Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Associations between Cigarette and Electronic Cigarette Use and Sleep Health in Korean Adolescents: An Analysis of the 14th (2018) Korea Youth Risk Behavior Surveys

한국 청소년의 일반담배 및 전자담배 사용과 수면건강과의 관계: 제14차(2018년) 청소년건강행태조사 자료 분석

  • Lee, Bo Gyeong (College of Nursing.Research Institute of Nursing Science, Daegu Catholic University) ;
  • Lee, Haein (College of Nursing.Research Institute of Nursing Science, Daegu Catholic University)
  • 이보경 (대구가톨릭대학교 간호대학.간호과학연구소) ;
  • 이해인 (대구가톨릭대학교 간호대학.간호과학연구소)
  • Received : 2021.02.22
  • Accepted : 2021.04.28
  • Published : 2021.06.30
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Abstract

Purpose: This study aimed to understand the relationship between cigarette and electronic cigarette (e-cigarette) use and sleep health among Korean adolescents. Methods: Using the 14th Korea Youth Risk Behavior Survey, we included 52,928 adolescents who responded to sleep satisfaction and sleep duration. Participants were classified into four groups: non-users, cigarette-only users, e-cigarette-only users, and dual users of both products. To examine the associations between cigarette and e-cigarette use and sleep health, data were analyzed using complex samples cross tabulation and complex samples logistic regression. Results: Of the four groups, dual users reported the lowest level of sleep satisfaction and sleep duration; 57.0% and 86.9% of dual users were not satisfied with their sleep and have insufficient sleep duration, respectively. The proportion of students who were not satisfied with their sleep was higher among cigarette-only users compared to e-cigarette-only users (52.7% vs. 45.8%), but the two groups reported similar rates of insufficient sleep duration (84.2% vs. 84.3%). Compared to non-users, cigarette-only users, e-cigarette-only users, and dual users were more likely to not be satisfied with sleep (odds ratios [ORs] were 1.49, 1.36, and 1.75, respectively) and had significantly higher odds of experiencing insufficient sleep duration (ORs were 1.85, 2.06, and 2.34, respectively). Conclusion: E-cigarette-only use and dual use as well as cigarette-only use were associated with poor sleep health. Therefore, to improve adolescent sleep health, health professionals should provide sleep intervention strategies considering the association between smoking and sleep health.

Keywords

Acknowledgement

This study was supported by research grants from Daegu Catholic University in 2020 (No. 20201018).

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