Poor sleep quality indirectly contributes to higher sexual risk-taking by increasing the likelihood of engaging in substance use among LGBTQ+ individuals

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.