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Author(s): Lauren R. Grocott [sup.1] , Benjamin W. Katz [sup.1] , Emily A. Muñoz [sup.1] , Katie M. Edwards [sup.2] , Ryan C. Shorey [sup.1] Author Affiliations: (1) https://ror.org/031q21x57, grid.267468.9, [...], Purpose The purpose of this descriptive study was to examine the context and disclosure of sexual assault among sexual and gender minority (SGM) individuals. Method Survey responses from SGM college students completing the 2020-2021 Healthy Minds Study who reported a sexual assault (N = 73) were included. Results Descriptive analyses revealed most sexual assaults occurred on campus (63.0%), involved alcohol (64.4%), and were perpetrated by a man (91.7%) who was a friend (27.4%), acquaintance (24.7%), or stranger (21.9%). Further, most participants (78.1%) had disclosed their sexual assault, and no differences in rates of disclosure were seen as a function of sexual orientation or gender identity. Participants commonly disclosed to a friend (68.5%), roommate (27.4%), or romantic partner (21.9%). Fewer participants disclosed if assaulted by a family member, casual or first date, or current romantic partner, compared to assaults perpetrated by strangers, acquaintances, co-workers, or a friend. Finally, most participants who used alcohol (70.0%) during the assault or were sexually assaulted through physical force (66.7%), disclosed. Conclusion Findings indicate most SGM survivors of sexual assault disclose to an informal support system, highlighting a need for additional research on the potential utility of peer education approaches for responding to sexual assault disclosure on campuses. Given the role of alcohol in sexual assault experiences reported in this sample, future research may benefit from utilizing intensive longitudinal designs to examine the temporal relationship between alcohol use and sexual assault in order to better inform intervention and prevention efforts that concurrently focus on alcohol use and sexual assault.

Background and Aims: Numerous studies have demonstrated that alcohol preceded and increased the odds of intimate partner violence (IPV). These prior studies were restricted to one dyad member despite theory suggesting that acute alcohol use by both partners should increase the risk for IPV to a greater degree than when only one partner drinks. We hypothesized that alcohol use by both dyad members, relative to one or no dyad members, would proximally precede and increase the odds of IPV perpetration and victimization. Design: A 60‐day daily diary design was used, where both dyad members of dating couples completed independent reports on IPV perpetration/victimization and alcohol use via a secure survey website. Setting and Participants: Alcohol using college‐student couples, aged 18–25 (n = 181 couples), from a Midwestern university in the United States participated. A convenience sample strategy was used. Measurements Daily surveys asked about alcohol use and IPV perpetration and victimization the prior day, including whether alcohol use preceded or followed IPV. The primary outcome was psychological IPV; secondary outcomes were physical and sexual IPV. Findings Longitudinal random effects models suggested statistically significant associations between drinking behavior and IPV outcomes. The odds of psychological IPV perpetration were higher when both partners were drinking relative to one partner drinking [adjusted odds ratio (aOR) = 1.13, 95% confidence interval (CI) = 1.06–1.99]. Exploratory analyses showed some indication that the odds of physical IPV victimization were higher when both partners were drinking relative to one partner drinking (aOR = 2.09, 95% CI = 1.71–4.21). Conclusions: The risk for intimate partner violence appears to be greater when both partners drink, relative to one partner or neither partner. [ABSTRACT FROM AUTHOR]

Adverse childhood experiences (ACEs) are prevalent and associated with common problems among adults with substance use disorders (SUDs), including posttraumatic stress disorder (PTSD) symptoms and compulsive behaviors. Most studies consider cumulative ACEs when examining their associations with health and behavioral outcomes. We tested whether patterns of ACEs related to SUD symptoms, PTSD symptoms, and compulsive behaviors among adults receiving treatment for substance use. We identified latent classes of ACEs using medical record data from 721 patients in residential SUD treatment and conducted Wald chi‐square tests to assess whether these latent classes differed in alcohol and drug use disorder symptoms, PTSD symptoms, compulsive sexual behavior, and compulsive gambling. We identified four latent classes: high ACEs (15.1%), maltreatment (12.4%), household problems (22.3%), and low ACEs (49.1%). There were significant differences across latent classes in drug use disorder symptoms, PTSD symptoms, and compulsive sexual behavior, χ2(1, N = 721) = 37.42–107.07, ps <.001. Participants in the high ACEs and household problems classes had more drug use disorder symptoms than those in the low ACEs class. Relative to all other classes, individuals in the low ACEs class had the lowest PTSD symptoms and those in the high ACEs class had the highest PTSD symptoms. Findings indicate that adults with SUDs who have more ACEs have the highest risk for PTSD symptoms and compulsive sexual behavior. Screening for ACEs while considering ACE patterns and frequency may benefit treatment planning for SUD patients with comorbid concerns such as PTSD symptoms and compulsive sexual behavior. [ABSTRACT FROM AUTHOR]

Background: Intimate partner violence (IPV) is a major public health concern among young adults and has shown a consistent association with alcohol use. However, previous research has used cross‐sectional and daily diary designs that may fail to pinpoint the effects of alcohol use within several hours of IPV occurring. The present study used novel ecological momentary assessment (EMA) methods to investigate the bidirectional effect of alcohol use and IPV victimization among young adults with a history of IPV perpetration. Methods: One hundred and sixty‐eight young adults (age 18–25 years) in a dating relationship who reported IPV perpetration in the past year completed 28 days of randomly prompted EMA surveys (four surveys daily). The effect of alcohol use on IPV victimization and the effect of IPV victimization on alcohol use were examined. Results: The results indicated that alcohol use co‐occurs with psychological and physical IPV victimization. Further, alcohol use significantly increased the odds of physical (OR = 4.94; 95% CI = 2.24–10.87) and sexual (OR = 4.66; 95% CI = 1.64–13.22) IPV victimization, but not psychological IPV victimization, in the subsequent EMA survey. Finally, IPV victimization did not significantly increase the odds of reporting alcohol use in the subsequent EMA survey. Conclusions: Using alcohol is proximally related to IPV victimization among those with a history of IPV perpetration. Intervention efforts would benefit from adapting EMA methods to provide resources the moment they are needed. [ABSTRACT FROM AUTHOR]

Objective: To test whether internalized heterosexism, a form of minority stress, heightens the effect of hazardous or harmful alcohol use on frequency of intimate partner violence (IPV) perpetration among sexual minority and same-sex-attracted men. Method: We recruited participants online via Amazon Mechanical Turk (MTurk). Inclusion criteria were adult cisgender men living in the United States who identified as a sexual minority (i.e., gay, bisexual) or who endorsed being sexually attracted to men and who reported a male partner in the preceding year. Participants (N = 198) completed self-report questionnaires measuring sexual orientation and attraction, internalized heterosexism, IPV perpetration (sexual, physical, and psychological), and hazardous or harmful alcohol use. Results: Hazardous or harmful alcohol use and internalized heterosexism were associated with frequency of IPV perpetration. Internalized heterosexism moderated the effect of hazardous or harmful alcohol use on IPV perpetration, such that greater hazardous or harmful alcohol use and higher levels of internalized heterosexism were associated with the greatest rates of IPV perpetration. Results were consistent for each type of IPV (sexual, physical, and psychological). Conclusions: Our findings highlight the association between high levels of internalized heterosexism, magnified by the presence of hazardous or harmful alcohol use, and physical, sexual, and psychological IPV. Alleviating internalized heterosexism is a potential target for decreasing IPV in this at-risk population. [ABSTRACT FROM AUTHOR]

Despite the prevalence and negative outcomes associated with simultaneous alcohol and cannabis use (i.e., marijuana [SAM] use, i.e., so that the effects of both alcohol and cannabis overlap) among college students, there is no comprehensive measure of SAM use, with past research relying on single items. The present study aimed to develop the Alcohol and Cannabis Simultaneous Use Scale (ACSUS), a comprehensive self-report measure of SAM use frequency, quantity, and problems in college students. College students at two Midwestern universities who used alcohol and cannabis (Study 1: N = 534; Mean age = 19; 71% female; 88% White; Study 2: N = 258; Mean age = 21; 81% female; 85% White) completed the newly developed ACSUS. Exploratory factor analysis (Study 1) revealed that the ACSUS fits best with 9-items representing two factors: Factor 1 measures frequency and quantity of SAM use and Factor 2 measures associated problems with SAM use. Confirmatory factor analysis (Study 2) supported the two-factor structure of the ACSUS, which was positively associated with measures of alcohol use, cannabis use, simultaneous use motives, and impulsivity. These data provide initial support for the ACSUS, developed to investigate the frequency, quantity, and associated problems with SAM use in college students. [ABSTRACT FROM AUTHOR]

Objective: The prevalence of intimate partner violence (IPV) is high, with young adults at increased risk. IPV is largely understood as a dyadic process, as it involves both partners and is inherently influenced by the behaviors of both partners. The objective of this study was to examine the proximal influence of relationship satisfaction and conflict on same-day and next-day IPV perpetration among young-adult couples. Method: This study used data from young-adult couples (N = 172) who completed a 60-day daily diary design. The actor–partner interdependence model was used to examine whether within- and between-person levels of relationship satisfaction and conflict were associated with same-day and next-day IPV perpetration. Results: Results suggest that high levels of one's own and one's partner's relationship satisfaction was associated with low levels of same-day and next-day psychological IPV. For women, but not men, high levels in their own and their partner's relationship satisfaction were associated with low levels in same-day physical IPV perpetration. Conversely, high levels in one's own and their partner's conflict was associated with high levels of same-day psychological IPV perpetration. For women, but not men, high levels in their partner's conflict were associated with high levels of same-day physical IPV perpetration. Conclusion: Results suggest that relationship dissatisfaction and conflict may be proximal risk factors for IPV perpetration, particularly psychological IPV perpetration, implying these factors may be effective targets for prevention and intervention. [ABSTRACT FROM AUTHOR]

Lesbian, gay, bisexual, queer, and other sexual minority (LGBQ+) young adults report similar or higher rates of intimate partner violence (IPV) perpetration than their heterosexual peers. Elevated IPV risk among LGBQ+ young adults may be attributable to experiencing heterosexist discrimination and internalized homophobia. In addition, LGBQ+ people report disproportionate posttraumatic stress disorder (PTSD) symptoms, alcohol use, and IPV perpetration in dating relationships. Thus, this study explored which combinations of IPV risk factors (i.e., experiencing heterosexist discrimination, internalized homophobia, PTSD symptoms, alcohol use) related to forms of IPV perpetration, inclusive of psychological, physical, and sexual forms, in a sample of 342 LGBQ+ young adults. Internalized homophobia was related to psychological IPV perpetration at high and medium levels of PTSD symptoms and only high levels of alcohol use. PTSD symptoms and alcohol use interacted to predict psychological IPV perpetration; and PTSD symptoms related to increased psychological IPV perpetration at high and medium, but not low, alcohol use levels. Alcohol use was positively related to physical IPV perpetration. No other risk factors or interactions were significantly related to physical or sexual IPV perpetration. Results were consistent with prior findings that linked internalized homophobia, alcohol use, and PTSD symptoms to IPV perpetration and highlight the interacting nature of these IPV perpetration risk factors. Comprehensive IPV interventions with LGBQ+ young adults should evaluate the impact of simultaneously targeting these multiple IPV risk factors considering their interacting contributions to IPV perpetration risk. More research is needed to examine the temporal relations between minority stress, PTSD symptoms, alcohol use, and IPV perpetration. [ABSTRACT FROM AUTHOR]

Alcohol use correlates with psychological partner abuse (PA) perpetration among lesbian, gay, bisexual, queer, and other nonheterosexual (LGBQ+) young adults. However, less is known about the proximal association between alcohol use and psychological PA within this population, which would provide valuable information for intervention development. Informed by minority stress and alcohol-related PA theories, we evaluated whether (a) psychological PA perpetration odds increased as the number of drinks consumed prior to psychological PA on a given day increased, (b) psychological PA perpetration odds were greater following heavy episodic drinking (HED) relative to non-HED, and (c) experiencing LGBQ+-specific discrimination (i.e., heterosexist harassment, incivility, and hostility) strengthened the association between daily alcohol use (number of drinks, HED) and subsequent psychological PA perpetration. LGBQ+ college students (N = 41; 75.6% women, 22.0% men, and 2.4% transgender/non-binary) completed a baseline survey of past-year discrimination before completing daily reports of their alcohol use and psychological PA for 60 consecutive days. Multilevel modeling revealed that drinking more than one usually does on a given day is positively associated with subsequent psychological PA odds (OR = 1.31, p <.001). Psychological PA was more likely following HED relative to non-HED (OR = 3.23, p <.001). Unexpectedly, experiencing discrimination was negatively associated with psychological PA odds across models (OR =.26 p =.01). No alcohol × discrimination interactions emerged. Results support alcohol use as a proximal risk factor for psychological PA among LGBQ+ college students and underscore the need for more nuanced examination of discrimination and other contextual variables in alcohol-related PA. [ABSTRACT FROM AUTHOR]

Purpose: The prevalence of intimate partner violence (IPV) is alarmingly high among young adults. Alcohol use and depression have both been shown to increase risk for IPV. However, little is known about whether depression and alcohol may interact to predict IPV in couples. Methods: The current study utilized a sample of 81 racially and ethnically diverse young adult couples (91.4% between the ages of 18–24) to examine alcohol use and depressive symptoms as predictors of physical, sexual, and psychological IPV perpetration. Data were analyzed following an Actor-Partner Interdependence Model (APIM) framework, allowing for the examination of both actor and partner effects. Results: Results indicated that one's own alcohol use was associated with an increase in one's own psychological IPV perpetration, and one's own depressive symptoms were associated with an increase in one's own physical and psychological IPV perpetration. Although one's partner's alcohol use was associated with an increase in one's own physical IPV perpetration on average, a marginally significant statistical interaction with one's partner's depression suggested this association was moderated, such that high levels of one's partner's depressive symptoms weakened the relationship between one's partner's alcohol use and one's own physical IPV perpetration. Conclusions: Findings provide novel information on when depressive symptoms may be a risk factor for IPV in young adult couples. [ABSTRACT FROM AUTHOR]

The prevalence of experiencing sexual assault is alarmingly high among Transgender and Gender Diverse people (TGD; people whose gender identities and/or expressions are not traditionally associated with their sex assigned at birth) and is associated with various mental health sequalae. Perceived social support has been shown to abate the negative outcomes of sexual assault among cisgender individuals, yet little is known about this association among TGD people, especially which provider of support (i.e., family, friends, or significant others) may be most beneficial. To that end, 191 TGD adults were recruited through Amazon's Mechanical Turk to examine perceived social support as a potential moderator of the association between sexual assault victimization and post-sexual assault trauma symptomology. Results showed an interaction trending toward significance between sexual assault and support from a significant other. Decomposition of this interaction demonstrated that sexual assault was associated with post-assault trauma symptoms when support from a significant other was low (ß =.25, p <.05) but not high (ß =.10, p =.089). The interaction between sexual assault and perceived social support was not significant for perceived support from friends (p =.133) or family (p =.954). Findings highlight the need for additional research on perceived social support as a potential buffering mechanism between sexual assault and post-assault symptomology in TGD people. [ABSTRACT FROM AUTHOR]

Reproductive coercion is an understudied form of intimate partner violence (IPV) that occurs when a person attempts to control the autonomous reproductive decision making of their intimate partner. Previous research has demonstrated that individuals who experience reproductive coercion are more likely to experience other forms of IPV (e.g., physical and sexual). Research has also shown that Black/African American and Latinx/Hispanic individuals are at an increased risk of experiencing reproductive coercion compared to their White/Non-Hispanic peers. However, most of the research on reproductive coercion has been conducted in family-planning clinics where IPV is reported at a higher rate than in community samples. Thus, using a diverse community sample of female-identifying young adults (N = 370) who were recruited as part of an ongoing longitudinal study on dating violence, we examined the prevalence of lifetime reproductive coercion and its relationship with other forms of IPV, as well as the differences in prevalence among racial and ethnic groups. Lifetime prevalence of being victimized by any form of reproductive coercion was 11.4%. Results indicated that individuals who experienced reproductive coercion were more likely to experience physical and sexual IPV relative to those who did not experience reproductive coercion. With respect to race/ethnicity, 5.6% of White participants, 10.5% of Black/African American participants, and 14.8% of Hispanic/Latinx participants reported experiencing reproductive coercion. Chi-square analyses showed Hispanic/Latinx participants had a significantly higher prevalence of reproductive coercion when compared to White/Non-Hispanic participants. These findings suggest a need for additional research on culturally-specific risk and protective factors related to reproductive coercion among Hispanic/Latinx individuals to identify potential intervention and prevention strategies. [ABSTRACT FROM AUTHOR]

Despite alarming rates of sexual assault on college campuses, little research has examined risk factors for sexual victimization among LGBTQ+ college students. This exploratory study aims to examine adolescent sexual assault, internalized homonegativity, and problematic alcohol use as mediators linking several types of adverse childhood experiences (ACEs; i.e., childhood sexual abuse, parental abuse, and household disorder) to collegiate sexual assault. Utilizing data from 241 LGBTQ+ college students, path analysis findings demonstrated that these proposed mediators increased risk for sexual assault and that various types of ACEs exerted differential impacts on sexual re-victimization, internalized homonegativity, and problematic alcohol use. Practice-based implications are offered, including the need for affirming programming that includes problem drinking prevention components and considers the role of ACEs and internalized homonegativity in increasing risk for sexual assault during college as well as the need for LGBTQ+ resource centers on campus. [ABSTRACT FROM AUTHOR]

Purpose: College students who identify as a sexual minority consume alcohol at rates that are equal to, or greater than, their heterosexual peers and sexual minority stress factors (e.g. discrimination, sexual orientation-based violence) are predictors of their alcohol use. Despite research supporting the use of brief motivational interventions (BMIs) to reduce alcohol use among college student populations, there has yet to be a single study to investigate whether BMIs are effective for reducing alcohol use and consequences among sexual minority college students. Methods: In this article we provide recommendations for ways BMIs for sexual minority college student drinking can be more affirming by incorporating minority stress factors into their programs. Results: To confirm that no empirical studies examined the efficacy of BMIs, or adapted BMIs to include a focus on minority stress, for reducing alcohol use among sexual minority college students, we first conducted a systematic literature review of BMIs for sexual minority college student drinking using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Conclusion: Next, based on (1) evidence that culturally adapting empirically-support treatments improves outcomes and (2) a conceptual model of minority stress and alcohol use, we recommend ways that BMIs for sexual minority college student drinking could be adapted to include a focus on minority stress experiences. We also recommend ways that existing components of BMIs, particularly alcohol expectancies, coping motives, and normative feedback on peers' alcohol use, could be modified to better align with the experiences and perceptions of sexual minority college students. [ABSTRACT FROM AUTHOR]

Sexual minority (SM) men’s sexual revictimization (SR; i.e. experiences of adult victimization among childhood sexual abuse survivors) is an understudied topic despite evidence that SM men are disproportionately impacted by sexual violence (SV) over the life course. This study addresses this gap utilizing a diverse sample (n = 2859) of SM men (age 18–30) from the U.S. Results demonstrated that over 10% of SM men had experienced SR. Further, strength-based (e.g. sense of LGBTQIA2S+ community) and minority-stress (e.g. internalized homonegativity) related factors were examined as moderators of the relationship between child sexual abuse (CSA) and adult sexual assault victimization (ASAV) in the past six months. One factor emerged as a significant moderator of the CSA-ASAV relationship: perceived discrimination. Practice-based implications are provided. [ABSTRACT FROM AUTHOR]

Adverse childhood experiences (ACEs) are associated with intimate partner violence (IPV) perpetration. A posited mechanism explaining the link between ACEs and IPV is alcohol use consequences. Yet, few studies have examined this relationship among sexual minority young adults or how chronic and unique discrimination due to their marginalized identity (i.e., minority stress) may influence these associations. This study examined whether alcohol use consequences mediated the relationship between ACEs and IPV perpetration, and whether minority stress moderated this mediated relationship. Sexual minority young adults who used alcohol in the past month (N = 344; age 18–25) in a dating relationship completed a survey on ACEs, IPV, alcohol and minority stress. We hypothesized: (a) alcohol use consequences would mediate the association between ACEs and IPV perpetration and (b) higher discrimination would moderate the mediation of alcohol use consequences in the relationship between ACEs and IPV perpetration. ACEs (B = 0.74, p = .010) and alcohol use consequences (B = 0.64, p = .007), were significantly associated with psychological, but not physical, IPV perpetration. Alcohol use consequences did not mediate the association between ACEs and any IPV type. In addition, everyday discrimination was not a significant moderator. ACEs and alcohol use consequences contribute to the risk for IPV perpetration among sexual minority young adults. Future research is needed to determine how alcohol use consequences may impact risk for IPV perpetration among those who have experienced ACEs. [ABSTRACT FROM AUTHOR]

Objective: Hookup behaviors (HUBs; i.e., sexual activity outside an exclusive relationship with no mutual expectation of romantic commitment) are prevalent on college campuses and are linked with alcohol use and sexual assault. There is limited understanding of risk factors for consensual and coercive HUBs. We examined the proximal associations between alcohol use and consensual and coercive HUBs and the moderating influence of positive urgency and alcohol-related sexual affect and drive expectancies among college men., Method: Ninety-nine college men completed a baseline assessment and 60 consecutive daily surveys assessing their alcohol use and HUBs., Results: An alcohol use day increased the odds of a consensual and coercive HUB, compared to no HUB. An alcohol use day decreased the odds of a consensual HUB, versus a coercive HUB, in the models that included alcohol-related sexual affect and drive expectancies. Only alcohol-related sexual affect expectancies was a significant moderator. An alcohol use day significantly associated with a consensual HUB, compared to no HUB, among college men at low, B = .93, p = .009, OR = 2.53 (95% CI: 1.27, 5.06), and high, B = 1.93, p < .001, OR = 6.87 (95% CI: 4.32, 10.92), levels of alcohol-related sexual affect expectancies., Conclusions: Results suggest that greater alcohol-related sexual affect expectancies may increase the odds of an alcohol-facilitated consensual HUB among college men. An alcohol use day increases the odds of engaging in a HUB and increases the odds of a coercive HUB, compared to a consensual HUB. Additional research is needed to identify risk factors for coercive HUBs.

Objective: Sexual and gender diverse (SGD) individuals are at heightened risk for intimate partner aggression (IPA) perpetration relative to their heterosexual and cisgender peers. Alcohol is a well-established cause of IPA perpetration in cisgender, heterosexual couples; however, minimal research has investigated the alcohol-IPA perpetration link in SGD couples. The relative lack of work in this area is a major barrier to addressing this health disparity. SGD individuals experience unique stressors related to their and/or their partner's intersecting minoritized identities that are critical to understanding alcohol-IPA etiology and informing culturally affirming intervention programming., Method: We advance prior work by members of the authorship team (see Parrott et al., 2023a; Shorey et al., 2019) to propose an integrative theoretical model that invokes (1) the I 3 Model to organize risk and resilience factors at the individual and dyadic level, and (2) Alcohol Myopia Theory to explain the mechanism by which proximal alcohol use facilitates IPA as a function of individual differences in those factors., Results: This integrative model provides a framework to understand how the confluence of stigma, minority stressors, proximal alcohol use, and other factors contribute to IPA perpetration in SGD couples., Discussion: Application of this integrative model has potential to facilitate more rigorous research (e.g., intensive longitudinal designs, dyadic analysis) focused on putative risk and resilience factors across the social ecology. Further, the model provides guidance for intervention development by identifying how individual (e.g., minority stress), relationship (e.g., relationship functioning), and structural factors (e.g., SGD stigma) interactively contribute to alcohol-facilitated IPA perpetration.

Background: Alcohol and cannabis use rates are highest in college-aged young adults, and both alcohol and cannabis use are independently related to high-risk sexual behaviors (HRSBs). HRSBs (e.g., sex without protection against sexually transmitted infections) are a prevalent public health problem in college students, with little research examining simultaneous alcohol and cannabis use (i.e., using both alcohol and cannabis at the same time so the effects overlap) and HRSBs., Method: We examined simultaneous alcohol and cannabis-related HRSB frequency, gender differences in simultaneous alcohol and cannabis-related HRSBs, and differences in HRSBs between simultaneous and non-simultaneous users. Alcohol and cannabis using college students ( N = 534; Average Age = 19; 66.9% reported identifying as female) were recruited through a psychology department's human subjects research pool and completed a one-time, online, self-report survey., Results: One-third of participants engaged in simultaneous alcohol and cannabis use prior to sexual intercourse in the past 3 months. Additionally, over one-third of participants reported heavy drinking (4/5 or more drinks for women/men) simultaneously with cannabis use prior to sexual intercourse in the past 3 months. Simultaneous alcohol and cannabis use was significantly and positively related to sexual intercourse after simultaneous use and after heavy drinking simultaneously with cannabis use. Past year simultaneous alcohol and cannabis users, relative to non-simultaneous users, reported increased incidents of sex without protection against sexually transmitted infections. No gender differences in simultaneous alcohol and cannabis-related HRSBs were found., Conclusions: Future research should continue examining simultaneous alcohol and cannabis use and HRSBs., Competing Interests: The authors report no conflicts of interest., (© 2023 Authors et al.)

Objective: Intimate partner violence (IPV) is highly prevalent among transgender and gender diverse (TGD) adults. Integrated theories of minority stress and alcohol-related IPV suggest minority stress risk and protective factors should interact with alcohol use to predict IPV, although this has never been examined in TGD adults. Thus, we examined the synergistic influence of alcohol use, minority stress, and TGD community connectedness on IPV perpetration among TGD adults., Method: A sample of 137 TGD adults completed a cross-sectional survey assessing minority stressors (i.e., internalized transnegativity, identity outness), TGD community connectedness, alcohol use/problems, and IPV perpetration (i.e., psychological, physical, and gender minority identity-specific abuse). We regressed each form of IPV perpetration on alcohol use/problems and tested the moderating effect of internalized transnegativity, identity outness, and community connectedness on the association between alcohol use/problems and IPV perpetration., Results: The association between alcohol use/problems and all forms of IPV perpetration were moderated by internalized transnegativity and identity outness, but not TGD community connectedness. Alcohol use/problems related to each form of IPV perpetration at low and medium, but not high levels, of identity outness and internalized transnegativity., Conclusions: Alcohol use/problems is an important risk factor for IPV perpetration among TGD adults and this association may be exacerbated by less identity outness. Further, internalized transnegativity might not influence IPV risk at high levels of alcohol use. TGD-affirming IPV prevention programs might focus on reducing alcohol use and related problems while providing a safe and accessible space for TGD individuals at various levels of identity outness.