Freda Patterson1, Elizabeth Connick2, Benjamin Brewer3, Michael A Grandner4. 1. Department of Behavioral Health and Nutrition, College of Health Sciences, The Tower at STAR, 100 Discovery Blvd, University of Delaware, Newark, DE 19713. Electronic address: fredap@udel.edu. 2. Department of Medicine and Cancer Center, School of Medicine, University of Arizona, 1501 N Campbell Ave, AHSC 6410, Tucson, AZ 85724. 3. College of Health Sciences, University of Delaware, STAR Campus, Newark, DE 19713. 4. Department of Behavioral Health and Nutrition, College of Health Sciences, The Tower at STAR, 100 Discovery Blvd, University of Delaware, Newark, DE 19713; Sleep and Health Research Program, Department of Psychiatry, University of Arizona.
Abstract
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.
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.
Authors: Matthew S Freiberg; Chung-Chou H Chang; Lewis H Kuller; Melissa Skanderson; Elliott Lowy; Kevin L Kraemer; Adeel A Butt; Matthew Bidwell Goetz; David Leaf; Kris Ann Oursler; David Rimland; Maria Rodriguez Barradas; Sheldon Brown; Cynthia Gibert; Kathy McGinnis; Kristina Crothers; Jason Sico; Heidi Crane; Alberta Warner; Stephen Gottlieb; John Gottdiener; Russell P Tracy; Matthew Budoff; Courtney Watson; Kaku A Armah; Donna Doebler; Kendall Bryant; Amy C Justice Journal: JAMA Intern Med Date: 2013-04-22 Impact factor: 21.873