摘要
目的 探讨中国成年人吸烟与夜间睡眠时长及睡眠质量的关联,为制定相关干预措施提供科学依据。方法 研究资料来源于2020年中国家庭追踪调查(CFPS),该调查以全国21 791名≥18岁的成年人为研究对象,选取数据库中吸烟状态、吸烟量、夜间睡眠时长、睡眠质量及其他特征数据进行分析。采用R 4.4.1软件进行t检验、方差分析、χ^(2)检验、多重线性回归分析、多因素logistic回归分析,采用限制性立方样条(RCS)模型分析吸烟量与夜间睡眠时长和睡眠质量的剂量-反应关系。结果 中国21 791名成年人中,平均夜间睡眠时长为(7.40±1.30)h,睡眠质量差的患病率为20.8%。多重线性回归模型分析结果显示,调整年龄、性别、婚姻状态、受教育水平、工作收入满意度、户口性质、锻炼、慢性病、体质指数分类、饮酒和午睡等混杂因素后,在女性中吸烟与夜间睡眠时长的关联有统计学意义(β=-0.025,P<0.05),在男性和全人群中的分析结果则无统计学意义(P>0.05)。平均每日吸烟量每增加5支,总人群、男性人群、女性人群夜间睡眠时长分别减少0.028 h(B=-0.028)、0.025 h(B=-0.025)、0.110 h(B=-0.110),即1.68、1.50和6.60 min,均有统计学意义(P<0.01)。多因素logistic回归模型分析结果显示,调整相关混杂因素后,吸烟(OR=1.298)、吸烟量的增加(OR=1.053)与睡眠质量差高风险相关(P<0.01)。RCS拟合模型结果显示,随着每日吸烟量的增加,吸烟量与夜间睡眠时长存在非线性负向关联(P_(总体关联)<0.01,P_(非线性)<0.05),与睡眠质量差存在线性正向关联(P_(总体关联)<0.05,P_(非线性)=0.22)。结论 中国成年人吸烟与夜间睡眠时长存在负向关联,与睡眠质量差之间存在正向关联,提示烟草暴露可能是影响中国成年人睡眠健康的可干预因素。
Objective To explore the relationship between smoking and sleep duration/sleep quality in Chinese adults,and provide the scientific basis for developing relevant intervention measure.Methods Data were from the 2020 China Family Panel Studies(CFPS),21791 adults(≥18 years old)served as the subjects,the smoking status,smoking volume,sleeping duration at night,sleeping quality and other characteristics from the data were analyzed.The t test,analysis of variance,χ^(2) tests,multiple linear regression,and multivariable logistic regression were used to analyze the data.Restricted cubic spline(RCS)models were used to analyze the dose-response relationships between smoking valume and sleeping duration/sleeping duration at night.The used software was R 4.4.1.Results Among 21791 Chinese adults,the mean sleeping duration was(7.40±1.30)hours,the morbidity of reporting poor sleep quality was 20.8%.The multiple linear regression analysis showed that after adjusting for age,gender,marital status,education,income satisfaction,household type,physical exercise,chronic diseases,body mass index classification,alcohol consumption and nap,the correlation between smoking and sleeping time at night in females was significant(β=-0.025,P<0.05),but which was not significant in males and total population(P>0.05).When mean smoking value/day increased by 5 cigarettes,the sleeping time at night in total population,males and females decreased by 0.028 hours(B=-0.028,1.68 min),0.025 hours(B=-0.025,1.50 min),and 0.110 hours(B=-0.110,6.60 min),respectively(all P<0.05).Multivariable logistic regression model analysis showed that after adjusting relative confounding factors,smoking(OR=1.298)and smoking volume increase(OR=1.053)were associated with the higher risk of poor sleeping quality.RCS models indicated that there was nonlinear negative correlation between smoking volume increase and sleeping duration(Poverall<0.01,Pnonlinear<0.05),but linear positive correlation between smoking volume increase and sleeping quality(Poverall<0.05,Pnonlinear=0.22).Conclusion Among Chinese adults,smoking is negatively associated with sleeping duration and is positively associated with poor sleeping quality.These findings suggest that tobacco exposure may be a intention factor to influence the sleeping health in Chinese adults.
作者
桑莹宸
刘影
曾新颖
高欣
张驰
彭志平
刘世炜
SANG Yingchen;LIU Ying;ZENG Xinying;GAO Xin;ZHANG Chi;PENG Zhiping;LIU Shiwei(Tobacco Control Office,Chinese Center for Disease Control and Prevention,Beijing 100050,China;不详)
出处
《中国慢性病预防与控制》
北大核心
2025年第10期725-731,共7页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
国家自然科学基金项目(81872721)
中国睡眠研究会横向项目(吸烟对睡眠障碍的影响研究)。
关键词
吸烟
睡眠时长
睡眠质量
Smoking
Sleeping duration
Sleeping quality
