Alcohol, clinical & experimental research · 2026
Heavy drinking antecedents among bisexual+ and heterosexual women with sexual assault histories: A qualitative inquiry.
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López Gabriela, Singh Samyukta, Gerlein Sofia J, Pielech Melissa, Boyle Holly K, Orchowski Lindsay M, Jackson Kristina M, Merrill Jennifer E
Аннотация
INTRODUCTION: Bisexual+ women are at high risk for alcohol use and sexual assault; yet reasons for high alcohol use among bisexual+ women remain unclear. The study aimed to examine: (1) antecedents of heavy drinking (i.e., microaggressions, coping motives, psychological distress) that could vary across drinking events and (2) how experiences might differ between bisexual+ and heterosexual women.
METHODS: Participants were 45 young adult bisexual+ (n = 24) and heterosexual (n = 21) women who reported heavy episodic drinking (4+ drinks in a sitting) at least four times in the last 30 days and a sexual assault history. Sixty-minute semi-structured individual interviews were conducted. Data were coded and analyzed using thematic analyses.
RESULTS: Eight themes were identified. Bisexual+ women were more likely to drink when distressed, and to drink more heavily and at a more accelerated pace relative to heterosexual women. Most participants (bisexual+ and heterosexual women) reported that although experiencing microaggressions did not have a great impact on their drinking, microaggressions did negatively impact their mood for the rest of their day. Drinking was greater when women experienced psychological distress; this connection was more salient among bisexual+ women. Both positive (i.e., social and enhancement) and negative reinforcement (i.e., coping) drinking motives were salient among both bisexual+ and heterosexual women.
CONCLUSIONS: Bisexual+ women have unique experiences related to heavy drinking antecedents that are distinct from those experienced by heterosexual women. Findings highlight the importance of understanding risk factors for heavy drinking among bisexual+ women with histories of sexual assault.
METHODS: Participants were 45 young adult bisexual+ (n = 24) and heterosexual (n = 21) women who reported heavy episodic drinking (4+ drinks in a sitting) at least four times in the last 30 days and a sexual assault history. Sixty-minute semi-structured individual interviews were conducted. Data were coded and analyzed using thematic analyses.
RESULTS: Eight themes were identified. Bisexual+ women were more likely to drink when distressed, and to drink more heavily and at a more accelerated pace relative to heterosexual women. Most participants (bisexual+ and heterosexual women) reported that although experiencing microaggressions did not have a great impact on their drinking, microaggressions did negatively impact their mood for the rest of their day. Drinking was greater when women experienced psychological distress; this connection was more salient among bisexual+ women. Both positive (i.e., social and enhancement) and negative reinforcement (i.e., coping) drinking motives were salient among both bisexual+ and heterosexual women.
CONCLUSIONS: Bisexual+ women have unique experiences related to heavy drinking antecedents that are distinct from those experienced by heterosexual women. Findings highlight the importance of understanding risk factors for heavy drinking among bisexual+ women with histories of sexual assault.