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However, little research has examined the relationship between e\u2010cigarette use and sleep\u2010related complaints in this population. The objective of this study was to assess whether exclusive e\u2010cigarette, exclusive combusted cigarette, and dual\u2010product use are associated with sleep\u2010related complaints among adolescents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants were 9,588 U.S. adolescents from the Population Assessment of Tobacco and Health Study, a nationally representative cohort, followed from 2013 through 2015. Using logistic regression, we examined the cross\u2010sectional association between past\u2010year e\u2010cigarette, combusted cigarette, or dual\u2010product use and past\u2010year sleep\u2010related complaints (bad dreams, sleeping restlessly, or falling asleep during the day), both measured at Wave 2. We controlled for Wave 1 demographic characteristics, emotional and behavioral health, and prior history of e\u2010cigarette use, combusted cigarette use, and sleep\u2010related complaints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In unadjusted analyses, e\u2010cigarette, combusted cigarette, and dual\u2010product use were significantly associated with greater odds of sleep\u2010related complaints, compared to use of neither product (e\u2010cigarettes: OR\u202f=\u202f1.61, 95% CI 1.34\u20131.94; combusted cigarettes: OR\u202f=\u202f1.62, 95% CI 1.26\u20132.09; dual\u2010product use: OR\u202f=\u202f2.00, 95% CI 1.63\u20132.46). Associations between e\u2010cigarette and dual\u2010product use and sleep\u2010related complaints remained significant in fully adjusted analyses (e\u2010cigarettes: aOR\u202f=\u202f1.29, 95% CI 1.05\u20131.59; dual\u2010product use: aOR\u202f=\u202f1.57, 95% CI 1.24\u20131.99), whereas associations with combusted cigarette use were significant in all models except the fully adjusted model (aOR\u202f=\u202f1.30, 95% CI 0.98\u20131.71).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>E\u2010cigarette and dual\u2010product use are significantly associated with greater odds of reporting sleep\u2010related complaints among adolescents. Future research should evaluate whether this association may be causal.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.adolescence.2019.08.009","type":"journal-article","created":{"date-parts":[[2019,8,20]],"date-time":"2019-08-20T16:33:22Z","timestamp":1566318802000},"page":"48-54","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":33,"title":["E\u2010cigarette use and sleep\u2010related complaints among youth"],"prefix":"10.1002","volume":"76","author":[{"given":"Kira E.","family":"Riehm","sequence":"first","affiliation":[{"name":"Department of Mental Health, 8th Floor, 624 N Broadway Bloomberg School of Public Health Johns Hopkins University Baltimore MD 21205 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darlynn M.","family":"Rojo\u2010Wissar","sequence":"additional","affiliation":[{"name":"Department of Mental Health, 8th Floor, 624 N Broadway Bloomberg School of Public Health Johns Hopkins University Baltimore MD 21205 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth A.","family":"Feder","sequence":"additional","affiliation":[{"name":"Department of Mental Health, 8th Floor, 624 N Broadway Bloomberg School of Public Health Johns Hopkins University Baltimore MD 21205 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramin","family":"Mojtabai","sequence":"additional","affiliation":[{"name":"Department of Mental Health, 8th Floor, 624 N Broadway Bloomberg School of Public Health Johns Hopkins University Baltimore MD 21205 USA"},{"name":"Department of Psychiatry and Behavioral Sciences, 1800 Orleans Street Johns Hopkins University School of Medicine Johns Hopkins University Baltimore MD 21287 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam P.","family":"Spira","sequence":"additional","affiliation":[{"name":"Department of Mental Health, 8th Floor, 624 N Broadway Bloomberg School of Public Health Johns Hopkins University Baltimore MD 21205 USA"},{"name":"Department of Psychiatry and Behavioral Sciences, 1800 Orleans Street Johns Hopkins University School of Medicine Johns Hopkins University Baltimore MD 21287 USA"},{"name":"Center on Aging and Health, Suite 2\u2010700, 2024 E Monument Street Johns Hopkins University Baltimore MD 21205 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Thrul","sequence":"additional","affiliation":[{"name":"Department of Mental Health, 8th Floor, 624 N Broadway Bloomberg School of Public Health Johns Hopkins University Baltimore MD 21205 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa M.","family":"Crum","sequence":"additional","affiliation":[{"name":"Department of Mental Health, 8th Floor, 624 N Broadway Bloomberg School of Public Health Johns Hopkins University Baltimore MD 21205 USA"},{"name":"Department of Psychiatry and Behavioral Sciences, 1800 Orleans Street Johns Hopkins University School of Medicine Johns Hopkins University Baltimore MD 21287 USA"},{"name":"Department of Epidemiology, 615 N Wolfe Street Bloomberg School of Public Health Johns Hopkins University Baltimore MD 21205 USA"},{"name":"Welch Center for Prevention Epidemiology and Clinical Research, 2024 E Monument Street Johns Hopkins University Baltimore MD 21205 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2015-052236"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1805758"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2014.08.002"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2011.03.002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsw031"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdx102"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1139\/apnm-2015-0627"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADT.0000000000000123"},{"key":"e_1_2_8_10_1","volume":"67","author":"Cullen K.A.","year":"2018","journal-title":"Notes from the field: Use of electronic cigarettes and any tobacco product among middle and high school students\u2014United States, 2011\u20132018. 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