Tobacco use and incident sleep parameters among a rural ageing population in South Africa

Introduction Tobacco use may be associated with incident insomnia. The aim of the study was to investigate the association between tobacco use and incident sleep parametres in a longitudinal study in South Africa Methods Longitudinal data from two consecutive waves of middle-aged and older adults i...

Full description

Bibliographic Details
Main Authors: Supa Pengpid, Karl Peltzer
Format: Article
Language:English
Published: European Publishing 2023-01-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Tobacco-use-and-incident-sleep-parameters-among-a-rural-nageing-population-in-South,156844,0,2.html
_version_ 1811170665877733376
author Supa Pengpid
Karl Peltzer
author_facet Supa Pengpid
Karl Peltzer
author_sort Supa Pengpid
collection DOAJ
description Introduction Tobacco use may be associated with incident insomnia. The aim of the study was to investigate the association between tobacco use and incident sleep parametres in a longitudinal study in South Africa Methods Longitudinal data from two consecutive waves of middle-aged and older adults in 2014–2015 (n=5059) and 2018–2019 (n=4176) in rural South Africa were analyzed. Tobacco use and sleep parameters were assessed by self-report. The associations between tobacco use and incident sleep parameters were estimated with multivariable logistic regression. Results The prevalence of baseline sleep parameters was poor sleep quality 6.5%, sleep disturbance 13.6%, restless sleep 32.9%, and breathing stops 7.0%. In the fully adjusted model for people without poor sleep quality at baseline, daily tobacco smoking, smoking ≥10 units of tobacco products, current tobacco use and current smokeless tobacco use did not increase the odds of incident poor sleep quality. Smoking ≥10 units of tobacco products in a day (AOR=3.83; 95% CI: 1.77–8.28), current tobacco use (AOR=1.65; 95% CI: 1.09–2.51), and daily tobacco smoking (AOR=2.16; 95% CI: 1.15–4.07), were significantly positively associated with incident sleep disturbance. Furthermore, incident restless sleep was significantly positively associated with smoking ≥10 units of tobacco products in a day (AOR=3.97; 95% CI: 1.18–13.37), current smokeless tobacco use (AOR=2.78; 95% CI: 1.17–6.62) and current tobacco use (AOR=2.00; 95% CI: 1.00–4.00). Incident breathing stops were significantly positively associated with daily smoking tobacco (AOR=2.08; 95% CI: 1.11–3.34), smoking 1–9 units of tobacco products in a day (AOR=2.17; 95% CI: 1.20–3.94), and current tobacco use (AOR=1.77; 95% CI: 1.16–2.72). Conclusions Higher tobacco use was independently associated with incident sleep disturbance, incident restless sleep, and incident breathing stops, but not with incident poor sleep quality.
first_indexed 2024-04-10T17:00:27Z
format Article
id doaj.art-30ada0c576be41b281cb3418ea8e5598
institution Directory Open Access Journal
issn 1617-9625
language English
last_indexed 2024-04-10T17:00:27Z
publishDate 2023-01-01
publisher European Publishing
record_format Article
series Tobacco Induced Diseases
spelling doaj.art-30ada0c576be41b281cb3418ea8e55982023-02-06T14:32:32ZengEuropean PublishingTobacco Induced Diseases1617-96252023-01-0121January11010.18332/tid/156844156844Tobacco use and incident sleep parameters among a rural ageing population in South AfricaSupa Pengpid0https://orcid.org/0000-0002-7714-8869Karl Peltzer1https://orcid.org/0000-0002-5980-0876Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, ThailandDepartment of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, ThailandIntroduction Tobacco use may be associated with incident insomnia. The aim of the study was to investigate the association between tobacco use and incident sleep parametres in a longitudinal study in South Africa Methods Longitudinal data from two consecutive waves of middle-aged and older adults in 2014–2015 (n=5059) and 2018–2019 (n=4176) in rural South Africa were analyzed. Tobacco use and sleep parameters were assessed by self-report. The associations between tobacco use and incident sleep parameters were estimated with multivariable logistic regression. Results The prevalence of baseline sleep parameters was poor sleep quality 6.5%, sleep disturbance 13.6%, restless sleep 32.9%, and breathing stops 7.0%. In the fully adjusted model for people without poor sleep quality at baseline, daily tobacco smoking, smoking ≥10 units of tobacco products, current tobacco use and current smokeless tobacco use did not increase the odds of incident poor sleep quality. Smoking ≥10 units of tobacco products in a day (AOR=3.83; 95% CI: 1.77–8.28), current tobacco use (AOR=1.65; 95% CI: 1.09–2.51), and daily tobacco smoking (AOR=2.16; 95% CI: 1.15–4.07), were significantly positively associated with incident sleep disturbance. Furthermore, incident restless sleep was significantly positively associated with smoking ≥10 units of tobacco products in a day (AOR=3.97; 95% CI: 1.18–13.37), current smokeless tobacco use (AOR=2.78; 95% CI: 1.17–6.62) and current tobacco use (AOR=2.00; 95% CI: 1.00–4.00). Incident breathing stops were significantly positively associated with daily smoking tobacco (AOR=2.08; 95% CI: 1.11–3.34), smoking 1–9 units of tobacco products in a day (AOR=2.17; 95% CI: 1.20–3.94), and current tobacco use (AOR=1.77; 95% CI: 1.16–2.72). Conclusions Higher tobacco use was independently associated with incident sleep disturbance, incident restless sleep, and incident breathing stops, but not with incident poor sleep quality.http://www.tobaccoinduceddiseases.org/Tobacco-use-and-incident-sleep-parameters-among-a-rural-nageing-population-in-South,156844,0,2.htmltobacco usesleep parameterslongitudinal studysouth africa
spellingShingle Supa Pengpid
Karl Peltzer
Tobacco use and incident sleep parameters among a rural ageing population in South Africa
Tobacco Induced Diseases
tobacco use
sleep parameters
longitudinal study
south africa
title Tobacco use and incident sleep parameters among a rural ageing population in South Africa
title_full Tobacco use and incident sleep parameters among a rural ageing population in South Africa
title_fullStr Tobacco use and incident sleep parameters among a rural ageing population in South Africa
title_full_unstemmed Tobacco use and incident sleep parameters among a rural ageing population in South Africa
title_short Tobacco use and incident sleep parameters among a rural ageing population in South Africa
title_sort tobacco use and incident sleep parameters among a rural ageing population in south africa
topic tobacco use
sleep parameters
longitudinal study
south africa
url http://www.tobaccoinduceddiseases.org/Tobacco-use-and-incident-sleep-parameters-among-a-rural-nageing-population-in-South,156844,0,2.html
work_keys_str_mv AT supapengpid tobaccouseandincidentsleepparametersamongaruralageingpopulationinsouthafrica
AT karlpeltzer tobaccouseandincidentsleepparametersamongaruralageingpopulationinsouthafrica