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Association between smoking status and subjective quality of sleep in the South Korean population: a cross-sectional study

  • Psychiatrics • Original Article
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Abstract

Purpose

This study aimed to investigate the relationship between smoking and subjective sleep quality in the Korean adult population.

Methods

We designed a cross-sectional survey using data from the 2018 Korean Community Health Service Conditions Survey and selected smoking status as our variable of interest. We divided the participants into people who currently, never, and formerly smoked, those who smoked < 20 cigarettes/day, and those who smoked > 20 cigarettes/day. Subjective sleep quality was analyzed using the Pittsburgh Sleep Quality Index. Multiple logistic regression analysis was performed for statistical analysis.

Results

A total of 174,665 participants were enrolled. People who formerly and currently smoked were found to have poorer subjective sleep quality than those who never smoked. The odds of poor subjective sleep quality in people who smoked > 20 cigarettes/day were 1.15 times (95% confidence interval: 1.09–1.21) for men and 1.51 times (95% confidence interval: 1.22–1.86) for women, compared with men and women who never smoked.

Conclusions

Smoking was negatively associated with subjective sleep quality. Smoking cessation programs and lifestyle improvement education may be justifiable to improve the quality of sleep in Korean adults.

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Data availability

The KCHS data that support the findings of this study are available in/from [KCHS website], [https://chs.kdca.go.kr/chs/].

References

  1. Alexander M et al (2016) The national veteran sleep disorder study: descriptive epidemiology and secular trends, 2000–2010. Sleep 39(7):1399–1410

    Article  PubMed  PubMed Central  Google Scholar 

  2. Joo HJ et al (2021) Association between quality and duration of sleep and subjective cognitive decline: a cross-sectional study in South Korea. Sci Rep 11(1):1–9

    Article  Google Scholar 

  3. Song I-A, Park HY, Oh TK (2021) Sleep disorder and long-term mortality among sepsis survivors: a nationwide cohort study in South Korea. Nature and Science of Sleep 13:979

    Article  PubMed  PubMed Central  Google Scholar 

  4. National Health Insurance Service (2020) Is your sleep healthy? Available from: https://www.nhis.or.kr/magazin/160/html/sub1.html. Accessed 19 Jan 2022

  5. Stallings-Smith S et al (2013) Reductions in cardiovascular, cerebrovascular, and respiratory mortality following the national Irish smoking ban: interrupted time-series analysis. PLoS ONE 8(4):e62063

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Organisation for Economic Co-operation and Development (2021) OECD Health Statistics 2021. Available from: https://www.oecd.org/health/health-data.htm. Accessed 19 Jan 2022

  7. Park C (2021) Depressive symptoms, stress, and self-rated health in Korean adults based on the types of tobacco use: a focus on gender differences. Korean J Health Educ Promotion 38:55–69

    Article  Google Scholar 

  8. Farris SG et al (2020) Anxiety sensitivity and daily cigarette smoking in relation to sleep disturbances in treatment-seeking smokers. Cogn Behav Ther 49(2):137–148

    Article  PubMed  Google Scholar 

  9. Scheuermann TS et al (2015) Smoking dependence across the levels of cigarette smoking in a multiethnic sample. Addict Behav 43:1–6

    Article  PubMed  Google Scholar 

  10. Park M et al (2021) Association between living with patients with dementia and family caregivers’ depressive symptoms—living with dementia patients and family caregivers’ depressive symptoms. Int J Environ Res Public Health 18(8):4372

    Article  PubMed  PubMed Central  Google Scholar 

  11. Chiolero A et al (2007) Association of cigarettes smoked daily with obesity in a general adult population. Obesity 15(5):1311–1318

    Article  PubMed  Google Scholar 

  12. Pierce JP et al (2011) Prevalence of heavy smoking in California and the United States, 1965–2007. JAMA 305(11):1106–1112

    Article  CAS  PubMed  Google Scholar 

  13. Buysse DJ et al (2008) Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/polysomnographic measures in a community sample. J Clin Sleep Med 4(6):563–571

    Article  PubMed  PubMed Central  Google Scholar 

  14. Hu L et al (2007) Association between sleep quality and smoking in Japanese civil servants. Sleep Biol Rhythms 5(3):196–203

    Article  Google Scholar 

  15. Cohrs S et al (2014) Impaired sleep quality and sleep duration in smokers—results from the G erman M ulticenter S tudy on N icotine D ependence. Addict Biol 19(3):486–496

    Article  PubMed  Google Scholar 

  16. Stolerman IP, Jarvis M (1995) The scientific case that nicotine is addictive. Psychopharmacology 117(1):2–10

    Article  CAS  PubMed  Google Scholar 

  17. Griesar WS et al (2002) Nicotine effects on alertness and spatial attention in non-smokers. Nicotine Tob Res 4(2):185–194

    Article  CAS  PubMed  Google Scholar 

  18. Hwang JW et al (2014) Circadian clock function is disrupted by environmental tobacco/cigarette smoke, leading to lung inflammation and injury via a SIRT1-BMAL1 pathway. FASEB J 28(1):176–194

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Trenchea M et al (2013) Smoking, snoring and obstructive sleep apnea. Pneumologia 62(1):52–55

    PubMed  Google Scholar 

  20. Liao Y et al (2019) Sleep quality in cigarette smokers and nonsmokers: findings from the general population in central China. BMC Public Health 19(1):1–9

    Article  Google Scholar 

  21. Patterson F et al (2019) Sleep as a target for optimized response to smoking cessation treatment. Nicotine Tob Res 21(2):139–148

    Article  PubMed  Google Scholar 

  22. Jaehne A et al (2015) Sleep changes in smokers before, during and 3 months after nicotine withdrawal. Addict Biol 20(4):747–755

    Article  CAS  PubMed  Google Scholar 

  23. McClure JB et al (2009) Mood, side-effects and smoking outcomes among persons with and without probable lifetime depression taking varenicline. J Gen Intern Med 24(5):563–569

    Article  PubMed  PubMed Central  Google Scholar 

  24. Jorenby DE et al (1999) A controlled trial of sustained-release bupropion, a nicotine patch, or both for smoking cessation. N Engl J Med 340(9):685–691

    Article  CAS  PubMed  Google Scholar 

  25. Fallon JH et al (2005) Gender: a major determinant of brain response to nicotine. Int J Neuropsychopharmacol 8(1):17–26

    Article  CAS  PubMed  Google Scholar 

  26. Sosso FAE, Holmes SD, Weinstein AA (2021) Influence of socioeconomic status on objective sleep measurement: A systematic review and meta-analysis of actigraphy studies. Sleep Health 7(4):417–428

    Article  Google Scholar 

  27. Etindele Sosso FA (2022) Measuring sleep health disparities with polysomnography: a systematic review of preliminary findings. Clocks & Sleep 4(1):80–87

    Article  Google Scholar 

  28. Moore PJ et al (2002) Socioeconomic status and health: the role of sleep. Psychosom Med 64(2):337–344

    Article  PubMed  Google Scholar 

  29. Jang SY et al (2012) Relationship between BMI, body image, and smoking in Korean women as determined by urine cotinine: results of a nationwide survey. Asian Pac J Cancer Prev 13(3):1003–1010

    Article  PubMed  Google Scholar 

  30. Wagenknecht LE et al (1992) Misclassification of smoking status in the CARDIA study: a comparison of self-report with serum cotinine levels. Am J Public Health 82(1):33–36

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

We would like to thank the KDCA for providing the data.

Author information

Author notes

  1. Do Hee Woo and Minah Park contributed equally to this work and share first authorship.

Authors and Affiliations

  1. Graduate School of Public Health, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea

    Do Hee Woo

  2. Department of Public Health, Graduate School, Yonsei University, Seoul, South Korea

    Minah Park

  3. Institute of Health Services Research, Yonsei University, Seoul, South Korea

    Minah Park, Suk-Yong Jang & Sung-In Jang

  4. Department of Healthcare Management, Graduate School of Public Health, Yonsei University, Seoul, South Korea

    Suk-Yong Jang

  5. Department of Biostatistics, Graduate School of Public Health, Yonsei University, Seoul, South Korea

    Sohee Park

  6. Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, South Korea

    Sung-In Jang

Authors
  1. Do Hee Woo
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  2. Minah Park
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  3. Suk-Yong Jang
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  4. Sohee Park
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  5. Sung-In Jang
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Contributions

Conceptualization: Do Hee Woo. Formal analysis and investigation: Minah Park. Writing—original draft preparation: Do Hee Woo, Minah Park. Writing—review and editing: Sohee Park, Suk-Yong Jang. Supervision: Sung-In Jang.

Corresponding author

Correspondence to Sung-In Jang.

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Ethics approval

This study was reviewed and approved by the Institutional Review Board of Yonsei University’s Health System (IRB number: 4–2021-1322) and adhered to the tenets of the Declaration of Helsinki.

Conflict of interest

The authors declare no competing interests.

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Woo, D.H., Park, M., Jang, SY. et al. Association between smoking status and subjective quality of sleep in the South Korean population: a cross-sectional study. Sleep Breath 27, 1519–1526 (2023). https://doi.org/10.1007/s11325-022-02726-8

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  • DOI: https://doi.org/10.1007/s11325-022-02726-8

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