Center for HIV Educational Studies & Training (CHEST), Hunter College, City University of New York (CUNY), 142 West 36th St, 9th Floor, New York, NY, 10018, USA.
Department of Psychology, Hunter College, CUNY, New York, NY, USA.
AIDS Behav. 2019 Mar;23(3):572-579. doi: 10.1007/s10461-018-2288-x.
Emerging evidence links poor sleep health with a range of adverse health behaviors, including condomless anal intercourse (CAI) among men who have sex with men (MSM). We tested associations between a range of sleep health indicators and sex outcomes in an online sample of 559 MSM in Paris France, recruited from a geosocial-networking phone application. Participants reported on sleep quality, sleep duration, problems falling asleep, and problems staying awake during wake-time activities, and four sex outcomes: numbers of receptive, insertive, and total CAI partners in the past three months, and use of substances before or during sex. In bivariate analyses, all four sleep variables were associated with the three CAI outcomes, whereas poor sleep quality and problems falling asleep were positively associated with using substances before or during sex. Most of these associations remained significant when adjusting for various socio-demographic and behavioral covariates. These findings highlight the importance of addressing sleep health to prevent HIV risk among MSM.
新出现的证据将睡眠健康不良与一系列不良健康行为联系起来，包括男男性行为者（MSM）中的无保护肛交（CAI）。我们在法国巴黎的一个在线 MSM 样本中，对来自地理位置社交网络手机应用程序的 559 名 MSM 进行了测试，以评估一系列睡眠健康指标与性行为结果之间的关联。参与者报告了睡眠质量、睡眠时间、入睡困难和在清醒活动期间保持清醒的问题，以及四个性行为结果：过去三个月中接受性、插入性和总 CAI 伴侣的数量，以及性行为前后使用物质的情况。在单变量分析中，所有四个睡眠变量都与三个 CAI 结果相关，而睡眠质量差和入睡困难与性行为前后使用物质呈正相关。当调整各种社会人口统计学和行为因素的协变量时，大多数这些关联仍然具有统计学意义。这些发现强调了关注睡眠健康以预防 MSM 中 HIV 风险的重要性。
