The goal of this study was to examine lifetime patterns of sexual assault
and associated risks among a purposive sample of gay and bisexual men
(N = 183; 18–35 years old,
M = 24.3). Cross-sectional data were collected via
written, self-administered questionnaires and face-to-face, event-based
qualitative interviews. Alcohol severity scores indicated high rates of
hazardous drinking (53.0%) and possible dependence (14.2%) among
participants. One half of men (50.8%) reported childhood sexual abuse
(CSA) and 67.2% reported adult sexual assault (ASA). Average age at most
recent ASA was 21 years. Most perpetrators of recent ASA incidents
(83.9%) were male; 67.0% of participants reported consuming
alcohol and/or drugs prior to the most recent incident. Regression findings
indicated more severe CSA experiences and past alcohol-related problems
predicted recent severe ASA. Although we found similarities between gay and
bisexual men in lifetime sexual assault history, we found some distinct
differences in ASA risk factors. Bisexual men reported higher alcohol severity
scores, more female ASA perpetrators, higher internalized homophobia scores, and
fewer male sexual partners than gay men. Findings suggest the need for
interventions that reduce ASA risk among sexual minority men—and the
potential benefits of focusing on alcohol consumption in risk reduction
efforts.