Association between passive smoking exposure and insomnia in a Tibetan non-smoking population based on the propensity score

HE Rui-feng; LIANG Yi-zhi; CHEN Lin; GUO Bing

doi:10.16462/j.cnki.zhjbkz.2022.07.012

Volume 26 Issue 7

Jul. 2022

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HE Rui-feng, LIANG Yi-zhi, CHEN Lin, GUO Bing. Association between passive smoking exposure and insomnia in a Tibetan non-smoking population based on the propensity score[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(7): 815-819. doi: 10.16462/j.cnki.zhjbkz.2022.07.012

Citation:

HE Rui-feng, LIANG Yi-zhi, CHEN Lin, GUO Bing. Association between passive smoking exposure and insomnia in a Tibetan non-smoking population based on the propensity score[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(7): 815-819. doi: 10.16462/j.cnki.zhjbkz.2022.07.012

Citation:

HE Rui-feng, LIANG Yi-zhi, CHEN Lin, GUO Bing. Association between passive smoking exposure and insomnia in a Tibetan non-smoking population based on the propensity score[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(7): 815-819. doi: 10.16462/j.cnki.zhjbkz.2022.07.012

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Association between passive smoking exposure and insomnia in a Tibetan non-smoking population based on the propensity score

doi: 10.16462/j.cnki.zhjbkz.2022.07.012

1.
Tibet Center for Disease Control and Prevention, Lasa 850000, China
2.
West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610044, China
3.
Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610044, China

Funds:

National Key Research and Development Program of China 2017YFC0907302

More Information

Corresponding author: GUO Bing, E-mail: guobing0111@foxmail.com
Received Date: 2021-10-07
Rev Recd Date: 2022-01-16

Available Online: 2022-07-19

Publish Date: 2022-07-10

Abstract

Abstract

Objective To describe the distribution characteristics of passive smoking exposure and insomnia symptoms in the Tibetan non-smoking population in China. It aims to investigate the extent of association between passive smoking exposure and insomnia symptoms. Methods Based on the data of 7 737 Tibetan residents recruited in Lhasa from 2018 to 2019 in the Southwest Regional General Population Cohort Project, the study analyzed the association between passive smoking exposure and insomnia symptoms using the propensity score inverse probability weighting method and marginal structure model. Besides, the association between passive smoking and insomnia was compared across age, gender, BMI, adverse life events, and social support groups. Results The passive smoking exposure rate was 22.50%, and the insomnia detection rate was 33.67% in the survey population. After adjusting for potential confounders, the risk of insomnia symptoms in the passive smoking group was nearly 1.24 times higher than in the non-passive smoking exposed group (OR=1.24, 95% CI: 1.14-1.34). People who age ≥50 years (OR=1.25, 95% CI: 1.01-1.54), was males (OR=1.60, 95% CI: 1.17-2.18), overweight (OR=1.24, 95% CI: 1.05-1.47), have had an adverse life event (OR=1.46, 95% CI: 1.01-2.10) and moderate social support (OR=1.46, 95% CI: 1.12-1.92) were suffered more strongly effect of passive smoking exposure on insomnia. Conclusions This study suggests that passive smoking exposure is a risk factor for insomnia in the Tibetan non-smoking population. Interventions regarding reducing passive smoking exposure should be performed to promote sleep health in Tibetans.
- Tibetan population,
- Passive smoking,
- Exposure,
- Insomnia,
- Propensity score methods

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References(21)

References

[1]	韩芳, 唐向东, 张斌. 中国失眠症诊断和治疗指南[J]. 中华医学杂志, 2017, 97(24): 1844-1856. DOI: 10.3760/cma.j.issn.0376-2491.2017.24.002. Han F, Tang XD, Zhang B. Guidelines for the diagnosis and treatment of insomnia in China[J]. Chin Med J, 2017, 97(24): 1844-1856. DOI: 10.3760/cma.j.issn.0376-2491.2017.24.002.
[2]	Fan M, Sun D, Zhou T, et al. Sleep patterns, genetic susceptibility, and incident cardiovascular disease: a prospective study of 385 292 UK biobank participants[J]. Eur Heart J, 2020, 41(11): 1182-1189. DOI: 10.1093/eurheartj/ehz849.
[3]	Yin J, Jin X, Shan Z, et al. Relationship of sleep duration with all-cause mortality and cardiovascular events: a systematic review and dose-response meta-analysis of prospective cohort studies[J]. J Am Heart Assoc, 2017, 6(9): e005947 DOI: 10.1161/JAHA.117.005947.
[4]	Mogavero MP, Delrosso LM, Fanfulla F, et al. Sleep disorders and cancer: state of the art and future perspectives[J]. Sleep Med Rev, 2020, 56: 101409. DOI: 10.1016/j.smrv.2020.101409.
[5]	Jee HJ, Shin W, Jung HJ, et al. Impact of sleep disorder as a risk factor for dementia in men and women[J]. Biomol Ther (Seoul), 2020, 28(1): 58-73. DOI: 10.4062/biomolther.2019.192.
[6]	Ge L, Guyatt G, Tian J, et al. Insomnia and risk of mortality from all-cause, cardiovascular disease, and cancer: systematic review and meta-analysis of prospective cohort studies[J]. Sleep Med Rev, 2019, 48: 101215. DOI: 10.1016/j.smrv.2019.101215.
[7]	刘艳骄. 中国高原睡眠障碍流行病学调查概况[J]. 世界睡眠医学杂志, 2021, 8(1): 180-182. DOI: 10.3969/j.issn.2095-7130.2021.01.077. Liu YJ. Epidemiological survey of altitude sleep disorders in China[J]. World J Sleep Med, 2021, 8(1): 180-182. DOI: 10.3969/j.issn.2095-7130.2021.01.077.
[8]	San T, Polat S, Cingi C, et al. Effects of high altitude on sleep and respiratory system and theirs adaptations[J]. Sci World J, 2013: 241569. DOI: 10.1155/2013/241569.
[9]	Veronda AC, Irish LA, Delahanty DL. Effect of smoke exposure on young adults' sleep quality[J]. Nurs Health Sci, 2020, 22(1): 57-63. DOI: 10.1111/nhs.12644.
[10]	Chen LJ, Steptoe A, Chen YH, et al. Physical activity, smoking, and the incidence of clinically diagnosed insomnia[J]. Sleep Med, 2017, 30: 189-194. DOI: 10.1016/j.sleep.2016.06.040.
[11]	Haukoos JS, Lewis RJ. The propensity score[J]. JAMA, 2015, 314(15): 1637-1638. DOI: 10.1001/jama.2015.13480.
[12]	Zhao X, Hong F, Yin J, et al. Cohort profile: the China Multi-Ethnic Cohort (CMEC) study[J]. Int J Epidemiol, 2021, 50(3): 721-721l. DOI: 10.1093/ije/dyaa185.
[13]	Chen Y, Kartsonaki C, Clarke R, et al. Characteristics and correlates of sleep duration, daytime napping, snoring and insomnia symptoms among 0.5 million Chinese men and women[J]. Sleep Med, 2018, 44: 67-75. DOI: 10.1016/j.sleep.2017.11.1131.
[14]	Ainsworth BE, Haskell WL, Herrmann SD, et al. 2011 Compendium of Physical Activities: a second update of codes and MET values[J]. Med Sci Sports Exerc, 2011, 43(8), 1575-1581. DOI: 10.1249/MSS.0b013e31821ece12.
[15]	吴曼, 李嘉琛, 余灿清, 等. 中国30~79岁成年人负性生活事件与抑郁关联的性别差异研究[J]. 中华流行病学杂志, 2017, 38(11): 1449-1453. DOI: 10.3760/cma.j.issn.0254-6450.2017.11.002. Wu M, Li JC, Yu CQ, et al. Gender differences in the association between negative life events and depression in Chinese adults aged 30-79 years[J]. Chin J Epidemiol, 2017, 38(11): 1449-1453. DOI: 10.3760/cma.j.issn.0254-6450.2017.11.002.
[16]	Han J, Jia P, Huang Y, et al. Association between social capital and mental health among older people living with HIV: the Sichuan Older HIV-Infected Cohort Study (SOHICS)[J]. BMC Public Health, 2020, 20(1): 581. DOI: 10.1186/s12889-020-08705-6.
[17]	殷鹏, 张梅, 李镒冲, 等. 中国15~69岁居民睡眠质量影响因素研究[J]. 中国慢性病预防与控制, 2011, 19(3): 224-225. DOI: 10.16386/j.cjpccd.issn.1004-6194.2011.03.001. Yin P, Zhang M, Li YC, et al. A study on risk factors for poor sleep quality among Chinese residents aged 15-69 years[J]. Chin J Prev Contr Chron Dis, 2011, 19(3): 224-225. DOI: 10.16386/j.cjpccd.issn.1004-6194.2011.03.001.
[18]	郑棒, 林丽玲, 余灿清, 等. 中国成年人睡眠时长、午睡与失眠症状的分布及关联研究[J]. 中华流行病学杂志, 2017, 38(4): 452-456. DOI: 10.3760/cma.j.issn.0254-6450.2017.04.008. Zheng B, Lin LL, Yu CQ, et al. Distributions and associations between duration of sleep, daytime naps and insomnia symptoms among Chinese adults[J]. Chin J Epidemiol, 2017, 38(4): 452-456. DOI: 10.3760/cma.j.issn.0254-6450.2017.04.008.
[19]	仙登沁, 任晓兰, 刘攀丽. 影响高原援建军官睡眠质量有关因素的调查分析[J]. 武警医学, 2017, 28(11): 1118-1120. DOI: 10.14010/j.cnki.wjyx.2017.11.010. Xian DQ, Ren XL, Liu PL. Investigation and analysis of factors affecting the sleep quality of plateau aid officers[J]. Med J Chin PAP, 2017, 28(11): 1118-1120. DOI: 10.14010/j.cnki.wjyx.2017.11.010.
[20]	Gulia KK, Kumar VM. Sleep disorders in the elderly: a growing challenge[J]. Psychogeriatrics, 2018, 18(3): 155-165. DOI: 10.1111/psyg.12319.
[21]	Tan X, Alen M, Wiklund P, et al. Effects of aerobic exercise on home-based sleep among overweight and obese men with chronic insomnia symptoms: a randomized controlled trial[J]. Sleep Med, 2016, 25: 113-121. DOI: 10.1016/j.sleep.2016.02.010.