ArticleFrontiers in psychiatry2025
Poor sleep quality indirectly contributes to higher sexual risk-taking by increasing the likelihood of engaging in substance use among LGBTQ+ individuals.
Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
2 citing papers in PubMed.
- Hookups, hashtags, and health: A Latent Class Analysis of social media, mental health and sleep among MSM in Paris, France.SSM. Mental health · 2026Article
- Cross-sectional and Longitudinal Association Between Sleep and HIV Prevention and Care Behaviors Among Transgender Women of Color: The TURNNT Cohort Study.AIDS and behavior · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Poor sleep quality (PSQ) is disproportionately prevalent among LGBTQ+ individuals and has been linked to substance use, sexual dysfunction and sexual risk-taking (SRT). However, the interplay between sleep health, substance use, SRT, and sexual dysfunction remains underexplored in diverse LGBTQ+ populations. This study investigates whether substance use mediates the relationship between PSQ and SRT among LGBTQ+ individuals in Turkey. Methods: A cross-sectional survey, using snowball sampling was conducted among 249 LGBTQ+ individuals in Turkey. Measures included the Pittsburgh Sleep Quality Index (PSQI), Index of Sexual Risk-Taking (ISRT), Arizona Sexual Experiences Scale (ASEX), AUDIT-C for alcohol use, and self-reported recent substance use. Logistic and linear regression analyses were used to assess associations between PSQ, substance use, and SRT. Mediation analysis was conducted using structural equation modeling (SEM). Results: PSQ was highly prevalent (80.7%) and significantly associated with alcohol use and chemsex-related substance use (CRSU). CRSU was strongly linked to increased SRT (β = 1.489, p <.001) and served as a significant mediator in the PSQ-SRT relationship (β = 1.045, p = .047). No significant mediation effect was found for alcohol use. Conclusion: Poor sleep quality indirectly contributes to higher sexual risk-taking among LGBTQ+ individuals by increasing the likelihood of engaging in chemsex-related substance use. These findings highlight the need for integrated public health interventions addressing sleep health, substance use, and sexual risk-taking in LGBTQ+ communities, particularly in settings with rising substance use rates.
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