E-cigarette use and sleep-related complaints among youth

Kira E. Riehm, Darlynn M. Rojo-Wissar, Kenneth A. Feder, Ramin Mojtabai, Adam P Spira, Johannes Thrul, Rosa M Crum

Research output: Contribution to journalArticle

Abstract

Introduction: E-cigarette use is highly prevalent among adolescents. However, little research has examined the relationship between e-cigarette use and sleep-related complaints in this population. The objective of this study was to assess whether exclusive e-cigarette, exclusive combusted cigarette, and dual-product use are associated with sleep-related complaints among adolescents. Methods: Participants were 9,588 U.S. adolescents from the Population Assessment of Tobacco and Health Study, a nationally representative cohort, followed from 2013 through 2015. Using logistic regression, we examined the cross-sectional association between past-year e-cigarette, combusted cigarette, or dual-product use and past-year sleep-related complaints (bad dreams, sleeping restlessly, or falling asleep during the day), both measured at Wave 2. We controlled for Wave 1 demographic characteristics, emotional and behavioral health, and prior history of e-cigarette use, combusted cigarette use, and sleep-related complaints. Results: In unadjusted analyses, e-cigarette, combusted cigarette, and dual-product use were significantly associated with greater odds of sleep-related complaints, compared to use of neither product (e-cigarettes: OR = 1.61, 95% CI 1.34–1.94; combusted cigarettes: OR = 1.62, 95% CI 1.26–2.09; dual-product use: OR = 2.00, 95% CI 1.63–2.46). Associations between e-cigarette and dual-product use and sleep-related complaints remained significant in fully adjusted analyses (e-cigarettes: aOR = 1.29, 95% CI 1.05–1.59; dual-product use: aOR = 1.57, 95% CI 1.24–1.99), whereas associations with combusted cigarette use were significant in all models except the fully adjusted model (aOR = 1.30, 95% CI 0.98–1.71). Conclusions: E-cigarette and dual-product use are significantly associated with greater odds of reporting sleep-related complaints among adolescents. Future research should evaluate whether this association may be causal.

Original languageEnglish (US)
Pages (from-to)48-54
Number of pages7
JournalJournal of Adolescence
Volume76
DOIs
StatePublished - Oct 1 2019

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Tobacco Products
Sleep
Electronic Cigarettes
Health
Population
Tobacco
Logistic Models
Demography

Keywords

  • Adolescents
  • E-cigarettes
  • Sleep problems
  • Smoking

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Social Psychology
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

E-cigarette use and sleep-related complaints among youth. / Riehm, Kira E.; Rojo-Wissar, Darlynn M.; Feder, Kenneth A.; Mojtabai, Ramin; Spira, Adam P; Thrul, Johannes; Crum, Rosa M.

In: Journal of Adolescence, Vol. 76, 01.10.2019, p. 48-54.

Research output: Contribution to journalArticle

Riehm, Kira E. ; Rojo-Wissar, Darlynn M. ; Feder, Kenneth A. ; Mojtabai, Ramin ; Spira, Adam P ; Thrul, Johannes ; Crum, Rosa M. / E-cigarette use and sleep-related complaints among youth. In: Journal of Adolescence. 2019 ; Vol. 76. pp. 48-54.
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abstract = "Introduction: E-cigarette use is highly prevalent among adolescents. However, little research has examined the relationship between e-cigarette use and sleep-related complaints in this population. The objective of this study was to assess whether exclusive e-cigarette, exclusive combusted cigarette, and dual-product use are associated with sleep-related complaints among adolescents. Methods: Participants were 9,588 U.S. adolescents from the Population Assessment of Tobacco and Health Study, a nationally representative cohort, followed from 2013 through 2015. Using logistic regression, we examined the cross-sectional association between past-year e-cigarette, combusted cigarette, or dual-product use and past-year sleep-related complaints (bad dreams, sleeping restlessly, or falling asleep during the day), both measured at Wave 2. We controlled for Wave 1 demographic characteristics, emotional and behavioral health, and prior history of e-cigarette use, combusted cigarette use, and sleep-related complaints. Results: In unadjusted analyses, e-cigarette, combusted cigarette, and dual-product use were significantly associated with greater odds of sleep-related complaints, compared to use of neither product (e-cigarettes: OR = 1.61, 95{\%} CI 1.34–1.94; combusted cigarettes: OR = 1.62, 95{\%} CI 1.26–2.09; dual-product use: OR = 2.00, 95{\%} CI 1.63–2.46). Associations between e-cigarette and dual-product use and sleep-related complaints remained significant in fully adjusted analyses (e-cigarettes: aOR = 1.29, 95{\%} CI 1.05–1.59; dual-product use: aOR = 1.57, 95{\%} CI 1.24–1.99), whereas associations with combusted cigarette use were significant in all models except the fully adjusted model (aOR = 1.30, 95{\%} CI 0.98–1.71). Conclusions: E-cigarette and dual-product use are significantly associated with greater odds of reporting sleep-related complaints among adolescents. Future research should evaluate whether this association may be causal.",
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AU - Rojo-Wissar, Darlynn M.

AU - Feder, Kenneth A.

AU - Mojtabai, Ramin

AU - Spira, Adam P

AU - Thrul, Johannes

AU - Crum, Rosa M

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N2 - Introduction: E-cigarette use is highly prevalent among adolescents. However, little research has examined the relationship between e-cigarette use and sleep-related complaints in this population. The objective of this study was to assess whether exclusive e-cigarette, exclusive combusted cigarette, and dual-product use are associated with sleep-related complaints among adolescents. Methods: Participants were 9,588 U.S. adolescents from the Population Assessment of Tobacco and Health Study, a nationally representative cohort, followed from 2013 through 2015. Using logistic regression, we examined the cross-sectional association between past-year e-cigarette, combusted cigarette, or dual-product use and past-year sleep-related complaints (bad dreams, sleeping restlessly, or falling asleep during the day), both measured at Wave 2. We controlled for Wave 1 demographic characteristics, emotional and behavioral health, and prior history of e-cigarette use, combusted cigarette use, and sleep-related complaints. Results: In unadjusted analyses, e-cigarette, combusted cigarette, and dual-product use were significantly associated with greater odds of sleep-related complaints, compared to use of neither product (e-cigarettes: OR = 1.61, 95% CI 1.34–1.94; combusted cigarettes: OR = 1.62, 95% CI 1.26–2.09; dual-product use: OR = 2.00, 95% CI 1.63–2.46). Associations between e-cigarette and dual-product use and sleep-related complaints remained significant in fully adjusted analyses (e-cigarettes: aOR = 1.29, 95% CI 1.05–1.59; dual-product use: aOR = 1.57, 95% CI 1.24–1.99), whereas associations with combusted cigarette use were significant in all models except the fully adjusted model (aOR = 1.30, 95% CI 0.98–1.71). Conclusions: E-cigarette and dual-product use are significantly associated with greater odds of reporting sleep-related complaints among adolescents. Future research should evaluate whether this association may be causal.

AB - Introduction: E-cigarette use is highly prevalent among adolescents. However, little research has examined the relationship between e-cigarette use and sleep-related complaints in this population. The objective of this study was to assess whether exclusive e-cigarette, exclusive combusted cigarette, and dual-product use are associated with sleep-related complaints among adolescents. Methods: Participants were 9,588 U.S. adolescents from the Population Assessment of Tobacco and Health Study, a nationally representative cohort, followed from 2013 through 2015. Using logistic regression, we examined the cross-sectional association between past-year e-cigarette, combusted cigarette, or dual-product use and past-year sleep-related complaints (bad dreams, sleeping restlessly, or falling asleep during the day), both measured at Wave 2. We controlled for Wave 1 demographic characteristics, emotional and behavioral health, and prior history of e-cigarette use, combusted cigarette use, and sleep-related complaints. Results: In unadjusted analyses, e-cigarette, combusted cigarette, and dual-product use were significantly associated with greater odds of sleep-related complaints, compared to use of neither product (e-cigarettes: OR = 1.61, 95% CI 1.34–1.94; combusted cigarettes: OR = 1.62, 95% CI 1.26–2.09; dual-product use: OR = 2.00, 95% CI 1.63–2.46). Associations between e-cigarette and dual-product use and sleep-related complaints remained significant in fully adjusted analyses (e-cigarettes: aOR = 1.29, 95% CI 1.05–1.59; dual-product use: aOR = 1.57, 95% CI 1.24–1.99), whereas associations with combusted cigarette use were significant in all models except the fully adjusted model (aOR = 1.30, 95% CI 0.98–1.71). Conclusions: E-cigarette and dual-product use are significantly associated with greater odds of reporting sleep-related complaints among adolescents. Future research should evaluate whether this association may be causal.

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