Sustainable Development Goals

Abstract/Objectives

The study examined the impact of cigarette smoking, alcohol consumption, and the combined use of both on changes in sleep quality and duration among Chinese older adults. Using data from the Chinese Longitudinal Healthy Longevity Survey, the study found that former users and current smokers or alcohol users, as well as those who used both substances, had lower odds of experiencing worsened sleep quality. However, former users and current smokers were more likely to transition from the recommended 7-8 hours of sleep to a non-recommended range. The results suggest that Chinese older adults may adapt to cultural norms around smoking and drinking. Further research is needed to explore the effects of cigarettes and alcohol on the sleep of Chinese older adults.

Results/Contributions

We examined the effects of cigarette smoking, alcohol consumption, and use of both cigarettes and alcohol on changes in sleep quality and duration among Chinese older adults. Using four waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we employed Cox two-state regression models to examine the changes in sleep quality and duration. The results showed the following: (1) Former users (cigarettes and/or alcohol), current alcohol users, current smokers, or users who used both cigarettes and alcohol all reported lower odds of worsening sleep quality (all p < 0.01; except former users, which was p < 0.05), compared with those who did not smoke and use alcohol at all. (2) Among older adults who maintained poorer sleep quality (from not good to not good), only users of both cigarettes and alcohol were less likely to experience this outcome (p < 0.05). (3) Only former users and current smokers had higher odds of transitioning from recommended sleep duration of 7–8h daily into the non-recommended range (all p < 0.05), compared with older adults who did not use cigarettes and alcohol. Chinese older adults may be more adaptive to the cultural norms and traditions of cigarette and alcohol uses. Further research efforts withexperimental data are warranted to examine the impact of cigarettes and alcohol on Chinese older adults' sleep. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

Smoking, Drinking, Sleep quality, Sleep time variation, China Longitudinal Healthy Longevity Survey, Elderly

Contact Information

張延彰
yenchang@mx.nthu.edu.tw