Specific sleep characteristics have been associated with cognitive decline, Alzheimer’s disease, and related dementias; however, studies examining the association between multidimensional sleep (a more comprehensive integration of sleep parameters) and cognitive decline are lacking. Among 2,811 older men without dementia, those with none, 1-2, and 3–5 “poor” self-reported sleep health dimensions had an adjusted 10-year change score of global cognition (3MS) of 2.9, 4.0 and 3.5 points (p-trend= 0.05), and in executive function (Trails B) completion time of 36.7, 42.7, and 46.7 seconds (ptrend< 0.01), respectively. In conclusion, a multidimensional measure of sleep health was associated with greater cognitive decline.