Work

The relationship between sexual orientation-related stigma and sleep quality in gay men: a moderated mediation model

Year: 2025

Type: article

Abstract: BACKGROUND: This study aims to explore the relationship between sexual orientation-related stigma and sleep quality in gay men, the mediating roles of depression and perceived social support in this relationship, and the moderating mediation effects of living alone and being only children. METHODS: Between April and August 2022, 528 gay men were recruited. All participants completed the Sexual Orientation-related Stigma Scale, the Chinese version of the Patient Health Questionnaire, the Multidimensional Survey of Perceived Social Support and the Pittsburgh Sleep Quality Index. Structural equation models were constructed for mediation and moderated mediation analysis. RESULTS: Sexual orientation-related stigma significantly impacts the sleep quality of gay men, with depression and social support playing a chain-mediated role in this relationship. Being an only child moderates the relationship between sexual orientation-related stigma and social support, whereas living alone moderates the relationship between sexual orientation-related stigma and depression. CONCLUSIONS: The results emphasize the importance of sexual orientation-related stigma in the mental health and sleep quality of gay men. Reducing stigma, increasing social support, and considering individual differences related to family structure and living arrangements are all crucial for enhancing the mental health and sleep quality of gay men. Future research should delve deeper into these complex relationships to develop more effective interventions; thus, improving the overall quality of life and happiness of gay men.

Source: Sexual Health

DOI: 10.1071/sh24249