{"doi":"10.1093/sleep/zsae067.0979","title":"0979 Associations Among Young Adults’ Sleep Quality and Sleepiness, Risk-taking Behaviors, and E-cigarette Attitudes","abstract":"Abstract Introduction Young adulthood is both a time of initiation and progression to habitual tobacco use and when risk-taking behaviors (e.g., sensation seeking and impulsivity) peak. Poor sleep quality and greater daytime sleepiness may influence greater risk-taking, which may, in turn, increase susceptibility to use tobacco products. We explored associations among young adults’ sleep quality and sleepiness, risk-taking, and susceptibility and motivation to use electronic cigarettes (e-cigarettes), the most popular tobacco product among this age group. Methods In an online survey, young adults recruited from social media who did not use e-cigarettes in the past 30 days (N=75) completed questions about their sleep quality (Pittsburgh Sleep Quality Index [PSQI], higher scores = greater sleep problems) and sleepiness (Epworth Sleepiness Scale [ESS], higher scores = greater daytime sleepiness), risk-taking (sensation seeking and impulsivity), susceptibility to use e-cigarettes, and motivations to avoid e-cigarettes in the future. Using a series of PROCESS mediation models, we examined the association between sleep (quality and sleepiness) and susceptibility and motivation to use e-cigarettes when mediated by risk-taking. Results Participants identified as predominantly female (77%), non-Hispanic White (60%), and were on average 23 years old (range: 18 to 26 years). Higher PSQI scores were significantly associated with greater sensation seeking (p = 0.02). Greater sensation seeking was associated with greater susceptibility to use e-cigarettes (p = 0.03). The indirect effects were significant (95% CI [0.002, 0.064]) while the direct effect between PSQI and susceptibility was not. Similarly, higher ESS scores were significantly associated with greater impulsivity (p = 0.01). Greater impulsivity was significantly associated with lower motivations to avoid e-cigarettes (p = 0.01). The indirect effects were significant (95% CI [-0.100, -0.004]) while the direct effect between ESS and motivation was not. No other associations were significant. Conclusion We provide preliminary evidence on how worse sleep is indirectly associated with increased susceptibility/motivation to use e-cigarettes through risk-taking. This complex association between sleep health and e-cigarette susceptibility should be further examined. Support (if any) This work was supported by the National Institute on Drug Abuse at the National Institutes of Health (NIH, Grant # R00DA046563 Supplement).","journal":"SLEEP","year":2024,"id":496809,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9564,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":919851,"name":"Donghee N. Lee","orcid":"0000-0002-9932-4376","position":1,"is_corresponding":false},{"id":997196,"name":"Hannah Stevens","orcid":"0000-0003-3394-9768","position":2,"is_corresponding":false},{"id":286179,"name":"Freda Patterson","orcid":"0000-0001-6561-3092","position":3,"is_corresponding":false},{"id":198944,"name":"Elizabeth B. Klerman","orcid":"0000-0002-7402-3171","position":4,"is_corresponding":false},{"id":103417,"name":"Nancy A. Rigotti","orcid":"0000-0002-2223-1657","position":5,"is_corresponding":false},{"id":378350,"name":"Rebecca Robbins","orcid":"0000-0003-0288-2505","position":6,"is_corresponding":false},{"id":331380,"name":"Elise M. Stevens","orcid":"0000-0002-0494-4362","position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:09:27.134858Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}