Abstract
Chronic rheumatic conditions are typically characterized by chronic pain and are uniquely associated with increased rates
of cigarette smoking and poor sleep quality. However, no study has examined the possible additive or interactive effects of
these two health behaviors in individuals diagnosed with a chronic rheumatic condition. The goal of this study is to examine
the relationship between cigarette smoking and sleep in a population sample of individuals diagnosed with a chronic rheumatic
condition and related functional impairment. Cross sectional survey data was obtained from the 2007 National Health Interview
Survey. Individuals diagnosed with a chronic rheumatic condition were more likely to be a former or current smoker compared
to non-diagnosed individuals. Individuals with a chronic rheumatic condition were more likely to report <6 h of sleep per
night and endorsed significantly more insomnia and daytime sleepiness. There was no interaction between diagnosis of a chronic
rheumatic condition and smoking status on any of the sleep outcomes assessed. Finally, an interaction was observed suggesting
individuals with a chronic rheumatic condition who currently smoke are more likely to report averaging <6 h of sleep per night
and frequent insomnia compared to individuals with a chronic rheumatic condition who never smoked. These results suggest both
a unique and additive relationship between smoking and sleep in individuals with a chronic rheumatic condition. Findings can
likely be generalized to other conditions commonly associated with chronic pain.
of cigarette smoking and poor sleep quality. However, no study has examined the possible additive or interactive effects of
these two health behaviors in individuals diagnosed with a chronic rheumatic condition. The goal of this study is to examine
the relationship between cigarette smoking and sleep in a population sample of individuals diagnosed with a chronic rheumatic
condition and related functional impairment. Cross sectional survey data was obtained from the 2007 National Health Interview
Survey. Individuals diagnosed with a chronic rheumatic condition were more likely to be a former or current smoker compared
to non-diagnosed individuals. Individuals with a chronic rheumatic condition were more likely to report <6 h of sleep per
night and endorsed significantly more insomnia and daytime sleepiness. There was no interaction between diagnosis of a chronic
rheumatic condition and smoking status on any of the sleep outcomes assessed. Finally, an interaction was observed suggesting
individuals with a chronic rheumatic condition who currently smoke are more likely to report averaging <6 h of sleep per night
and frequent insomnia compared to individuals with a chronic rheumatic condition who never smoked. These results suggest both
a unique and additive relationship between smoking and sleep in individuals with a chronic rheumatic condition. Findings can
likely be generalized to other conditions commonly associated with chronic pain.
- Content Type Journal Article
- Pages 1-10
- DOI 10.1007/s10865-012-9447-8
- Authors
- Brooke A. Stipelman, Science of Research and Technology Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, 6130 Executive Blvd., MSC 7326, Executive Plaza North, Room 4097, Rockville, MD 20892-7326, USA
- Erik Augustson, Tobacco Control Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, 6130 Executive Blvd., MSC 7326, Executive Plaza North, Room 4097, Rockville, MD 20892-7326, USA
- Timothy McNeel, Information Management Services, Inc., Silver Spring, MD, USA
- Journal Journal of Behavioral Medicine
- Online ISSN 1573-3521
- Print ISSN 0160-7715