The relationship between poor sleep quality measured by the Pittsburgh Sleep Quality Index and smoking status according to sex and age: an analysis of the 2018 Korean Community Health Survey
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
OBJECTIVES: Multiple studies have found that cigarette smokers are more likely to experience sleep disturbances than non-smokers. This study aimed to examine various associations between smoking and sleep quality according to sex and age, which have yet to be sufficiently examined in prior studies. METHODS: Data analysis was conducted using a nationally representative sample of 224,986 Korean adults who participated in the 2018 Korea Community Health Survey. Sleep quality, as the dependent variable, was measured using the Pittsburgh Sleep Quality Index (PSQI), with PSQI scores indicating either good (≤ 4 points) or poor (> 5 points) sleep quality. Multiple logistic regression analysis was performed considering socio-demographic factors, health behaviors, comorbidities, and psychological factors as covariates. RESULTS: The overall weighted prevalence of poor sleep quality was 39.4% (95% confidence interval, 39.1 to 39.7). In the multivariate model that excluded psychological factors, poor sleep quality positively correlated to smoking for both sexes and all age groups except for male aged ≥ 65 years. However, in the full model that included psychological factors, statistically significant odds ratios (approximately 1.5) for poor sleep quality according to smoking status were only observed for female under 65 years of age. CONCLUSIONS: The relationship between poor sleep quality and smoking status differed according to sex and age. In order to improve the quality of sleep, it is necessary to intervene smoking cessation along with solving psychological problems, especially female in middle age and younger.
Abstract
OBJECTIVES: Multiple studies have found that cigarette smokers are more likely to experience sleep disturbances than non-smokers. This study aimed to examine various associations between smoking and sleep quality according to sex and age, which have yet to be sufficiently examined in prior studies. METHODS: Data analysis was conducted using a nationally representative sample of 224,986 Korean adults who participated in the 2018 Korea Community Health Survey. Sleep quality, as the dependent variable, was measured using the Pittsburgh Sleep Quality Index (PSQI), with PSQI scores indicating either good (≤ 4 points) or poor (> 5 points) sleep quality. Multiple logistic regression analysis was performed considering socio-demographic factors, health behaviors, comorbidities, and psychological factors as covariates. RESULTS: The overall weighted prevalence of poor sleep quality was 39.4% (95% confidence interval, 39.1 to 39.7). In the multivariate model that excluded psychological factors, poor sleep quality positively correlated to smoking for both sexes and all age groups except for male aged ≥ 65 years. However, in the full model that included psychological factors, statistically significant odds ratios (approximately 1.5) for poor sleep quality according to smoking status were only observed for female under 65 years of age. CONCLUSIONS: The relationship between poor sleep quality and smoking status differed according to sex and age. In order to improve the quality of sleep, it is necessary to intervene smoking cessation along with solving psychological problems, especially female in middle age and younger.
참고문헌 (38)
- Krystal AD, "Measuring sleep quality", Sleep Med, 9(Suppl 1), pp.S10~S17 (2008)
- Sheehan CM, "Are U.S. adults reporting less sleep?: findings from sleep duration trends in the National Health Interview Survey, 2004-2017", Sleep, 42, pp.zsy221~ (2019)
- Hillman DR, "Public health implications of sleep loss : the community burden", Med J Aust, 199, pp.S7~S10 (2013)
- Kerkhof GA, "Epidemiology of sleep and sleep disorders in The Netherlands", Sleep Med, 30, pp.229~239 (2017)
- Krishnan V, "Where there is smoke…there is sleep apnea : exploring the relationship between smoking and sleep apnea", Chest, 146, pp.1673~1680 (2014)
- Dugas EN, "Nicotine dependence and sleep quality in young adults", Addict Behav, 65, pp.154~160 (2017)
- Purani H, "Sleep quality in cigarette smokers : associations with smoking-related outcomes and exercise", Addict Behav, 90, pp.71~76 (2019)
- Sujarwoto S, "Sleep disturbance in Indonesia : how much does smoking contribute", Behav Sleep Med, 18, pp.760~773 (2020)
- Bielicki P, "Smoking status in relation to obstructive sleep apnea severity(OSA)and cardiovascular comorbidity in patients with newly diagnosed OSA", Adv Respir Med, 87, pp.103~109 (2019)
- Cohen A, "The interplay between tobacco dependence and sleep quality among young adults", Behav Sleep Med, 18, pp.163~176 (2020)
- Benowitz NL, "Gender differences in the pharmacology of nicotine addiction", Addict Biol, 3, pp.383~404 (1998)
- Cohen O, "Sex differences in the association between smoking and sleep-disordered breathing in the Hispanic community health study", study of Latinos, 2019, pp.156, 944~953
- Zandy M, "Tobacco smoke exposure and sleep : estimating the association of urinary cotinine with sleep quality", Health Promot Chronic Dis Prev Can, 40, pp.70~80 (2020)
- Nakata A, "Association of active and passive smoking with sleep disturbances and short sleep duration among Japanese working population", Int J Behav Med, 15, pp.81~91 (2008)
- Mehari A, "Gender and the association of smoking with sleep quantity and quality in American adults", Women Health, 54, pp.1~14 (2014)
- Yang Wha Kang, "Korea Community Health Survey Data Profiles", Osong Public Health and Research Perspectives, 6(3), pp.211~217 (2015), 질병관리청
- Buysse DJ, "The Pittsburgh Sleep Quality Index : a new instrument for psychiatric practice and research", Psychiatry Res, 28, pp.193~213 (1989)
- Sohn SI, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index", Sleep Breath, 16, pp.803~812 (2012)
- "APA dictionary of psychology"[URL]
- Molander L, "Pharmacokinetics of nicotine in healthy elderly people", Clin Pharmacol Ther, 69, pp.57~65 (2001)
- Hinz A, "Sleep quality in the general population : psychometric properties of the Pittsburgh Sleep Quality Index, derived from a German community sample of 9284 people", Sleep Med, 30, pp.57~63 (2017)
- Tang J, "Gender and regional differences in sleep quality and insomnia : a general population-based study in Hunan Province of China", Sci Rep, 7, pp.43690~ (2017)
- Cohrs S, "Impaired sleep quality and sleep duration in smokers-results from the German Multicenter Study on Nicotine Dependence", Addict Biol, 19, pp.486~496 (2014)
- Liao Y, "Sleep quality in cigarette smokers and nonsmokers : findings from the general population in central China", BMC Public Health, 19, pp.808~ (2019)
- Asghari A, "Cigarette smoking habit and subjective quality of sleep", Scimetr, 3, pp.e18454~ (2015)
- Fluharty M, "The association of cigarette smoking with depression and anxiety : a systematic review", Nicotine Tob Res, 19, pp.3~13 (2017)
- Mood C, "Life-style and self-rated global health in Sweden : a prospective analysis spanning three decades", Prev Med, 57, pp.802~806 (2013)
- Li H, "Association of cigarette smoking with sleep disturbance and neurotransmitters in cerebrospinal fluid", Nat Sci Sleep, 12, pp.801~808 (2020)
- Saint-Mleux B, "Nicotinic enhancement of the noradrenergic inhibition of sleep-promoting neurons in the ventrolateral preoptic area", J Neurosci, 24, pp.63~67 (2004)
- Zhang L, "Cigarette smoking and nocturnal sleep architecture", Am J Epidemiol, 164, pp.529~537 (2006)
- Nuñez A, "Smoke at night and sleep worse? The associations between cigarette smoking with insomnia severity and sleep duration", Sleep Health, 7, pp.177~182 (2021)
- Amiri S, "Smoking and risk of sleep-related issues : a systematic review and meta-analysis of prospective studies", Can J Public Health, 111, pp.775~786 (2020)
- Htoo A, "Smoking and sleep disorders", Med Clin North Am, 88, pp.1575~1591 (2004)
- Stubbs B, "Perceived stress and smoking across 41 countries : a global perspective across Europe, Africa, Asia and the Americas", Sci Rep, 7, pp.7597~ (2017)
- Gulia KK, "Sleep disorders in the elderly : a growing challenge", Psychogeriatrics, 18, pp.155~165 (2018)
- Unruh ML, "Subjective and objective sleep quality and aging in the sleep heart health study", J Am Geriatr Soc, 56, pp.1218~1227 (2008)
- Benowitz NL, "Female sex and oral contraceptive use accelerate nicotine metabolism", Clin Pharmacol Ther, 79, pp.480~488 (2006)
- Wheaton AG, "Relationship between body mass index and perceived insufficient sleep among U. S. adults : an analysis of 2008 BRFSS data", BMC Public Health, 11, pp.295~ (2011)