Dustin T Duncan1, William C Goedel2, Kenneth H Mayer3, Steven A Safren4, Joseph J Palamar5, Daniel Hagen6, Girardin Jean-Louis7. 1. Department of Population Health, New York University School of Medicine, New York, NY; College of Global Public Health, New York University, New York, NY; Center for Drug Use and HIV Research, New York University Rory Meyers College of Nursing, New York, NY; Population Center, College of Arts and Science, New York University, New York, NY; Center for Data Science, New York University, New York, NY. Electronic address: Dustin.Duncan@nyumc.org. 2. Department of Population Health, New York University School of Medicine, New York, NY; College of Global Public Health, New York University, New York, NY; Department of Sociology, College of Arts and Science, New York University, New York, NY. 3. Fenway Health, The Fenway Institute, Boston, MA; Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA. 4. Fenway Health, The Fenway Institute, Boston, MA; Department of Psychology, College of Arts and Sciences, University of Miami, Miami, FL. 5. Department of Population Health, New York University School of Medicine, New York, NY; Center for Drug Use and HIV Research, New York University Rory Meyers College of Nursing, New York, NY. 6. Department of Population Health, New York University School of Medicine, New York, NY; College of Global Public Health, New York University, New York, NY. 7. Department of Population Health, New York University School of Medicine, New York, NY.
Abstract
OBJECTIVES: The purpose of this study was to evaluate the prevalence of poor sleep health (ie, poor sleep quality and short sleep duration) in a sample of men who have sex with men (MSM). In addition, this study examined whether poor sleep health was associated with depressive symptoms, substance use, and sexual risk behaviors in this sample. DESIGN: Cross-sectional survey. PARTICIPANTS: Broadcast advertisements were placed on a popular smartphone application for MSM in January 2016 to recruit users in the London metropolitan area (n=202) to complete a Web-based survey, which included validated measures of sleep quality and duration. MEASUREMENTS: Poor sleep quality was defined based on self-report as very or fairly bad. Short sleep duration was defined as less than 7 hours each night. Regression models were used to assess associations between sleep variables and self-reported depressive symptoms, substance use, and sexual risk behaviors. RESULTS: About one-third (34.6%) of the respondents reported poor sleep quality and almost half (43.6%) reported sleeping less than 7 hours every night. Several poor sleep health variables were independently associated with depressive symptoms, substance use (eg, use of alcohol or marijuana), and condomless anal intercourse. For example, typical nightly sleep duration of less than 7 hours was associated with condomless receptive anal intercourse with a higher number of sexual partners (incidence rate ratio, 2.65; 95% confidence interval: 1.63-4.30; P<.001). CONCLUSION: Sleep health promotion interventions should be developed for MSM, which may promote positive mental health as well as reduce substance use and sexual risk behaviors in this population. Copyright \
OBJECTIVES: The purpose of this study was to evaluate the prevalence of poor sleep health (ie, poor sleep quality and short sleep duration) in a sample of men who have sex with men (MSM). In addition, this study examined whether poor sleep health was associated with depressive symptoms, substance use, and sexual risk behaviors in this sample. DESIGN: Cross-sectional survey. PARTICIPANTS: Broadcast advertisements were placed on a popular smartphone application for MSM in January 2016 to recruit users in the London metropolitan area (n=202) to complete a Web-based survey, which included validated measures of sleep quality and duration. MEASUREMENTS: Poor sleep quality was defined based on self-report as very or fairly bad. Short sleep duration was defined as less than 7 hours each night. Regression models were used to assess associations between sleep variables and self-reported depressive symptoms, substance use, and sexual risk behaviors. RESULTS: About one-third (34.6%) of the respondents reported poor sleep quality and almost half (43.6%) reported sleeping less than 7 hours every night. Several poor sleep health variables were independently associated with depressive symptoms, substance use (eg, use of alcohol or marijuana), and condomless anal intercourse. For example, typical nightly sleep duration of less than 7 hours was associated with condomless receptive anal intercourse with a higher number of sexual partners (incidence rate ratio, 2.65; 95% confidence interval: 1.63-4.30; P<.001). CONCLUSION: Sleep health promotion interventions should be developed for MSM, which may promote positive mental health as well as reduce substance use and sexual risk behaviors in this population. Copyright \
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