association between e-cigarette use and sleep deprivation in U.S. Young adults: Results from the 2017 and 2018 Behavioral Risk Factor Surveillance System.

Introduction:
This text discusses a study examining the association between e-cigarette use and sleep deprivation in young adults in the United States. The study uses data from the Behavioral Risk Factor Surveillance System (BRFSS) from 2017 and 2018. The study's goal is to understand the potential relationship between e-cigarette use and sleep deprivation in this population.

Key Points:

* The study uses data from the BRFSS, a nationwide telephone-based survey that collects health-related risk behaviors and health conditions from noninstitutionalized U.S. adult residents.
* The study focuses on young adults aged 18-24 and includes only those states and territories that included the optional modules of e-cigarette use and sleep deprivation in the questionnaire.
* The study's main outcome is sleep deprivation, defined as getting less than seven hours of sleep in a 24-hour period.
* The independent variable is e-cigarette use, which was derived from questions about whether participants had ever used an e-cigarette and if they use one currently.
* The study controlled for several confounding factors, including gender, marital status, property ownership, employment status, race, physical activity, BMI, use of smokeless tobacco products, alcohol drinking, and smoking.
* The study found that former and current e-cigarette users were more likely to report sleep deprivation compared to never users.
* The relationship remained statistically significant after controlling for sociodemographic characteristics and other health factors.

Main Message:
The study found that e-cigarette use may be related to sleep deprivation in young adults. The relationship remained even after adjusting for confounders, suggesting a potential causal relationship. however, more research is needed to establish a causal link and to understand the dose-response nature of this relationship. Future studies should also collect data on nicotine dependence and content of e-liquids to better understand the association between e-cigarette use and sleep deprivation. Overall, the study highlights the need to consider the potential health effects of e-cigarette use, particularly in young adults.

Kianersi S, Zhang Y, Rosenberg M, Macy JT. association between e-cigarette use and sleep deprivation in U.S. Young adults: Results from the 2017 and 2018 Behavioral Risk Factor Surveillance System. addictive behaviors. 2021;112:106646. doi:10.1016/j.addbeh.2020.106646