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

Hayden D. Mountcastle, Su Hyun Park, Yazan A. Al-Ajlouni, William C. Goedel, Stephanie Cook, Sonia Lupien, Ezemenari M. Obasi, Lauren Hale, Girardin Jean-Louis, Susan Redline, Dustin T. Duncan

Research output: Contribution to journalArticlepeer-review


Objective: The objective of this study was to examine the association between perceived stress and sleep health among a sample of sexual minority men (SMM). Design: Cross-sectional survey. Setting: Paris, France. Participants: Gay, bisexual and other SMM users ≥18 years on a geosocial networking application in Paris, France (N = 580). Measurements: Participants 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. Results: Most 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). Conclusion: Elevated perceived stress can negatively influence sleep health among SMM in Paris, France.

Original languageEnglish (US)
Pages (from-to)436-441
Number of pages6
JournalSleep Health
Issue number5
StatePublished - Oct 2018


  • Paris France
  • Poor sleep health
  • Sexual minority men (SMM)
  • Stress

ASJC Scopus subject areas

  • Health(social science)
  • Neuropsychology and Physiological Psychology
  • Social Sciences (miscellaneous)
  • Behavioral Neuroscience


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