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Associations Between Cigarette Smoking and Poor Sleep Among Adults With a Lifetime Cancer Diagnosis

Cancer Rep (Hoboken). 2025 Nov;8(11):e70386. doi: 10.1002/cnr2.70386.

ABSTRACT

BACKGROUND: Poor sleep is associated with cigarette smoking and cancer diagnosis, but little is known about the contribution of smoking to poor sleep following a cancer diagnosis.

METHODS: Using the National Health and Nutrition Examination Survey (N = 6183), multivariable Poisson regression models estimated the associations between lifetime cancer diagnosis, cigarette smoking, and poor sleep, controlling for covariates and evaluating interactions between smoking and cancer diagnosis.

RESULTS: Among adults, 11.6% reported a lifetime cancer diagnosis, and 13.3% of those reported current cigarette smoking. Adults with a cancer diagnosis who smoked had a higher prevalence of inappropriate sleep duration (Adjusted Prevalence Ratio, APR: 2.29, 95% CI: 1.03, 5.13) and snorting/stop breathing (APR: 1.63, 95% CI: 1.10, 2.41) than those without a cancer diagnosis who don’t smoke.

CONCLUSION: Smoking among adults with a lifetime cancer diagnosis is correlated with poor sleep, highlighting the need for targeted smoking cessation interventions to improve sleep health in this population.

PMID:41270207 | DOI:10.1002/cnr2.70386

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