Sleep quality in cigarette smokers and nonsmokers: findings from the general population in central China

Abstract Background Sleep problems are common in the general population. Cigarette smoking is common in the general population of China. Examinations of the prevalence of poor sleep quality among Chinese smokers and nonsmokers are still lacking. This study was designed to examine sleep quality and s...

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Main Authors: Yanhui Liao, Liqin Xie, Xiaogang Chen, Brian C. Kelly, Chang Qi, Chen Pan, Mei Yang, Wei Hao, Tieqiao Liu, Jinsong Tang
Format: Article
Language:English
Published: BMC 2019-06-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-019-6929-4
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author Yanhui Liao
Liqin Xie
Xiaogang Chen
Brian C. Kelly
Chang Qi
Chen Pan
Mei Yang
Wei Hao
Tieqiao Liu
Jinsong Tang
author_facet Yanhui Liao
Liqin Xie
Xiaogang Chen
Brian C. Kelly
Chang Qi
Chen Pan
Mei Yang
Wei Hao
Tieqiao Liu
Jinsong Tang
author_sort Yanhui Liao
collection DOAJ
description Abstract Background Sleep problems are common in the general population. Cigarette smoking is common in the general population of China. Examinations of the prevalence of poor sleep quality among Chinese smokers and nonsmokers are still lacking. This study was designed to examine sleep quality and sleep disturbances among cigarette smokers and nonsmokers in the general population in central China. Methods In this population-based sampling project, we used a multi-stage sampling method to recruit survey participants from September 2012 to October 2012 in rural and urban areas of Hunan province, China. A total of 27,300 subjects were sampled from the general population and 26,282 completed the self-report of cigarette smoking characteristics. Cigarette smoker was defined as having smoked ≥100 cigarette in a lifetime and smoked during the last 28 days. Cigarette smoking characteristics were obtained from smokers, including cigarettes per day, years of smoking, quit attempts, and smoking cravings. The Pittsburgh Sleep Quality Index (PSQI) was applied to assess quality of sleep and sleep disturbances (PSQI score > 5). Results Significantly more smokers than nonsmokers demonstrated poor sleep quality and sleep disturbances. Among smokers, linear regression analyses showed that poor sleep was inversely associated with cigarettes per day, and positively associated with years of smoking, quit attempts, and smoking craving. Logistic regression analysis showed that quit attempts and smoking cravings were associated with higher odds of sleep disturbances. Conclusions Sleep disturbances were more prevalent among cigarette smokers than nonsmokers. Smokers also varied in sleep problems on the basis of the characteristics of their smoking. Smokers should be informed about the link between cigarette smoking and poor sleep quality, and should be advised that one of several important health benefits from smoking cessation could be the improvement of sleep quality. Sleep therapy should be recommended as an adjunctive treatment for smoking cessation.
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spelling doaj.art-2744a685bae54636ada53ab7e2d68d9e2022-12-21T23:51:52ZengBMCBMC Public Health1471-24582019-06-011911910.1186/s12889-019-6929-4Sleep quality in cigarette smokers and nonsmokers: findings from the general population in central ChinaYanhui Liao0Liqin Xie1Xiaogang Chen2Brian C. Kelly3Chang Qi4Chen Pan5Mei Yang6Wei Hao7Tieqiao Liu8Jinsong Tang9Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineChangsha Social Work CollegeDepartment of Psychiatry, the Second Xiangya Hospital, Central South UniversityDepartment of Sociology & Center for Research on Young People’s Health (CRYPH), Purdue UniversityDepartment of Psychiatry, the Second Xiangya Hospital, Central South UniversityClinical Psychology Department, the Third Xiangya Hospital, Central South UniversityShenzhen Mental Health Center, Shenzhen Kangning HospitalDepartment of Psychiatry, the Second Xiangya Hospital, Central South UniversityDepartment of Psychiatry, the Second Xiangya Hospital, Central South UniversityDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineAbstract Background Sleep problems are common in the general population. Cigarette smoking is common in the general population of China. Examinations of the prevalence of poor sleep quality among Chinese smokers and nonsmokers are still lacking. This study was designed to examine sleep quality and sleep disturbances among cigarette smokers and nonsmokers in the general population in central China. Methods In this population-based sampling project, we used a multi-stage sampling method to recruit survey participants from September 2012 to October 2012 in rural and urban areas of Hunan province, China. A total of 27,300 subjects were sampled from the general population and 26,282 completed the self-report of cigarette smoking characteristics. Cigarette smoker was defined as having smoked ≥100 cigarette in a lifetime and smoked during the last 28 days. Cigarette smoking characteristics were obtained from smokers, including cigarettes per day, years of smoking, quit attempts, and smoking cravings. The Pittsburgh Sleep Quality Index (PSQI) was applied to assess quality of sleep and sleep disturbances (PSQI score > 5). Results Significantly more smokers than nonsmokers demonstrated poor sleep quality and sleep disturbances. Among smokers, linear regression analyses showed that poor sleep was inversely associated with cigarettes per day, and positively associated with years of smoking, quit attempts, and smoking craving. Logistic regression analysis showed that quit attempts and smoking cravings were associated with higher odds of sleep disturbances. Conclusions Sleep disturbances were more prevalent among cigarette smokers than nonsmokers. Smokers also varied in sleep problems on the basis of the characteristics of their smoking. Smokers should be informed about the link between cigarette smoking and poor sleep quality, and should be advised that one of several important health benefits from smoking cessation could be the improvement of sleep quality. Sleep therapy should be recommended as an adjunctive treatment for smoking cessation.http://link.springer.com/article/10.1186/s12889-019-6929-4Sleep qualitySleep disturbancesCigarette smoking
spellingShingle Yanhui Liao
Liqin Xie
Xiaogang Chen
Brian C. Kelly
Chang Qi
Chen Pan
Mei Yang
Wei Hao
Tieqiao Liu
Jinsong Tang
Sleep quality in cigarette smokers and nonsmokers: findings from the general population in central China
BMC Public Health
Sleep quality
Sleep disturbances
Cigarette smoking
title Sleep quality in cigarette smokers and nonsmokers: findings from the general population in central China
title_full Sleep quality in cigarette smokers and nonsmokers: findings from the general population in central China
title_fullStr Sleep quality in cigarette smokers and nonsmokers: findings from the general population in central China
title_full_unstemmed Sleep quality in cigarette smokers and nonsmokers: findings from the general population in central China
title_short Sleep quality in cigarette smokers and nonsmokers: findings from the general population in central China
title_sort sleep quality in cigarette smokers and nonsmokers findings from the general population in central china
topic Sleep quality
Sleep disturbances
Cigarette smoking
url http://link.springer.com/article/10.1186/s12889-019-6929-4
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