Association between use of electronic vaping products and insufficient sleep among adolescents: Findings from the 2017 and 2019 YRBS

Philip Baiden; Samantha P Spoor; Julia K Nicholas; Fawn A Brown; Catherine A LaBrenz; Christine Spadola

doi:10.1016/j.sleep.2022.10.005

Association between use of electronic vaping products and insufficient sleep among adolescents: Findings from the 2017 and 2019 YRBS

Sleep Med. 2023 Jan:101:19-27. doi: 10.1016/j.sleep.2022.10.005. Epub 2022 Oct 19.

Authors

Philip Baiden¹, Samantha P Spoor², Julia K Nicholas³, Fawn A Brown⁴, Catherine A LaBrenz⁵, Christine Spadola⁵

Affiliations

¹ The University of Texas at Arlington, School of Social Work, 211 S. Cooper St, Box 19129, Arlington, TX, 76019, USA. Electronic address: philip.baiden@uta.edu.
² University of Wyoming, Department of Psychology, 1000 E. University Ave, Laramie, WY, 82071, USA.
³ University of Louisville, Department of Psychological and Brain Sciences, Room 307 Life Sciences Building, Louisville, KY, 40292, USA.
⁴ The University of Texas at Arlington, Department of Psychology, 501 Nedderman Dr, Box 19528, Arlington, TX, 76019, USA.
⁵ The University of Texas at Arlington, School of Social Work, 211 S. Cooper St, Box 19129, Arlington, TX, 76019, USA.

PMID: 36334497
DOI: 10.1016/j.sleep.2022.10.005

Abstract

Background and objective: Although studies have investigated the association between cigarette smoking and sleep outcomes among adolescents in the United States, few studies have examined the association between electronic vaping products (EVPs) use and insufficient sleep among adolescents. The objective of this study was to investigate the cross-sectional association between the use of EVPs and insufficient sleep among adolescents.

Methods: Data were pooled from the 2017 and 2019 Youth Risk Behavior Survey. An analytic sample of 28,135 adolescents (51.2% female) was analyzed using binary logistic regression. The dependent variable investigated was insufficient sleep, and the main independent variable was the use of EVPs.

Results: Of the 28,135 adolescents, 22.6%, 19.2%, and 58.2% were current, former, and never users of EVPs, respectively. More than three in four adolescents (76.5%) did not obtain the recommended 8 h of sleep on an average school night. Controlling for demographic factors and other covariates, adolescents who currently used EVPs had 1.33 times higher odds of having insufficient sleep (AOR = 1.33, p < .001, 95% CI = 1.16-1.52), and adolescents who previously used EVPs had 1.29 times higher odds of having insufficient sleep (AOR = 1.29, p < .001, 95% CI = 1.15-1.44) when compared to adolescents who had never used EVPs. Adolescents were more likely to get insufficient sleep if they were older, non-Hispanic Black, had symptoms of depression, experienced suicidal ideation, engaged in excessive screen-time behaviors, or currently used alcohol. Physical activity had a protective effect on insufficient sleep.

Conclusion: This study found that EVPs use was associated with insufficient sleep among adolescents over and above demographic and other covariates. As EVP use increases among adolescents, it is important to consider the potential impact on multiple domains, including sleep. Future studies that employ longitudinal designs may offer additional insight into the mechanisms underlying the association between EVPs use and insufficient sleep.

Keywords: Adolescents; Electronic vaping products; Insufficient sleep; Mental health.

MeSH terms

Adolescent
Cross-Sectional Studies
Female
Humans
Male
Sleep
Sleep Deprivation*
Surveys and Questionnaires
United States / epidemiology
Vaping* / epidemiology