190845 Sleep Disorders and Secondhand Smoke: NHANES 2005-2006

Wednesday, October 29, 2008: 11:05 AM

Evelyn P. Davila, MPH , Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL
David J. Lee, PhD , Epidemiology and Public Health, University of Miami, Miller School of Medicine, Miami, FL
Lora E. Fleming, MD, PhD , Department of Epidemiology & Public Health, University of Miami, Miller School of Medicine - OHH Center and NIOSH Research Group, Miami, FL
William G. LeBlanc, PhD , Department of Epidemiology & Public Health, University of Miami, Miller School of Medicine - NIOSH Research Group, Miami, FL
Kristopher L. Arheart, EdD , Department of Epidemiology & Public Health, University of Miami, Miller School of Medicine - NIOSH Research Group, Miami, FL
James Wilkinson, MD, MPH , Graduate Programs In Public Health, University of Miami, Miami, FL
John E. Lewis, PhD , Department of Psychiatry and Behavioral Sciences, University of Miami, Miami, FL
Noella Dietz, PhD , Department of Epidemiology and Public Health, University of Miami, Leonard Miller School of Medicine, Miami, FL
John D. Clark III, PhD , Department of Epidemiology and Public Health, University of Miami, Miami, FL
Frank C. Bandiera, MPH , Epidemiology and Public Health, University of Miami, Miller School of Medicine, Miami, FL
Alberto J. Caban-Martinez, MPH , Department of Epidemiology & Public Health, University of Miami, Miller School of Medicine - NIOSH Research Group, Miami, FL
Background:

Sleep disorders have been linked to increased risk of injury, morbidity, and mortality. Smoking is a known risk factor for sleep disorders, although a similar association with secondhand smoke (SHS) has not been reported. We sought to examine the relationship between SHS and sleep disorders among United States (US) adults >=20 years of age (n=4140).

Methods:

Data were used from the 2005-2006 National Health and Nutrition Examination Survey (NHANES), a cross-sectional multistage survey of the US civilian non-institutionalized population. Participants were asked, “Have you ever been told by a doctor or other health professional that you have a sleep disorder?” Smoking status was defined as a combination of self-report and serum cotinine levels and included three categories: smoker, non-smoker with SHS exposure, and non-smoker without SHS exposure. Multivariable logistic regression models were performed, controlling for survey design, gender, age, race/ethnicity, level of education, body mass index, and alcohol consumption.

Results:

Relative to non-smokers without SHS exposure, smokers were significantly more likely to have been diagnosed with a sleep disorder (odds ratio [OR] 1.67 [95% Confidence Interval (CI) 1.08-2.68]). Although results were not significant, non-smokers with SHS exposure were also more likely than non-smokers without SHS exposure to have been diagnosed with a sleep disorder (OR 1.38 [0.74-2.51]).

Conclusion:

Although smoking appears to play an important role in the prevalence of sleep disorders in the US adult population, the role of SHS exposure is inconclusive. Further research is needed to assess the effects of SHS on quality of sleep.

Learning Objectives:
1. To assess the relationship between sleep disorders and secondhand smoke 2. To identify factors associated with sleep disorders 3. Discuss the need for additional research on the effects of secondhand smoke on qualify of sleep

Keywords: Smoking, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have research experience in the field
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Late Breaker General Epidemiology
See more of: Epidemiology