Duncan Dustin T, Park Su Hyun, Goedel William C, Kreski Noah T, Morganstein Jace G, Hambrick H Rhodes, Jean-Louis Girardin, Chaix Basile
Spatial Epidemiology Lab, Department of Population Health, New York University School of Medicine, New York, NY, USA.
Pierre Louis Institute of Epidemiology and Public Health, Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Paris, France.
J Urban Health. 2017 Jun;94(3):399-407. doi: 10.1007/s11524-017-0148-z.
Recent studies have examined sleep health among men who have sex with men (MSM), but no studies have examined associations of neighborhood characteristics and sleep health among this population. The purpose of this study was to examine associations between perceived neighborhood safety and sleep health among a sample of MSM in Paris, France. We placed broadcast advertisements on a popular smartphone application for MSM in October 2016 to recruit users in the Paris (France) metropolitan area (n = 580). Users were directed to complete a web-based survey, including previously used items measuring perceptions of neighborhood safety, validated measures of sleep health, and socio-demographics. Modified Poisson models were used to estimate risk ratios (RRs) and 95% confidence intervals (CI) for the associations between perceived neighborhood safety and the following outcomes: (1) poor sleep quality, (2) short sleep duration, and (3) self-reported sleep problems. Poor sleep health was common in our sample; e.g., 30.1% reported poor sleep quality and 44.7% reported problems falling asleep. In multivariate regression models, perceived neighborhood safety was associated with poor sleep quality, short sleep duration, and having sleep problems. For example, reporting living in a neighborhood perceived as unsafe during the daytime (vs. safe) was associated with poor sleep quality (aRR, 1.60; 95% CI, 1.01, 2.52), short sleep duration (aRR, 1.92; 95% CI, 1.26, 2.94), problems falling asleep (aRR, 1.57; 95% CI, 1.17, 2.11), and problems staying awake in the daytime (aRR, 2.16; 95% CI, 1.05, 4.43). Interventions to increase neighborhood safety may improve sleep health among MSM.
近期研究已经调查了男男性行为者（MSM）的睡眠健康状况，但尚无研究探讨该人群邻里特征与睡眠健康之间的关联。本研究旨在调查法国巴黎的一个男男性行为者样本中，感知到的邻里安全与睡眠健康之间的关联。2016年10月，我们在一款面向男男性行为者的热门智能手机应用程序上投放了广播广告，以招募巴黎（法国）大都市地区的用户（n = 580）。用户被引导完成一项基于网络的调查，包括先前使用的衡量邻里安全感知的项目、经过验证的睡眠健康测量指标以及社会人口统计学信息。采用修正泊松模型来估计感知到的邻里安全与以下结果之间关联的风险比（RRs）和95%置信区间（CI）：（1）睡眠质量差，（2）睡眠时间短，以及（3）自我报告的睡眠问题。睡眠健康状况不佳在我们的样本中很常见；例如，30.1%的人报告睡眠质量差，44.7%的人报告入睡困难。在多变量回归模型中，感知到的邻里安全与睡眠质量差、睡眠时间短以及存在睡眠问题有关。例如，报告生活在白天被认为不安全（与安全相比）的社区与睡眠质量差（调整后RR，1.60；95% CI，1.01，2.52）、睡眠时间短（调整后RR，1.92；95% CI，1.26，2.94）、入睡困难（调整后RR，1.57；95% CI，1.17，2.11）以及白天难以保持清醒（调整后RR，2.16；95% CI，1.05，4.43）有关。提高邻里安全的干预措施可能会改善男男性行为者的睡眠健康。
