HIV status and sleep disturbance in college students and relationship with smoking.
College student health
Current tobacco use
HIV
Sleep health
Journal
Sleep health
ISSN: 2352-7226
Titre abrégé: Sleep Health
Pays: United States
ID NLM: 101656808
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
04
01
2019
revised:
24
04
2019
accepted:
10
05
2019
pubmed:
30
6
2019
medline:
18
12
2019
entrez:
30
6
2019
Statut:
ppublish
Résumé
Adults with HIV have greater sleep difficulties and are more likely to smoke cigarettes. We tested whether current smoking plays a role in sleep difficulties experienced by young adults with HIV. Cross-sectional. Data were from the 2011-2014 waves of the National College Health Assessment, an annual survey conducted by the American College Health Association. 108,159 (including N = 224 HIV positive) college students provided data for this study. Health conditions (including HIV positive status) were self-reported. Participants were also asked whether "sleep difficulties" were "traumatic or difficult for you to handle" over the past 12 months. Smoking was self-reported (smokers reported smoking on at least 20 of the last 30 days). Logistic regression models were adjusted for age, sex, survey year, current alcohol use or current marijuana use, diagnosis and/or treatment of anxiety or depression in last year. HIV positive students were more likely to be smokers (OR = 2.0, SE = 0.43, 95% CI [1.31, 3.05], P = .001) and were more likely to experience sleep difficulties (OR = 2.02, SE = 0.29, 95% CI [1.52, 2.68], P < .0001). While a significant HIV-x-smoking interaction was not found, when models were stratified by smoking, the relationship between HIV status and sleep difficulties was seen among non-smokers (OR = 1.97), and this relationship was stronger among smokers (OR = 2.64). Among college students, HIV positive status is associated with increased sleep difficulties. These problems are worse among smokers. Sleep interventions are warranted in this vulnerable group, and could potentially enhance smoking cessation efforts.
Identifiants
pubmed: 31253562
pii: S2352-7218(19)30097-X
doi: 10.1016/j.sleh.2019.05.002
pmc: PMC6876688
mid: NIHMS1532891
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
395-400Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL131458
Pays : United States
Organisme : NIGMS NIH HHS
ID : P20 GM113125
Pays : United States
Organisme : NIMHD NIH HHS
ID : R01 MD011600
Pays : United States
Organisme : NIA NIH HHS
ID : R21 AG056765
Pays : United States
Organisme : NIMHD NIH HHS
ID : R01 MD012734
Pays : United States
Informations de copyright
Copyright © 2019 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
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