY

CiteScore

7.20

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.