ArticleSleep2019
Evening intake of alcohol, caffeine, and nicotine: night-to-night associations with sleep duration and continuity among African Americans in the Jackson Heart Sleep Study.
Article in Sleep, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
21 citing papers in PubMed, 56 citations in OpenAlex.
- Mental Health Challenges and Their Association With Financial Priority and Nutrition Among University Students in Bangladesh: A Cross-Sectional Study.Health science reports · 2026Article
- Circadian irregularity in schizophrenia and familial risk: a comparative study.BMC psychiatry · 2026Article
- Integrative sleep management: from molecular pathways to conventional and herbal treatments.Naunyn-Schmiedeberg's archives of pharmacology · 2025Review
- Bidirectional Relationships Between Sleep Quality and Nicotine Vaping: Studying Young Adult e-cigarette Users in Real Time and Real Life.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- The association between cigarette smoking and sleep deprivation among adolescents in Gulf Cooperation Council countries: analysis of national surveys.Neurosciences (Riyadh, Saudi Arabia) · 2025Article
- Psychosocial determinants of healthy sleep habits in adults with type 1 and type 2 diabetes.Health psychology and behavioral medicine · 2024Article
- Nighttime ambient temperature and sleep in community-dwelling older adults.The Science of the total environment · 2023Article
- Article
- Beliefs about Healthy Sleep Habits in Adults with Diabetes Compared to Adults without Diabetes: A Reasoned Action Approach Elicitation Study.Sleep science (Sao Paulo, Brazil) · 2023Article
- Sleep and substance use: Practice considerations for social workers.Journal of social work practice in the addictions · 2023Article
- Food insecurity and sleep health by race/ethnicity in the United States.Journal of nutritional science · 2023Article
- Overall diet quality and proinflammatory diet in relation to risk of obstructive sleep apnea in 3 prospective US cohorts.The American journal of clinical nutrition · 2022Article
- Nutritional Elements in Sleep.Cureus · 2022Review
- Characterisation of the genetic relationship between the domains of sleep and circadian-related behaviours with substance use phenotypes.Addiction biology · 2022Article
- Long Working Hours Indirectly Affect Psychosomatic Stress Responses via Complete Mediation by Irregular Mealtimes and Shortened Sleep Duration: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- The relationship between sleep and physical activity: the moderating role of daily alcohol consumption.Sleep · 2021Article
- Differences in sleep timing and related effects between African Americans and non-Hispanic Whites.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- Smoke at night and sleep worse? The associations between cigarette smoking with insomnia severity and sleep duration.Sleep health · 2021Article
- COVID-19: Sleep, Circadian Rhythms and Immunity - Repurposing Drugs and Chronotherapeutics for SARS-CoV-2.Frontiers in neuroscience · 2021Review
- REM sleep loss-induced elevated noradrenaline could predispose an individual to psychosomatic disorders: a review focused on proposal for prediction, prevention, and personalized treatment.The EPMA journal · 2020Review
Corrections and comments
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Authors and funding
10 authors at 6 institutions in 1 country.
Funding
Abstract
STUDY
objectivesWe examined the night-to-night associations of evening use of alcohol, caffeine, and nicotine with actigraphically estimated sleep duration, sleep efficiency, and wake after sleep onset (WASO) among a large cohort of African American adults.
methodsParticipants in the Jackson Heart Sleep Study underwent wrist actigraphy for an average of 6.7 nights and completed concurrent daily sleep diary assessments to record any consumption of alcohol, caffeine, and nicotine within 4 hours of bedtime. Linear mixed-effect models were fit and adjusted for age, sex, educational attainment, body mass index, depression, anxiety, stress, and having work/school the next day.
resultsEligible participants (n = 785) were an average of 63.7 years (SD: 10.6), and were predominantly female (67.9%). There were 5164 days of concurrent actigraphy and sleep diary data. Evening alcohol use was associated with that night's lower sleep efficiency (-0.98% [95% CI: -1.67% to -0.29%], p = 0.005), but not with WASO or sleep duration. Evening nicotine use was associated with that night's lower sleep efficiency [1.74% (95% CI: -2.79 to -0.68), p = 0.001] and 6.09 minutes higher WASO ([95% CI: 0.82 to 11.35], p = 0.02), but was not associated with sleep duration. Evening caffeine use was not associated with any of the sleep parameters.
conclusionNicotine and alcohol use within 4 hours of bedtime were associated with increased sleep fragmentation in the associated night, even after controlling for multiple potential confounders. These findings support the importance of sleep health recommendations that promote the restriction of evening alcohol and nicotine use to improve sleep continuity.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.