TY - JOUR
T1 - HIV status and sleep disturbance in college students and relationship with smoking
AU - Patterson, F.
AU - Connick, Elizabeth
AU - Brewer, Benjamin
AU - Grandner, Michael A.
N1 - Funding Information:
Research reported in this publication was supported by the National Institute On Minority Health And Health Disparities of the National Institutes of Health under award numbers R01MD012734 (FP) , R01MD011600 (MAG) , and R21AG056765 (FP) , by the National Heart, Lung, and Blood Institute award number R01HL131458 (EC) , and by an Institutional Development Award (IDeA) Center of Biomedical Research Excellence from the National Institute of General Medical Sciences under grant number R01HL131458 (FP) . The authors thank Yatzka Hernandez for her administrative support to this project.
Funding Information:
Funding Support: Research reported in this publication was supported by the National Institute On Minority Health And Health Disparities of the National Institutes of Health under Award Numbers R01MD012734 and R21AG056765 (FP), and by an Institutional Development Award (IDeA) Center of Biomedical Research Excellence from the National Institute of General Medical Sciences of the National Institutes of Health under grant number P20GM113125 (FP).
Funding Information:
Research reported in this publication was supported by the National Institute On Minority Health And Health Disparities of the National Institutes of Health under award numbers R01MD012734 (FP), R01MD011600 (MAG), and R21AG056765 (FP), by the National Heart, Lung, and Blood Institute award number R01HL131458 (EC), and by an Institutional Development Award (IDeA) Center of Biomedical Research Excellence from the National Institute of General Medical Sciences under grant number R01HL131458 (FP). The authors thank Yatzka Hernandez for her administrative support to this project.
Publisher Copyright:
© 2019 National Sleep Foundation.
PY - 2019/8
Y1 - 2019/8
N2 - Objective: 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. Design: Cross-sectional. Setting: Data were from the 2011–2014 waves of the National College Health Assessment, an annual survey conducted by the American College Health Association. Participants: 108,159 (including N = 224 HIV positive) college students provided data for this study. Measurements: 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. Results: 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). Conclusions: 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.
AB - Objective: 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. Design: Cross-sectional. Setting: Data were from the 2011–2014 waves of the National College Health Assessment, an annual survey conducted by the American College Health Association. Participants: 108,159 (including N = 224 HIV positive) college students provided data for this study. Measurements: 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. Results: 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). Conclusions: 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.
KW - College student health
KW - Current tobacco use
KW - HIV
KW - Sleep health
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U2 - 10.1016/j.sleh.2019.05.002
DO - 10.1016/j.sleh.2019.05.002
M3 - Article
C2 - 31253562
AN - SCOPUS:85067644589
SN - 2352-7218
VL - 5
SP - 395
EP - 400
JO - Sleep Health
JF - Sleep Health
IS - 4
ER -