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21-10-2021 | Smoking and Nicotine Detoxification | Epidemiology • Original Article

Secondhand smoke is associated with poor sleep quality in self-reported never-smokers of Northwest China: a cross-sectional study

Authors: Lin Wang, Mulalibieke Heizhati, Mei Li, Zhongrong Wang, Zhikang Yang, Reyila Abudereyimu, Wenbo Yang, Ling Yao, Nanfang Li

Published in: Sleep and Breathing | Issue 3/2022

Abstract

Objective

To investigate the relationship between secondhand smoke (SHS) exposure and sleep quality in never-smokers of Northwest China.

Methods

Never-smoking adults (≥ 15 years) from Xinjiang, Northwest China, were included in this cross-sectional survey between April and October 2019. SHS exposure in never-smokers was estimated using a structured questionnaire. Sleep quality was evaluated by Pittsburgh Sleep Quality Index (PSQI), with PSQI score > 5 classified as poor sleep quality. Association of SHS exposure and frequency and duration of SHS exposure with poor sleep quality were analyzed by using a multivariate logistic regression after adjusting for potential confounding factors, including stratification by sex.

Results

The mean age of participants was 48.0 years, and 77% were females. Of 21,198 never-smokers, 13% (n = 2703) reported SHS exposure and 35% (n = 7390) reported poor sleep quality. In multivariate logistic regression analysis, a significant association was observed between SHS exposure and poor sleep quality (adjusted odds ratio (OR), 1.36; 95% confidence interval (CI) 1.24–1.48). Subgroup analysis showed a negative association of SHS exposure with sleep quality in both sexes. However, a significant dose–response relationship of frequency and duration of SHS exposure per week with poor sleep quality was observed only in females. Consistent results were also observed in the aged ≥ 18 years.

Conclusion

Exposure to SHS is associated with poor sleep quality in never-smoking adults of Northwest China. A dose–response relationship between SHS exposure and poor sleep quality is found in women. Avoiding SHS exposure may have beneficial effects on sleep quality, especially for females.

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Title: Secondhand smoke is associated with poor sleep quality in self-reported never-smokers of Northwest China: a cross-sectional study
Authors: Lin Wang
Mulalibieke Heizhati
Mei Li
Zhongrong Wang
Zhikang Yang
Reyila Abudereyimu
Wenbo Yang
Ling Yao
Nanfang Li
Publication date: 21-10-2021
Publisher: Springer International Publishing
Keyword: Smoking and Nicotine Detoxification
Published in: Sleep and Breathing / Issue 3/2022
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-021-02505-x

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