Journal of Korean Academy of Nursing

Research Paper

Associations between Cigarette and Electronic Cigarette Use and Sleep Health in Korean Adolescents: An Analysis of the 14th (2018) Korea Youth Risk Behavior Surveys: Lee, Bo Gyeong , Lee, Haein; J Korean Acad Nurs 2021;51(3):380-389. Published online June 30, 2021; DOI: https://doi.org/10.4040/jkan.21034

Purpose
This study aimed to understand the relationship between cigarette and electronic cigarette (e-cigarette) use and sleep health among Korean adolescents.
Methods
Using the 14th Korea Youth Risk Behavior Survey, we included 52,928 adolescents who responded to sleep satisfaction and sleep duration. Participants were classified into four groups: non-users, cigarette-only users, e-cigarette-only users, and dual users of both products. To examine the associations between cigarette and e-cigarette use and sleep health, data were analyzed using complex samples cross tabulation and complex samples logistic regression.
Results
Of the four groups, dual users reported the lowest level of sleep satisfaction and sleep duration; 57.0% and 86.9% of dual users were not satisfied with their sleep and have insufficient sleep duration, respectively. The proportion of students who were not satisfied with their sleep was higher among cigarette-only users compared to e-cigarette-only users (52.7% vs. 45.8%), but the two groups reported similar rates of insufficient sleep duration (84.2% vs. 84.3%). Compared to non-users, cigarette-only users, e-cigarette-only users, and dual users were more likely to not be satisfied with sleep (odds ratios [ORs] were 1.49, 1.36, and 1.75, respectively) and had significantly higher odds of experiencing insufficient sleep duration (ORs were 1.85, 2.06, and 2.34, respectively).
Conclusion
E-cigarette-only use and dual use as well as cigarette-only use were associated with poor sleep health. Therefore, to improve adolescent sleep health, health professionals should provide sleep intervention strategies considering the association between smoking and sleep health.

Citations

Citations to this article as recorded by

Association between exclusive or dual use of combustible cigarettes and heated tobacco products and depressive symptoms
Bo Gyeong Lee, Haein Lee, Namhee Kim, Ghobad Moradi
PLOS ONE.2025; 20(1): e0314558. CrossRef
A Systematic Review on Health Impact of Electronic Cigarettes in South Korea
Eunsil Cheon, Hana Kim, Naeun Kang, Susan Park, Sung-il Cho, Jieun Hwang
Journal of the Korean Society for Research on Nicotine and Tobacco.2024; 15(2): 29. CrossRef
A Study on the Factors Influencing Smoking in Multicultural Youths in Korea
Jin-Hee Park, Mi-Jin Kim, Hee-Joo Lee
Healthcare.2023; 11(10): 1437. CrossRef
Association of dual electronic cigarettes and marijuana use with sleep duration among adults from the United States, NHANES 2015–2018
Zhenzhen Pan, Qian Wang, Yun Guo, Shidi Xu, Shanshan Pan, Shiyao Xu, Qin Zhou, Ling Li
Preventive Medicine Reports.2023; 33: 102190. CrossRef

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Original Article

Incidence of Colon Cancer Related to Cigarette Smoking and Alcohol Consumption in Adults with Metabolic Syndrome: Prospective Cohort Study: Ahra Jo, Heeyoung Oh; J Korean Acad Nurs 2019;49(6):713-723. Published online December 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.6.713

Abstract PDF

Purpose

The purpose of this study was to identify the impact of cigarette smoking and alcohol consumption on the incidence of colon cancer in adults with metabolic syndrome.

Methods

This study employed a longitudinal study design and utilized secondary data drawn from the Korean Genome and Epidemiology Study (KoGES). The data of a sample of 2,327 adults with metabolic syndrome tracked every two years from 2001 to 2014 were used in this study. Statistical data analyses of the frequency, number of cases per 100,000 person-years, log-rank test, Kaplan-Meier curve, and Cox's proportional hazards regression were performed using IBM SPSS statistics version 24.

Results

During the observation period, the number of colon cancer cases was 46, and the total person-years were 252,444. The incidence of colon cancer was higher in current, over 10 pack-year smokers when compared to non-smokers (hazard ratio=3.38, 95% confidence interval=1.09~8.42).

Conclusion

Excessive and long-term smoking should be avoided to prevent colon cancer, especially in adults with metabolic syndrome, since it might exacerbate the risk factors of colon cancer. Particularly, health professionals need to provide individualized smoking cessation interventions to those at high risk of colon cancer.

Citations

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Journal of Cancer Prevention.2024; 29(2): 25. CrossRef
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Scientific Reports.2024;[Epub] CrossRef
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Hyun Sook Oh, Hwa Jeong Seo
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International Journal of Oncology.2023;[Epub] CrossRef
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Computational and Mathematical Methods in Medicine.2022; 2022: 1. CrossRef
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Yoon-Sun Jung, Seok-Jun Yoon
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Qi Gao, Caifeng Zhang, Zhichao Dong, Yan Guo, Li Zhang, Sudipta Roy
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395 View
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