Abstract Introduction Insufficient sleep is becoming increasingly common among U.S. adolescents. Sleep deprivation can often lead to negative outcomes such as cognitive impairment, unstable mood, and poor school performance. The use of e-cigarettes, or vaping, has become more and more popular among youth in recent years. While some research on the impact of tobacco on sleep has been conducted in the past, the association of e-cigarette use with sleep among high school students has not yet been investigated. This study aims to investigate the correlation between vaping and getting fewer than eight hours of sleep among U.S. high school students. Methods A secondary analysis was conducted utilizing the 2021 Youth Risk Behavior Surveillance System (YRBSS). In the survey, students were asked to state their current e-cigarette usage and sleep behaviors, defined as having less than eight hours of sleep a night. A cross-tabulation and Wald chi-square test of association were conducted to determine whether the correlation is significant. Results Among the sample of 12,711 students used for the analysis, 82.5% of current e-cigarette users reported insufficient sleep, compared with 76.0% of non-users. Only 17.5% of e-cigarette users obtained eight or more hours of sleep, compared with 24.0% of non-users. The association between current vaping and insufficient sleep was found to be statistically significant. Conclusion The results show that vaping may contribute to insufficient sleep among high school students in the U.S. This highlights that current efforts to address and improve adolescent sleep should take the potential impact of vaping into consideration. It may be helpful to add sleep-focused messages to youth vaping prevention programs in the future. Support (if any)
RuiNing Hang (2026) studied this question.