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Sexual Victimization Among Sexual and Gender Minoritized Groups: Recent Research and Future Directions

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Abstract

Purpose of the Review

Sexual victimization is a significant public health concern. Compared to heterosexual and cisgender peers, sexual and gender minoritized (SGM) individuals are at elevated risk for sexual victimization. Prominent theories suggest that this risk is due in part to the stigma SGM individuals face when navigating heteronormative cultures. The goal of this article is to review the prevalence, risk factors, and consequences of sexual victimization in SGM individuals.

Recent Findings

Studies continue to show that SGM individuals—bisexual and/or gender minoritized in particular—are at higher risk for sexual victimization. Little work has focused on risk factors, though recent research continues to highlight post-victimization disparities among SGM individuals. Emerging studies also point to theoretically informed factors that may influence victimization risk and recovery, including sexual and gender-related stigma.

Summary

To inform prevention and intervention efforts, future research would benefit from streamlining assessment, methodology, and dissemination practices.

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References

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  1. Black MC, Basile KC, Breiding MJ, Smith SG, Walters ML, Merrick MT, et al. The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 summary report. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.: 2011.

  2. Rothman EF, Exner D, Baughman AL. The prevalence of sexual assault against people who identify as gay, lesbian, or bisexual in the United States: a systematic review. Trauma Violence Abuse. 2011;12(2):55–66.

    Article  PubMed  PubMed Central  Google Scholar 

  3. James SE, Herman JL, Rankin S, Keisling M, Mottet L, Anafi M. The report of the 2015 U.S. Transgender Survey. Washington, DC: National Center for Transgender Equality.; 2016.

  4. Dworkin ER, Menon SV, Bystrynski J, Allen NE. Sexual assault victimization and psychopathology: a review and meta-analysis. Clin Psychol Rev. 2017;56:65–81.

    Article  PubMed  PubMed Central  Google Scholar 

  5. •• Klein LB, Dawes HC, James G, Hall WJ, Rizo CF, Potter SJ, et al. Sexual and relationship violence among LGBTQ+ college students: a scoping review. Trauma Violence Abuse. 2022:15248380221089981. This scoping review examined research on LGBTQ+ college students experiences of sexual and relationship violence and identified five main themes across studies (e.g., victimization-related attitudes, prevalence rates, negative outcomes, prevention implications, and future research recommendations.

  6. Jones JM. LGBT identification rises to 5.6% in latest US estimate. Gallup News. 2021;24.

  7. Diamond LM, Butterworth M. Questioning gender and sexual identity: dynamic links over time. Sex Roles. 2008;59(5):365–76.

    Article  Google Scholar 

  8. Katz-Wise SL, Reisner SL, Hughto JW, Keo-Meier CL. Differences in sexual orientation diversity and sexual fluidity in attractions among gender minority adults in Massachusetts. J Sex Res. 2016;53(1):74–84.

    Article  PubMed  Google Scholar 

  9. Goldbach JT, Gibbs JJ. A developmentally informed adaptation of minority stress for sexual minority adolescents. J Adolesc. 2017;55:36–50.

    Article  PubMed  Google Scholar 

  10. Diamond LM. Sexual identity, attractions, and behavior among young sexual-minority women over a 2-year period. Dev Psychol. 2000;36(2):241.

    Article  CAS  PubMed  Google Scholar 

  11. Bishop MD, Mallory AB, Russell ST. Sexual minority identity development: latent profiles of developmental milestones in a national probability sample. Psychol Sex Orientat Gender Divers. 2022.

  12. American Psychological Association. (2020). Publication manual of the AmericanPsychological Association 2020: The official guide to APA style (7th ed.). American Psychological Association.

  13. National Academies of Sciences EaM, Committee on P. Understanding the well-being of LGBTQI+ populations. 2021.

  14. Health NIo. Sexual & gender minority terms and definitions. 2021.

  15. Health NIo. Sexual and gender minority populations in NIH-supported research. 2019.

  16. • Blayney JA, Hequembourg A, Livingston JA. Rape acknowledgment and sexual minority women’s mental health and drinking behaviors. J Interpers Violence. 2021;36(7–8):NP3786-NP802. This cross-sectional study examined rates of rape acknowledgement in lesbian and bisexual cisgender women and found high rates of rape acknowledgement in the sample as well as differences in mental health and hazardous drinking when compared to non-victimized sexual minoritized cisgender peers.

  17. Hequembourg AL, Parks KA, Collins RL, Hughes TL. Sexual assault risks among gay and bisexual men. J Sex Res. 2015;52(3):282–95.

    Article  PubMed  Google Scholar 

  18. Hughes TL, Szalacha LA, Johnson TP, Kinnison KE, Wilsnack SC, Cho Y. Sexual victimization and hazardous drinking among heterosexual and sexual minority women. Addict Behav. 2010;35(12):1152–6.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Herek GM. Confronting sexual stigma and prejudice: theory and practice. J Soc Issues. 2007;63(4):905.

    Article  Google Scholar 

  20. Herek GM. A nuanced view of stigma for understanding and addressing sexual and gender minority health disparities. Mary Ann Liebert, Inc. 140 Huguenot Street, 3rd Floor New Rochelle, NY 10801 USA; 2016. p. 397–9.

  21. Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129(5):674.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. 2013.

  23. Brooks VR. Minority stress and lesbian women: Free Press; 1981.

  24. Hatzenbuehler ML. How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychol Bull. 2009;135(5):707.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Basile KC, Smith SG, Breiding M, Black MC, Mahendra RR. Sexual violence surveillance: uniform definitions and recommended data elements. Version 2.0. 2014.

  26. Canan SN, Jozkowski KN, Wiersma-Mosley J, Blunt-Vinti H, Bradley M. Validation of the sexual experience survey-short form revised using lesbian, bisexual, and heterosexual women’s narratives of sexual violence. Arch Sex Behav. 2020;49(3):1067–83.

    Article  PubMed  Google Scholar 

  27. Blayney JA, Jaffe AE, Carroll Q, Read JP. Contextual risk for nonconsensual sexual experiences: an application of routine activity theories among first-year college women who drink alcohol. Psychol Violence. 2021.

  28. Papp LJ, McClelland SI. Too common to count? “Mild” sexual assault and aggression among US college women. J Sex Res. 2021;58(4):488–501.

    Article  PubMed  Google Scholar 

  29. Gervais SJ, DiLillo D, McChargue D. Understanding the link between men’s alcohol use and sexual violence perpetration: the mediating role of sexual objectification. Psychol Violence. 2014;4(2):156.

    Article  Google Scholar 

  30. • Kammer-Kerwick M, Wang A, McClain TS, Hoefer S, Swartout KM, Backes B, et al. Sexual violence among gender and sexual minority college students: the risk and extent of victimization and related health and educational outcomes. J Interpers Violence. 2021;36(21–22):10499–526. This multi-site cross-sectional study examined the consequences of sexual victimization among SGM and heterosexual cisgender college students and found that SGM students were more likely to experience sexual victimization and post-victimization mental health symptoms.

    Article  PubMed  Google Scholar 

  31. • Trottier D, Nolet K, Benbouriche M, Bonneville V, Racine-Latulippe F, Bergeron S. Sexual violence perpetration and victimization: providing prevalence rates for understudied populations. Violence Gend. 2021;8(2):59–66. This cross-sectional study examined both perpetration and victimization rates among adults and found that SGM individuals as well as heterosexual women reported the highest rates of sexual victimization.

    Article  Google Scholar 

  32. • López G, Yeater EA. Comparisons of sexual victimization experiences among sexual minority and heterosexual women. J Interpers Violence. 2021;36(7–8):NP4250-NP70. This cross-sectional study examined sexual minoritized and heterosexual women’s experiences of sexual victimization both qualitatively and quantitatively and found that sexual minoritized women reported greater victimization severity as well as higher rates of revictimization.

  33. • Grocott LR, Leach NR, Brick LA, Meza-Lopez R, Orchowski LM. Institutional response and impact of reporting sexual violence: an examination of sexual and gender minority college students. J Interpers Violence. 2021:08862605211055078. This cross-sectional study from the Healthy Minds Survey found that sexual victimization rates were higher in SGM college students, particularly gender minoritized students, relative to heterosexual cisgender college students.

  34. • Canan SN, Jozkowski KN, Wiersma-Mosley JD, Bradley M, Blunt-Vinti H. Differences in lesbian, bisexual, and heterosexual women’s experiences of sexual assault and rape in a national US sample. J Interpers Violence. 2021;36(19–20):9100–20. This cross-sectional study examined differences in sexual victimization rates among sexual minoritized and heterosexual cisgender women and found high rates across groups, particularly among lesbian and bisexual identified women.

    Article  PubMed  Google Scholar 

  35. •• Salim SR, McConnell AA, Messman T. Sexual victimization outcomes and adjustment among bisexual women: a review of the quantitative literature. Trauma Violence Abuse. 2022:15248380211073837. This narrative review examines the consequences of sexual victimization among bisexual women and identifies limitations of current studies, including limited assessment of biphobia and mental health outcomes.

  36. Classen CC, Palesh OG, Aggarwal R. Sexual revictimization: a review of the empirical literature. Trauma Violence Abuse. 2005;6(2):103–29.

    Article  PubMed  Google Scholar 

  37. Messman-Moore TL, Long PJ. The role of childhood sexual abuse sequelae in the sexual revictimization of women: an empirical review and theoretical reformulation. Clin Psychol Rev. 2003;23(4):537–71.

    Article  PubMed  Google Scholar 

  38. Testa M, Livingston JA. Women’s alcohol use and risk of sexual victimization: implications for prevention. Sexual assault risk reduction and resistance: Elsevier; 2018. p. 135–72.

    Google Scholar 

  39. Testa M, Hoffman JH, Livingston JA. Alcohol and sexual risk behaviors as mediators of the sexual victimization–revictimization relationship. J Consult Clin Psychol. 2010;78(2):249.

    Article  PubMed  PubMed Central  Google Scholar 

  40. • Ray CM, Tyler KA, Gordon SL. Risk factors for forced, incapacitated, and coercive sexual victimization among sexual minority and heterosexual male and female college students. J Interpers Violence. 2021;36(5–6):2241–61. This cross-sectional study examined sexual victimization prevalence rates and risk factors for sexual victimization and found that heavy drinking increased risk for sexual victimization among both heterosexual and sexual minoritized students.

    Article  PubMed  Google Scholar 

  41. • Sutton TE, Simons LG, Tyler KA. Hooking-up and sexual victimization on campus:examining moderators of risk. J Interpers Violence. 2021;36(15–16):NP8146-NP75. This cross-sectional study examined risk factors for sexual victimization among sexual minoritized and heterosexual college students and found that sexual hookups increased risk for sexual victimization among sexual minoritized men and women relative to heterosexual students.

  42. Jaffe AE, Blayney JA, Lewis MA, Kaysen D. Prospective risk for incapacitated rape among sexual minority women: hook-ups and drinking. J Sex Res. 2020;57:922–32.

    Article  PubMed  Google Scholar 

  43. Khantzian EJ. The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harv Rev Psychiatry. 1997;4(5):231–44.

    Article  CAS  PubMed  Google Scholar 

  44. • Staples JM, Fuller CC. Adult sexual assault severity among transgender people of color: the impact of double marginalization. J Aggress Maltreat Trauma. 2021;30(5):694–706. This cross-sectional study examined transgender visibility as a moderator of the association between race/ethnicity and sexual victimization severity and found that this association was stronger for those with greater transgender visibility.

    Article  Google Scholar 

  45. • Grove M, Johnson NL. The relationship between social group prejudice and vulnerability to sexual violence in bisexual women. Psychol Sex Orientat Gend Divers. 2022. This cross-sectional study examined sexual minority-related stigma experiences as predictors of sexual victimization among bisexual women and found that those who experienced more biphobia and hostile sexism in their peer groups were more likely to report sexual victimization in the past year.

  46. • Flanders CE, VanKim N, Anderson RE, Tarasoff LA. Exploring potential determinants of sexual victimization disparities among young sexual minoritized people:a mixed-method study. Psychol Sex Orientat Gend Divers. 2021. This cross-sectional study examined sexual minority-related stigma experiences both qualitatively and quantitatively and found that sexual stigma was associated with a greater likelihood of experiencing sexual victimization among bisexual SGM individuals, and to a lesser extent, also lesbian SGM individuals.

  47. • Holmes SC, DaFonseca AM, Johnson DM. Sexual victimization and disordered eating in bisexual women: a test of objectification theory. Violence Against Women. 2021;27(11):2021–42. This cross-sectional study examined the consequences of sexual victimization among bisexual college students and found a relationship between sexual victimization and disordered eating that was mediated by sexual objectification and body shame.

    Article  PubMed  Google Scholar 

  48. • Yockey A, King K, Vidourek R. Past-year suicidal ideation among transgender individuals in the United States. Arch Suicide Res. 2022;26(1):70–80. This cross-sectional study from the 2015 Transgender Survey examined correlates of past year suicidal ideation and found that gender identity as well as sexual victimization were associated with suicidal ideation.

    Article  PubMed  Google Scholar 

  49. • Caceres BA, Wardecker BM, Anderson J, Hughes TL. Revictimization is associated with higher cardiometabolic risk in sexual minority women. Women’s Health Issues. 2021;31(4):341–52. This cross-sectional study from the Chicago Health and Life Experiences study examined the impact of sexual revictimization on health-related behaviors and found that revictimization among sexual minoritized women was associated with higher odds of depression, binge eating, obesity, and hypertension.

    Article  PubMed  PubMed Central  Google Scholar 

  50. • Paquette G, Martin-Storey A, Bergeron M, Dion J, Daigneault I, Hébert M, et al. Trauma symptoms resulting from sexual violence among undergraduate students: Differences across gender and sexual minority status. J Interpers Violence. 2021;36(17–18):NP9226-NP51. This cross-sectional study from Quebec examined the consequences of sexual victimization among sexual minoritized and heterosexual college students and found that sexual minoritized students reported more post-victimization trauma symptoms. For cisgender students, perpetrator gender and amount of sexual violence moderated the association between sexual identity and trauma symptoms.

  51. Norris AL, Carey KB, Shepardson RL, Carey MP. Sexual revictimization in college women: mediational analyses testing hypothesized mechanisms for sexual coercion and sexual assault. J Interpers Violence. 2021;36(13–14):6440–65.

    Article  PubMed  Google Scholar 

  52. • Tyler KA, Ray CM. Risk and protective factors for mental health outcomes among sexual minority and heterosexual college women and men. J Am Coll Health. 2021:1–10. This cross-sectional study examined correlates of sexual victimization among sexual minoritized and heterosexual college students and found that sexual minoritized men reported more trauma symptoms than sexual minoritized women.

  53. • Backhaus I, Lipson SK, Fisher LB, Kawachi I, Pedrelli P. Sexual assault, sense of belonging, depression and suicidality among LGBQ and heterosexual college students. J Am Coll Health. 2021;69(4):404–12. This cross-sectional study from the Healthy Minds Survey examined whether the association between sexual victimization and mental health symptoms was moderated by sexual identity and sense of belonging. Findings indicated that having a high sense of belonging following sexual victimization was associated with lower mental health concerns for sexual minoritized students.

    Article  PubMed  Google Scholar 

  54. Wagner AC, Monson CM, Hart TL. Understanding social factors in the context of trauma: implications for measurement and intervention. J Aggress Maltreat Trauma. 2016;25(8):831–53.

    Article  Google Scholar 

  55. Meyer IH. Resilience in the study of minority stress and health of sexual and gender minorities. Psychol Sex Orientat Gend Divers. 2015;2(3):209.

    Article  Google Scholar 

  56. Yerke AF, DeFeo J. Redefining intimate partner violence beyond the binary to include transgender people. J Fam Violence. 2016;31(8):975–9.

    Article  Google Scholar 

  57. Blondeel K, De Vasconcelos S, García-Moreno C, Stephenson R, Temmerman M, Toskin I. Violence motivated by perception of sexual orientation and gender identity: a systematic review. Bull World Health Organ. 2018;96(1):29.

    Article  PubMed  Google Scholar 

  58. Savin-Williams RC, Vrangalova Z. Mostly heterosexual as a distinct sexual orientation group: a systematic review of the empirical evidence. Dev Rev. 2013;33(1):58–88.

    Article  Google Scholar 

  59. Lorenz TK. Relying on an “other” category leads to significant misclassification of sexual minority participants. LGBT Health. 2021;8(5):372–7.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Dyar C, Messinger AM, Newcomb ME, Byck GR, Dunlap P, Whitton SW. Development and initial validation of three culturally sensitive measures of intimate partner violence for sexual and gender minority populations. J Interpers Violence. 2021;36(15–16):NP8824–51.

    Article  PubMed  Google Scholar 

  61. Strang E, Peterson ZD, Hill YN, Heiman JR. Discrepant responding across self-report measures of men’s coercive and aggressive sexual strategies. J Sex Res. 2013;50(5):458–69.

    Article  PubMed  Google Scholar 

  62. Koss MP, Abbey A, Campbell R, Cook S, Norris J, Testa M, et al. Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization. Psychol Women Q. 2007;31(4):357–70.

    Article  Google Scholar 

  63. Anderson RE, Holmes SC, Johnson NL, Johnson DM. Analysis of a modification to the sexual experiences survey to assess intimate partner sexual violence. J Sex Res. 2021;58(9):1140–50.

    Article  PubMed  Google Scholar 

  64. Bender AK, Lauritsen JL. Violent victimization among lesbian, gay, and bisexual populations in the United States: findings from the National Crime Victimization Survey, 2017–2018. Am J Public Health. 2021;111(2):318–26.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Graham R, Berkowitz B, Blum R, Bockting W, Bradford J, de Vries B, et al. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington, DC: Institute of Medicine. 2011;10:13128.

  66. Crenshaw K. Mapping the margins: intersectionality, identity politics, and violence against women of color. Stan L Rev. 1990;43:1241.

    Article  Google Scholar 

  67. Pérez AE, Gamarel KE, van den Berg JJ, Operario D. Sexual and behavioral health disparities among African American sexual minority men and women. Ethn Health. 2020;25(5):653–64.

    Article  PubMed  Google Scholar 

  68. • Gilmore AK, Walsh K, López C, Fortson K, Oesterle DW, Salamanca NK, et al. Sexual assault victimization: Latinx identity as a protective factor for sexual minorities. J Interpers Violence. 2021:0886260521999122. This cross-sectional study examined correlates of sexual victimization severity in the past year among sexual minoritized and heterosexual college students and found that being a sexual minority, cisgender woman, and having more severe sexual victimization history was associated with more severe past year sexual victimization.

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Funding

Manuscript preparation was supported by grants from the National Institute of Alcohol Abuse and Alcoholism: K99AA028777 (PI: Blayney), K08AA028546 (PI: Jaffe), and R01AA025995 (PI: Parrott).

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Correspondence to Jessica A. Blayney.

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Blayney, J.A., Jaffe, A.E., Hequembourg, A.L. et al. Sexual Victimization Among Sexual and Gender Minoritized Groups: Recent Research and Future Directions. Curr Psychiatry Rep 25, 183–191 (2023). https://doi.org/10.1007/s11920-023-01420-0

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