1
|
Li Q, Yamamoto R, Shinzawa M, Otsuki N, Matsumura Y, Nakamura Y, Mizui M, Matsui I, Sakaguchi Y, Shinomiya H, Ishibashi C, Adachi H, Nakanishi K, Nagatomo I. Short sleep duration and smoking initiation in university students: a retrospective cohort study. Sleep Breath 2024:10.1007/s11325-024-03014-3. [PMID: 38637352 DOI: 10.1007/s11325-024-03014-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 02/05/2024] [Accepted: 02/23/2024] [Indexed: 04/20/2024]
Abstract
PURPOSE The aim of this study was to clarify an association between short sleep duration and smoking initiation. METHODS Participants eligible for this retrospective cohort study were university students who were admitted to a single national university in Japan between 2007 and 2015. Baseline sleep duration and smoking status were measured using general questionnaires at health checkups at admission. During a 6-year observation period, smoking initiation was assessed using general questionnaires at annual health checkups. Cox proportional hazards models adjusted for clinically relevant factors were used to assess the association between sleep duration and smoking initiation. RESULTS Of 17,493 men, including 540, 5,568, 8,458, 2,507, and 420 men with sleep duration of < 5, 5-6, 6-7, 7-8, and ≥ 8 h, respectively, smoking initiation was observed in 16.1%, 12.5%, 11.2%, 10.0%, and 11.7%, respectively, during a median observation period of 3.0 years. Men with shorter sleep duration were at a higher risk of smoking initiation (adjusted hazard ratio 1.49 [95% confidence interval 1.19-1.85], 1.11 [1.01-1.22], 1.00 [reference], 0.92 [0.80-1.06], and 1.00 [0.75-1.34], respectively). Of 8,880 women, including 267, 3,163, 4,220, and 1,230 women with sleep duration of < 5, 5-6, 6-7, and ≥ 7 h, respectively, smoking initiation was observed in 4.9%, 2.3%, 2.0%, and 2.2%, respectively, during a median observation period of 3.0 years. A similar dose dependent association was ascertained in women (2.50 [1.39-4.49], 1.18 [0.86-1.62], 1.00 [reference], and 1.22 [0.79-1.89], respectively). CONCLUSION This study clarified that university students with short sleep duration were vulnerable to smoking initiation.
Collapse
Affiliation(s)
- Qinyan Li
- Laboratory of Behavioral Health Promotion, Department of Health Promotion Medicine, Graduate School of Medicine, Osaka University, Toyonaka, Japan
| | - Ryohei Yamamoto
- Laboratory of Behavioral Health Promotion, Department of Health Promotion Medicine, Graduate School of Medicine, Osaka University, Toyonaka, Japan.
- Health and Counseling Center, Osaka University, 1-17 Machikaneyamacho, Toyonaka, Osaka, 560-0043, Japan.
- Department of Nephrology, Graduate School of Medicine, Osaka University, Suita, Japan.
| | - Maki Shinzawa
- Health and Counseling Center, Osaka University, 1-17 Machikaneyamacho, Toyonaka, Osaka, 560-0043, Japan
- Department of Nephrology, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Naoko Otsuki
- Health and Counseling Center, Osaka University, 1-17 Machikaneyamacho, Toyonaka, Osaka, 560-0043, Japan
| | - Yuichiro Matsumura
- Laboratory of Behavioral Health Promotion, Department of Health Promotion Medicine, Graduate School of Medicine, Osaka University, Toyonaka, Japan
| | - Yuko Nakamura
- Health and Counseling Center, Osaka University, 1-17 Machikaneyamacho, Toyonaka, Osaka, 560-0043, Japan
| | - Masayuki Mizui
- Department of Nephrology, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Isao Matsui
- Department of Nephrology, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Yusuke Sakaguchi
- Department of Inter-Organ Communication Research in Kidney Diseases, Graduate School of Medicine, Osaka University, Suita, 565-0871, Japan
| | - Haruki Shinomiya
- Health and Counseling Center, Osaka University, 1-17 Machikaneyamacho, Toyonaka, Osaka, 560-0043, Japan
| | - Chisaki Ishibashi
- Health and Counseling Center, Osaka University, 1-17 Machikaneyamacho, Toyonaka, Osaka, 560-0043, Japan
| | - Hiroyoshi Adachi
- Health and Counseling Center, Osaka University, 1-17 Machikaneyamacho, Toyonaka, Osaka, 560-0043, Japan
| | - Kaori Nakanishi
- Health and Counseling Center, Osaka University, 1-17 Machikaneyamacho, Toyonaka, Osaka, 560-0043, Japan
| | - Izumi Nagatomo
- Health and Counseling Center, Osaka University, 1-17 Machikaneyamacho, Toyonaka, Osaka, 560-0043, Japan
| |
Collapse
|
2
|
Okekunle AP, Asowata OJ, Danladi DK, Ogunjuyigbe AS, Akpa OM. Association of second-hand smoking with sleep quality among adults in Ibadan, Nigeria: a cross-sectional evaluation of data from the COMBAT-CVDs study. Int Arch Occup Environ Health 2024; 97:279-289. [PMID: 38252129 DOI: 10.1007/s00420-023-02042-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 12/12/2023] [Indexed: 01/23/2024]
Abstract
PURPOSE Sleep quality (SQ) is essential in the overall well-being and quality of life, but little is known about the association of secondhand smoking (SHS) with SQ. This study assessed the relationship between SHS and SQ among adults who had never smoked in Ibadan, Nigeria. METHODS We identified 3193 respondents who had never smoked or used any form of tobacco product in the Community-based Investigation of the Risk Factors for Cardiovascular Diseases in the Ibadan and suburbs (COMBAT-CVDs) study. SHS was self-reported, SQ assessed using a sleep quality scale, and SQ scores were classified by the quartile distributions of SQ scores in this sample as good (< 7), moderate (7-13), fair (14-20), and poor (≥ 21), and logistic regression models were used to estimate the multivariable-adjusted odds ratio and 95% confidence interval (CI) of the association between SHS and SQ in a two-sided test at P < 0.05. RESULTS The mean (SD) of age in this sample was 34.8 ± 15.1 years; 1621 (50.8%) were females, and 848 (26.6%) experienced SHS. The multivariable-adjusted odds by categories of SQ scores (using good SQ as reference) in the light of SHS were OR: 1.64 (95%CI 1.28, 2.12) for moderate SQ, OR: 1.88 (95%CI 1.46, 2.42) for fair SQ and OR: 2.14 (95%CI 1.66, 2.75) for poor SQ; P < 0.0001 after adjusting for relevant covariates. The sex- and age groups- stratified analyses revealed similar trends. CONCLUSION SHS is associated with higher odds of poor SQ in this study. Culturally relevant interventions for mitigating exposure to SHS might improve SQ and overall quality of life, particularly among vulnerable populations.
Collapse
Affiliation(s)
- Akinkunmi Paul Okekunle
- Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, 200284, Nigeria
- The Postgraduate College, University of Ibadan, Ibadan, 200284, Nigeria
- Research Institute of Human Ecology, Seoul National University, Seoul, 08826, Republic of Korea
| | - Osahon Jeffery Asowata
- Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, 200284, Nigeria
| | - David Kadan Danladi
- Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, 200284, Nigeria
| | - Ayodeji Samson Ogunjuyigbe
- The Postgraduate College, University of Ibadan, Ibadan, 200284, Nigeria
- Department of Electrical and Electronic Engineering, Faculty of Technology, University of Ibadan, Ibadan, 200284, Nigeria
| | - Onoja Matthew Akpa
- Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, 200284, Nigeria.
- The Postgraduate College, University of Ibadan, Ibadan, 200284, Nigeria.
- Institute of Cardiovascular Diseases, College of Medicine, University of Ibadan, Ibadan, 200284, Nigeria.
- Division of Epidemiology, Biostatistics and Environmental Health, School of Public Health, University of Memphis, Memphis, USA.
| |
Collapse
|