Sleep Health among Community-Recruited Opioid-Using People Who Inject Drugs in Los Angeles, CA and Denver, CO

Poor sleep health is common among structurally vulnerable community-recruited PWID, as measured by subsistence index associated with adverse sleep outcomes. Participants with poor quality sleep and insufficient sleep were statistically significantly more likely to report difficulty in addressing basic needs (shelter, food, etc.). Drug use patterns were not associated with sleep health. Rather, the personal circumstances related to social determinants of health appear more salient for this outcome. Further research on structural interventions to address sleep and subsequent health outcomes among PWID is imperative.