Perceived Neighborhood Safety Is Associated with Poor Sleep Health among Gay, Bisexual, and Other Men Who Have Sex with Men in Paris, France

Dustin Duncan, Su Hyun Park, William C. Goedel, Noah T. Kreski, Jace G. Morganstein, H. Rhodes Hambrick, Girardin Jean-Louis, Basile Chaix

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)399-407
Number of pages9
JournalJournal of Urban Health
Volume94
Issue number3
DOIs
StatePublished - Jun 1 2017

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Paris
sleep
France
Sleep
Safety
Health
health
confidence
Confidence Intervals
Sexual Minorities
Men's Health
broadcast
agglomeration area

Keywords

  • Gay men’s health
  • Men who have sex with men (MSM)
  • Neighborhood context
  • Perceived neighborhood safety
  • Poor sleep health
  • Spatial epidemiology

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Perceived Neighborhood Safety Is Associated with Poor Sleep Health among Gay, Bisexual, and Other Men Who Have Sex with Men in Paris, France. / Duncan, Dustin; Park, Su Hyun; Goedel, William C.; Kreski, Noah T.; Morganstein, Jace G.; Hambrick, H. Rhodes; Jean-Louis, Girardin; Chaix, Basile.

In: Journal of Urban Health, Vol. 94, No. 3, 01.06.2017, p. 399-407.

Research output: Contribution to journalArticle

Duncan, Dustin ; Park, Su Hyun ; Goedel, William C. ; Kreski, Noah T. ; Morganstein, Jace G. ; Hambrick, H. Rhodes ; Jean-Louis, Girardin ; Chaix, Basile. / Perceived Neighborhood Safety Is Associated with Poor Sleep Health among Gay, Bisexual, and Other Men Who Have Sex with Men in Paris, France. In: Journal of Urban Health. 2017 ; Vol. 94, No. 3. pp. 399-407.
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