Tobacco exposure and sleep disturbance in 498 208 UK Biobank participants

D Boakye, C A Wyse, C A Morales-Celis, S M Biello, M E S Bailey, S Dare, J Ward, J M R Gill, J P Pell, D F Mackay

Research output: Contribution to journalArticle

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Abstract

Background: The prevalence of sleep disturbance is high and increasing. The study investigated whether active, former and passive smoking were associated with sleep disturbance.

Methods: This cross-sectional study used data from the UK Biobank: a cohort study of 502 655 participants, of whom 498 208 provided self-reported data on smoking and sleep characteristics. Multivariable multinomial and logistic regression models were used to examine the associations between smoking and sleep disturbance.

Results: Long-sleep duration (>9 h) was more common among current smokers [odds ratio (OR): 1.47; 95% confidence interval (CI): 1.17-1.85; probability value (P) = 0.001] than never smokers, especially heavy (>20/day) smokers (OR: 2.85; 95% CI: 1.66-4.89; P < 0.001). Former heavy (>20/day) smokers were also more likely to report short (<6 h) sleep duration (OR: 1.41; 95% CI: 1.25-1.60; P < 0.001), long-sleep duration (OR: 1.99; 95% CI: 1.47-2.71; P < 0.001) and sleeplessness (OR: 1.47; 95% CI: 1.38-1.57; P < 0.001) than never smokers. Among never smokers, those who lived with more than one smoker had higher odds of long-sleep duration than those not cohabitating with a smoker (OR: 2.71; 95% CI: 1.26-5.82; P = 0.011).

Conclusions: Active and passive exposure to high levels of tobacco smoke are associated with sleep disturbance. Existing global tobacco control interventions need to be enforced.

LanguageEnglish
Pages517-526
Number of pages10
JournalJournal of Public Health
Volume40
Issue number3
Early online date30 Aug 2017
DOIs
Publication statusPublished - 30 Sep 2018

Fingerprint

Tobacco
Sleep
Odds Ratio
Confidence Intervals
Logistic Models
Smoking
Tobacco Smoke Pollution
Sleep Initiation and Maintenance Disorders
Smoke
Cohort Studies
Cross-Sectional Studies

Keywords

  • passive smoking
  • sleep disorders
  • smoking cessation
  • tobacco

Cite this

Boakye, D., Wyse, C. A., Morales-Celis, C. A., Biello, S. M., Bailey, M. E. S., Dare, S., ... Mackay, D. F. (2018). Tobacco exposure and sleep disturbance in 498 208 UK Biobank participants. Journal of Public Health, 40(3), 517-526. https://doi.org/10.1093/pubmed/fdx102
Boakye, D ; Wyse, C A ; Morales-Celis, C A ; Biello, S M ; Bailey, M E S ; Dare, S ; Ward, J ; Gill, J M R ; Pell, J P ; Mackay, D F. / Tobacco exposure and sleep disturbance in 498 208 UK Biobank participants. In: Journal of Public Health. 2018 ; Vol. 40, No. 3. pp. 517-526.
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abstract = "Background: The prevalence of sleep disturbance is high and increasing. The study investigated whether active, former and passive smoking were associated with sleep disturbance.Methods: This cross-sectional study used data from the UK Biobank: a cohort study of 502 655 participants, of whom 498 208 provided self-reported data on smoking and sleep characteristics. Multivariable multinomial and logistic regression models were used to examine the associations between smoking and sleep disturbance.Results: Long-sleep duration (>9 h) was more common among current smokers [odds ratio (OR): 1.47; 95{\%} confidence interval (CI): 1.17-1.85; probability value (P) = 0.001] than never smokers, especially heavy (>20/day) smokers (OR: 2.85; 95{\%} CI: 1.66-4.89; P < 0.001). Former heavy (>20/day) smokers were also more likely to report short (<6 h) sleep duration (OR: 1.41; 95{\%} CI: 1.25-1.60; P < 0.001), long-sleep duration (OR: 1.99; 95{\%} CI: 1.47-2.71; P < 0.001) and sleeplessness (OR: 1.47; 95{\%} CI: 1.38-1.57; P < 0.001) than never smokers. Among never smokers, those who lived with more than one smoker had higher odds of long-sleep duration than those not cohabitating with a smoker (OR: 2.71; 95{\%} CI: 1.26-5.82; P = 0.011).Conclusions: Active and passive exposure to high levels of tobacco smoke are associated with sleep disturbance. Existing global tobacco control interventions need to be enforced.",
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Boakye, D, Wyse, CA, Morales-Celis, CA, Biello, SM, Bailey, MES, Dare, S, Ward, J, Gill, JMR, Pell, JP & Mackay, DF 2018, 'Tobacco exposure and sleep disturbance in 498 208 UK Biobank participants' Journal of Public Health, vol. 40, no. 3, pp. 517-526. https://doi.org/10.1093/pubmed/fdx102

Tobacco exposure and sleep disturbance in 498 208 UK Biobank participants. / Boakye, D; Wyse, C A; Morales-Celis, C A; Biello, S M; Bailey, M E S; Dare, S; Ward, J; Gill, J M R; Pell, J P; Mackay, D F.

In: Journal of Public Health, Vol. 40, No. 3, 30.09.2018, p. 517-526.

Research output: Contribution to journalArticle

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T1 - Tobacco exposure and sleep disturbance in 498 208 UK Biobank participants

AU - Boakye, D

AU - Wyse, C A

AU - Morales-Celis, C A

AU - Biello, S M

AU - Bailey, M E S

AU - Dare, S

AU - Ward, J

AU - Gill, J M R

AU - Pell, J P

AU - Mackay, D F

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N2 - Background: The prevalence of sleep disturbance is high and increasing. The study investigated whether active, former and passive smoking were associated with sleep disturbance.Methods: This cross-sectional study used data from the UK Biobank: a cohort study of 502 655 participants, of whom 498 208 provided self-reported data on smoking and sleep characteristics. Multivariable multinomial and logistic regression models were used to examine the associations between smoking and sleep disturbance.Results: Long-sleep duration (>9 h) was more common among current smokers [odds ratio (OR): 1.47; 95% confidence interval (CI): 1.17-1.85; probability value (P) = 0.001] than never smokers, especially heavy (>20/day) smokers (OR: 2.85; 95% CI: 1.66-4.89; P < 0.001). Former heavy (>20/day) smokers were also more likely to report short (<6 h) sleep duration (OR: 1.41; 95% CI: 1.25-1.60; P < 0.001), long-sleep duration (OR: 1.99; 95% CI: 1.47-2.71; P < 0.001) and sleeplessness (OR: 1.47; 95% CI: 1.38-1.57; P < 0.001) than never smokers. Among never smokers, those who lived with more than one smoker had higher odds of long-sleep duration than those not cohabitating with a smoker (OR: 2.71; 95% CI: 1.26-5.82; P = 0.011).Conclusions: Active and passive exposure to high levels of tobacco smoke are associated with sleep disturbance. Existing global tobacco control interventions need to be enforced.

AB - Background: The prevalence of sleep disturbance is high and increasing. The study investigated whether active, former and passive smoking were associated with sleep disturbance.Methods: This cross-sectional study used data from the UK Biobank: a cohort study of 502 655 participants, of whom 498 208 provided self-reported data on smoking and sleep characteristics. Multivariable multinomial and logistic regression models were used to examine the associations between smoking and sleep disturbance.Results: Long-sleep duration (>9 h) was more common among current smokers [odds ratio (OR): 1.47; 95% confidence interval (CI): 1.17-1.85; probability value (P) = 0.001] than never smokers, especially heavy (>20/day) smokers (OR: 2.85; 95% CI: 1.66-4.89; P < 0.001). Former heavy (>20/day) smokers were also more likely to report short (<6 h) sleep duration (OR: 1.41; 95% CI: 1.25-1.60; P < 0.001), long-sleep duration (OR: 1.99; 95% CI: 1.47-2.71; P < 0.001) and sleeplessness (OR: 1.47; 95% CI: 1.38-1.57; P < 0.001) than never smokers. Among never smokers, those who lived with more than one smoker had higher odds of long-sleep duration than those not cohabitating with a smoker (OR: 2.71; 95% CI: 1.26-5.82; P = 0.011).Conclusions: Active and passive exposure to high levels of tobacco smoke are associated with sleep disturbance. Existing global tobacco control interventions need to be enforced.

KW - passive smoking

KW - sleep disorders

KW - smoking cessation

KW - tobacco

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Boakye D, Wyse CA, Morales-Celis CA, Biello SM, Bailey MES, Dare S et al. Tobacco exposure and sleep disturbance in 498 208 UK Biobank participants. Journal of Public Health. 2018 Sep 30;40(3):517-526. https://doi.org/10.1093/pubmed/fdx102