@article{ref1,
title="Depression, anxiety and tobacco use overlapping impediments to sleep in a national sample of college students",
journal="Journal of American college health",
year="2016",
author="Boehm, Matthew A. and Lei, Quinmill M. and Lloyd, Robin M. and Prichard, J. Roxanne",
volume="64",
number="7",
pages="565-574",
abstract="OBJECTIVES: To examine how tobacco use and depression/anxiety disorders are related to disturbed sleep in college students. PARTICIPANTS: 85,138 undergraduate respondents (66.3% female, 74.5% white, non-Hispanic, ages 18-25) from the Spring 2011 American College Health Association-National College Health Assessment-II database. <br><br>METHODS: Multivariate analyses of tobacco use (none, intermediate, daily) and mental health (diagnosed and/or symptomatic depression or anxiety) were used to predict sleep disturbance. <br><br>RESULTS: Daily tobacco use was associated with more sleep problems than binge drinking, illegal drug use, obesity, gender, and working >20 hours/week. Students with depression or anxiety reported more sleep disturbances than individuals without either disorder, and tobacco use in this population was associated with the most sleep problems. <br><br>CONCLUSIONS: Tobacco use and depression/anxiety disorders are both independently associated with more sleep problems in college students. Students with depression and/or anxiety are more likely to be daily tobacco users, which likely exacerbates their sleep problems.<p /> <p>Language: en</p>",
language="en",
issn="0744-8481",
doi="10.1080/07448481.2016.1205073",
url="http://dx.doi.org/10.1080/07448481.2016.1205073"
}