Association between Sleep Disturbances During Childhood and Smoking Trajectories During Adulthood: The Longitudinal TEMPO Cohort Study.

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY Behavioral Sleep Medicine Pub Date : 2023-09-03 DOI:10.1080/15402002.2022.2137511
Thibaut Sabatier, Isabelle Kousignian, Ramchandar Gomajee, Katharine Barry, Maria Melchior, Murielle Mary-Krause
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Abstract

Objective: This study examined the longitudinal association between child sleep disturbances from ages 3 to 16 and smoking in adulthood among subjects from a French cohort study.

Methods: Data from 2,134 subjects who participated in the French TEMPO cohort from 1991 to 2018 were used. Sleep disturbances observed from ages 3 to 16 years defined our exposure. Tobacco consumption trajectories constitute our outcomes and were ascertained by using Group-Based Trajectory Modeling, a semiparametric probabilistic method that hypothesizes the existence of distinct developmental trajectories over time within one population. The impact of SDs in childhood on adulthood's Tobacco consumption were studied using multinomial logistic regression.

Results: Sleep disturbances at 16 years or under were observed in 26.5% of participants. Five smoking trajectories were defined: "non-smokers", "decrease in consumption at age 20 years", "low-level tobacco use", "smoking followed by cessation at age 30 years" and "high-level tobacco use". No statistically significant association between sleep disturbances and smoking trajectories was found. Compared with nonsmokers, adjusted odds-ratios and 95% Confidence Intervals for each trajectory were respectively: 0.81 [0.52-1.26], 1.28 [0.74-2.22], 1.37 [0.88-2.15] and 1.01 [0.60-1.69].

Conclusion: These results suggest that smoking in adulthood may not be related to sleep disturbances in childhood.

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儿童期睡眠障碍与成年期吸烟轨迹之间的关系:纵向TEMPO队列研究。
目的:本研究对一项法国队列研究的研究对象进行了3至16岁儿童睡眠障碍与成年后吸烟之间的纵向联系。方法:使用1991年至2018年参加法国TEMPO队列的2134名受试者的数据。从3岁到16岁观察到的睡眠障碍定义了我们的暴露。烟草消费轨迹构成了我们的研究结果,并通过基于群体的轨迹建模(Group-Based Trajectory Modeling)确定。这是一种半参数概率方法,假设在一个人群中存在不同的发展轨迹。采用多项logistic回归研究儿童SDs对成年期烟草消费的影响。结果:26.5%的16岁或16岁以下的参与者存在睡眠障碍。定义了五种吸烟轨迹:“不吸烟者”、“20岁时消费量减少”、“低水平烟草使用”、“30岁时戒烟”和“高水平烟草使用”。没有发现睡眠障碍和吸烟轨迹之间有统计学意义的关联。与非吸烟者相比,各轨迹的调整比值比和95%置信区间分别为:0.81[0.52-1.26]、1.28[0.74-2.22]、1.37[0.88-2.15]和1.01[0.60-1.69]。结论:这些结果表明,成年期吸烟可能与儿童期睡眠障碍无关。
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来源期刊
Behavioral Sleep Medicine
Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY
CiteScore
7.20
自引率
3.20%
发文量
49
审稿时长
>12 weeks
期刊介绍: Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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