Stress levels are associated with poor sleep health among sexual minority men in Paris, France

Abstract

ObjectiveThe objective of this study was to examine the association between perceived stress and sleep health among a sample of sexual minority men (SMM). DesignCross-sectional survey. SettingParis, France. ParticipantsGay, bisexual and other SMM users ≥18 years on a geosocial networking application in Paris, France (N = 580). MeasurementsParticipants were directed to a web-based survey measuring stress, sleep health, and socio-demographics. Multivariate log-binomial regression models were used to estimate the adjusted risk ratios (aRRs) and 95% confidence intervals (CIs) to examine how stress may affect different dimensions of sleep health: 1) poor sleep quality, 2) short sleep duration, 3) problems falling asleep, and 4) problems staying awake in the daytime. ResultsMost participants (69.9%) reported at least sometimes feeling stressed (compared to never or rarely). Additionally, results demonstrate that higher perceived stress was associated with poorer sleep health; compared with those who reported feeling stress never or rarely, those who felt stress sometimes, often, or always were more likely to experience poor sleep quality (aRR = 6.67; 95% CI = 3.61–12.3), short sleep duration (aRR = 1.67; 95% CI = 1.17–2.38), problems falling asleep (aRR = 3.20; 95% CI = 2.26–4.52), and problems staying awake during the daytime (aRR = 3.52; 95% CI = 1.64–7.53). ConclusionElevated perceived stress can negatively influence sleep health among SMM in Paris, France.