Evidence map›Paper›PMID 42598725›Full record

ReviewCureus2026

The Association Between E-cigarette Use and Sleep Duration Among Adolescents and Young Adults: A Structured Narrative Review.

Nishita Mishra, Rajal Mehta

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Nishita MishraCommunity Medicine, BASIS Scottsdale, Scottsdale, USA.
Rajal MehtaInternal Medicine, Mayo Clinic, Scottsdale, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

E-cigarette use has become increasingly widespread among youth, raising concerns that nicotine exposure may contribute to sleep disruption. This structured narrative review synthesizes current evidence on the association between e-cigarette use and sleep duration among adolescents and young adults. Studies were evaluated using predefined inclusion criteria, and eligible studies examined e-cigarette use alongside sleep duration or related sleep disturbances in youth populations. Extracted data included study design, population characteristics, exposure definitions, sleep measures, and statistical associations, while study quality was assessed based on sample representativeness, outcome validity, and adjustment for confounding variables. Six empirical studies and one narrative review met the inclusion criteria. Across large national datasets, exclusive e-cigarette use was consistently associated with 30-80% higher odds of insufficient sleep among adolescents and young adults, while dual users demonstrated the strongest associations and were up to three times more likely to report inadequate sleep. Adolescents using both combustible and electronic cigarettes also showed increased sleep latency. Emerging evidence suggests a potential bidirectional relationship in which sleep problems may increase susceptibility to vaping initiation. Overall, current evidence indicates that e-cigarette use is repeatedly linked to inadequate sleep duration and other sleep difficulties in youth. Nicotine's neurobiological effects on arousal and withdrawal likely contribute to these outcomes, while sleep disturbances themselves may also increase vulnerability to nicotine use. Public health strategies aimed at reducing youth vaping may therefore improve sleep health, and interventions targeting sleep may help reduce nicotine use. Longitudinal and mechanistic studies are needed to clarify causal pathways and underlying processes.

Indexed as

adolescentse-cigarettessleep durationvapingyoung adults

Identifiers

PMID42598725
PMCPMC13472699

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.