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Published in: Prevention Science 6/2017

01-08-2017

Prevalence of Past-Year Sexual Assault Victimization Among Undergraduate Students: Exploring Differences by and Intersections of Gender Identity, Sexual Identity, and Race/Ethnicity

Authors: Robert W. S. Coulter, Christina Mair, Elizabeth Miller, John R. Blosnich, Derrick D. Matthews, Heather L. McCauley

Published in: Prevention Science | Issue 6/2017

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Abstract

A critical step in developing sexual assault prevention and treatment is identifying groups at high risk for sexual assault. We explored the independent and interaction effects of sexual identity, gender identity, and race/ethnicity on past-year sexual assault among college students. From 2011 to 2013, 71,421 undergraduate students from 120 US post-secondary education institutions completed cross-sectional surveys. We fit multilevel logistic regression models to examine differences in past-year sexual assault. Compared to cisgender (i.e., non-transgender) men, cisgender women (adjusted odds ratios [AOR] = 2.47; 95% confidence interval [CI] 2.29, 2.68) and transgender people (AOR = 3.93; 95% CI 2.68, 5.76) had higher odds of sexual assault. Among cisgender people, gays/lesbians had higher odds of sexual assault than heterosexuals for men (AOR = 3.50; 95% CI 2.81, 4.35) but not for women (AOR = 1.13; 95% CI 0.87, 1.46). People unsure of their sexual identity had higher odds of sexual assault than heterosexuals, but effects were larger among cisgender men (AOR = 2.92; 95% CI 2.10, 4.08) than cisgender women (AOR = 1.68; 95% CI 1.40, 2.02). Bisexuals had higher odds of sexual assault than heterosexuals with similar magnitude among cisgender men (AOR = 3.19; 95% CI 2.37, 4.27) and women (AOR = 2.31; 95% CI 2.05, 2.60). Among transgender people, Blacks had higher odds of sexual assault than Whites (AOR = 8.26; 95% CI 1.09, 62.82). Predicted probabilities of sexual assault ranged from 2.6 (API cisgender men) to 57.7% (Black transgender people). Epidemiologic research and interventions should consider intersections of gender identity, sexual identity, and race/ethnicity to better tailor sexual assault prevention and treatment for college students.
Literature
go back to reference American College Health Association. (2012). American College Health Association–National College Health Assessment (ACHA-NCHA) II: Reference group executive summary fall 2011. Hanover: American College Health Association. American College Health Association. (2012). American College Health Association–National College Health Assessment (ACHA-NCHA) II: Reference group executive summary fall 2011. Hanover: American College Health Association.
go back to reference American College Health Association. (2013). American College Health Association–National College Health Assessment (ACHA-NCHA) II: Reference group executive summary fall 2012. Hanover: American College Health Association. American College Health Association. (2013). American College Health Association–National College Health Assessment (ACHA-NCHA) II: Reference group executive summary fall 2012. Hanover: American College Health Association.
go back to reference American College Health Association. (2014). American College Health Association–National College Health Assessment (ACHA-NCHA) II: Reference group executive summary fall 2013. Hanover: American College Health Association. American College Health Association. (2014). American College Health Association–National College Health Assessment (ACHA-NCHA) II: Reference group executive summary fall 2013. Hanover: American College Health Association.
go back to reference Blosnich, J., & Bossarte, R. (2012). Drivers of disparity: Differences in socially based risk factors of self-injurious and suicidal behaviors among sexual minority college students. Journal of American College Health, 60, 141–149.CrossRefPubMedPubMedCentral Blosnich, J., & Bossarte, R. (2012). Drivers of disparity: Differences in socially based risk factors of self-injurious and suicidal behaviors among sexual minority college students. Journal of American College Health, 60, 141–149.CrossRefPubMedPubMedCentral
go back to reference Blosnich, J. R., & Horn, K. (2011). Associations of discrimination and violence with smoking among emerging adults: Differences by gender and sexual orientation. Nicotine & Tobacco Research, 13, 1284–1295.CrossRef Blosnich, J. R., & Horn, K. (2011). Associations of discrimination and violence with smoking among emerging adults: Differences by gender and sexual orientation. Nicotine & Tobacco Research, 13, 1284–1295.CrossRef
go back to reference Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., & Powe, N. R. (2003). Race and trust in the health care system. Public Health Reports, 118, 358–365.CrossRefPubMedPubMedCentral Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., & Powe, N. R. (2003). Race and trust in the health care system. Public Health Reports, 118, 358–365.CrossRefPubMedPubMedCentral
go back to reference Bowleg, L. (2008). When black + lesbian + woman ≠ black lesbian woman: The methodological challenges of qualitative and quantitative intersectionality research. Sex Roles, 59, 312–325.CrossRef Bowleg, L. (2008). When black + lesbian + woman ≠ black lesbian woman: The methodological challenges of qualitative and quantitative intersectionality research. Sex Roles, 59, 312–325.CrossRef
go back to reference Cantor, D., Fisher, B., Chibnall, S., Bruce, C., Townsend, R., Thomas, G., & Lee, H. (2015). Report on the aau campus climate survey on sexual assault and sexual misconduct assault and sexual misconduct. Rockville: Westat. Cantor, D., Fisher, B., Chibnall, S., Bruce, C., Townsend, R., Thomas, G., & Lee, H. (2015). Report on the aau campus climate survey on sexual assault and sexual misconduct assault and sexual misconduct. Rockville: Westat.
go back to reference Carey, K. B., Durney, S. E., Shepardson, R. L., & Carey, M. P. (2015). Incapacitated and forcible rape of college women: Prevalence across the first year. Journal of Adolescent Health, 56, 678–680.CrossRefPubMedPubMedCentral Carey, K. B., Durney, S. E., Shepardson, R. L., & Carey, M. P. (2015). Incapacitated and forcible rape of college women: Prevalence across the first year. Journal of Adolescent Health, 56, 678–680.CrossRefPubMedPubMedCentral
go back to reference Chen, L. P., Murad, M. H., Paras, M. L., Colbenson, K. M., Sattler, A. L., Goranson, E. N., … Prokop, L. J. (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: Systematic review and meta-analysis. Mayo Clinic Proceedings, 85(7), 618–629. Chen, L. P., Murad, M. H., Paras, M. L., Colbenson, K. M., Sattler, A. L., Goranson, E. N., … Prokop, L. J. (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: Systematic review and meta-analysis. Mayo Clinic Proceedings, 85(7), 618–629.
go back to reference Cook, C., Heath, F., & Thompson, R. L. (2000). A meta-analysis of response rates in web- or internet-based surveys. Educational and Psychological Measurement, 60, 821–836.CrossRef Cook, C., Heath, F., & Thompson, R. L. (2000). A meta-analysis of response rates in web- or internet-based surveys. Educational and Psychological Measurement, 60, 821–836.CrossRef
go back to reference Corliss, H. L., Rosario, M., Birkett, M. A., Newcomb, M. E., Buchting, F. O., & Matthews, A. K. (2014). Sexual orientation disparities in adolescent cigarette smoking: Intersections with race/ethnicity, gender, and age. American Journal of Public Health, 104, 1137–1147.CrossRefPubMedPubMedCentral Corliss, H. L., Rosario, M., Birkett, M. A., Newcomb, M. E., Buchting, F. O., & Matthews, A. K. (2014). Sexual orientation disparities in adolescent cigarette smoking: Intersections with race/ethnicity, gender, and age. American Journal of Public Health, 104, 1137–1147.CrossRefPubMedPubMedCentral
go back to reference Coulter, R. W. S., Blosnich, J. R., Bukowski, L. A., Herrick, A. L., Siconolfi, D. E., & Stall, R. D. (2015). Differences in alcohol use and alcohol-related problems between transgender- and nontransgender-identified young adults. Drug and Alcohol Dependence, 154, 251–259.CrossRefPubMedPubMedCentral Coulter, R. W. S., Blosnich, J. R., Bukowski, L. A., Herrick, A. L., Siconolfi, D. E., & Stall, R. D. (2015). Differences in alcohol use and alcohol-related problems between transgender- and nontransgender-identified young adults. Drug and Alcohol Dependence, 154, 251–259.CrossRefPubMedPubMedCentral
go back to reference Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. The University of Chicago Legal Forum, 139–167. Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. The University of Chicago Legal Forum, 139–167.
go back to reference Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43, 1241–1299.CrossRef Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43, 1241–1299.CrossRef
go back to reference DeGue, S., Valle, L. A., Holt, M. K., Massetti, G. M., Matjasko, J. L., & Tharp, A. T. (2014). A systematic review of primary prevention strategies for sexual violence perpetration. Aggression and Violent Behavior, 19, 346–362.CrossRef DeGue, S., Valle, L. A., Holt, M. K., Massetti, G. M., Matjasko, J. L., & Tharp, A. T. (2014). A systematic review of primary prevention strategies for sexual violence perpetration. Aggression and Violent Behavior, 19, 346–362.CrossRef
go back to reference Diemer, E. W., Grant, J. D., Munn-Chernoff, M. A., Patterson, D. A., & Duncan, A. E. (2015). Gender identity, sexual orientation, and eating-related pathology in a national sample of college students. Journal of Adolescent Health, 57, 144–149.CrossRefPubMedPubMedCentral Diemer, E. W., Grant, J. D., Munn-Chernoff, M. A., Patterson, D. A., & Duncan, A. E. (2015). Gender identity, sexual orientation, and eating-related pathology in a national sample of college students. Journal of Adolescent Health, 57, 144–149.CrossRefPubMedPubMedCentral
go back to reference Friedman, M. S., Marshal, M. P., Guadamuz, T. E., Wei, C., Wong, C. F., Saewyc, E. M., & Stall, R. (2011). A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals. American Journal of Public Health, 101, 1481.CrossRefPubMedPubMedCentral Friedman, M. S., Marshal, M. P., Guadamuz, T. E., Wei, C., Wong, C. F., Saewyc, E. M., & Stall, R. (2011). A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals. American Journal of Public Health, 101, 1481.CrossRefPubMedPubMedCentral
go back to reference Grant, J. M., Mottet, L., Tanis, J. E., Harrison, J., Herman, J., & Keisling, M. (2011). Injustice at every turn: A report of the national transgender discrimination survey: National Center for Transgender Equality. Grant, J. M., Mottet, L., Tanis, J. E., Harrison, J., Herman, J., & Keisling, M. (2011). Injustice at every turn: A report of the national transgender discrimination survey: National Center for Transgender Equality.
go back to reference Gross, A. M., Winslett, A., Roberts, M., & Gohm, C. L. (2006). An examination of sexual violence against college women. Violence Against Women, 12, 288–300.CrossRefPubMed Gross, A. M., Winslett, A., Roberts, M., & Gohm, C. L. (2006). An examination of sexual violence against college women. Violence Against Women, 12, 288–300.CrossRefPubMed
go back to reference Heise, L. L. (1998). Violence against women an integrated, ecological framework. Violence Against Women, 4, 262–290.CrossRefPubMed Heise, L. L. (1998). Violence against women an integrated, ecological framework. Violence Against Women, 4, 262–290.CrossRefPubMed
go back to reference Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, D.C.: National Academies Press. Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, D.C.: National Academies Press.
go back to reference Koss, M. P., Gidycz, C. A., & Wisniewski, N. (1987). The scope of rape: Incidence and prevalence of sexual aggression and victimization in a national sample of higher education students. Journal of Consulting and Clinical Psychology, 55, 162–170.CrossRefPubMed Koss, M. P., Gidycz, C. A., & Wisniewski, N. (1987). The scope of rape: Incidence and prevalence of sexual aggression and victimization in a national sample of higher education students. Journal of Consulting and Clinical Psychology, 55, 162–170.CrossRefPubMed
go back to reference Kuder, G. F., & Richardson, M. W. (1937). The theory of the estimation of test reliability. Psychometrika, 2, 151–160.CrossRef Kuder, G. F., & Richardson, M. W. (1937). The theory of the estimation of test reliability. Psychometrika, 2, 151–160.CrossRef
go back to reference Martin, A., Kelly, A., Turquet, L., & Ross, S. (2009). Hate crimes: The rise of corrective rape in South Africa. London: ActionAid. Martin, A., Kelly, A., Turquet, L., & Ross, S. (2009). Hate crimes: The rise of corrective rape in South Africa. London: ActionAid.
go back to reference Martin, S. L., Fisher, B. S., Warner, T. D., Krebs, C. P., & Lindquist, C. H. (2011a). Women’s sexual orientations and their experiences of sexual assault before and during university. Women’s Health Issues, 21, 199–205.CrossRefPubMed Martin, S. L., Fisher, B. S., Warner, T. D., Krebs, C. P., & Lindquist, C. H. (2011a). Women’s sexual orientations and their experiences of sexual assault before and during university. Women’s Health Issues, 21, 199–205.CrossRefPubMed
go back to reference Martin, S. L., Macy, R. J., & Young, S. K. (2011b). Health and economic consequences of sexual violence. In J. W. White, M. P. Koss, & A. E. Kazdin (Eds.), Violence against women and children: Mapping the terrain (Vol. 1, pp. 173–195). Washington D.C: American Psychological Association.CrossRef Martin, S. L., Macy, R. J., & Young, S. K. (2011b). Health and economic consequences of sexual violence. In J. W. White, M. P. Koss, & A. E. Kazdin (Eds.), Violence against women and children: Mapping the terrain (Vol. 1, pp. 173–195). Washington D.C: American Psychological Association.CrossRef
go back to reference Matthews, D. D., Blosnich, J. R., Farmer, G. W., & Adams, B. J. (2013). Operational definitions of sexual orientation and estimates of adolescent health risk behaviors. LGBT Health, 1, 42–49.CrossRefPubMedCentral Matthews, D. D., Blosnich, J. R., Farmer, G. W., & Adams, B. J. (2013). Operational definitions of sexual orientation and estimates of adolescent health risk behaviors. LGBT Health, 1, 42–49.CrossRefPubMedCentral
go back to reference Mohler-Kuo, M., Dowdall, G. W., Koss, M. P., & Wechsler, H. (2004). Correlates of rape while intoxicated in a national sample of college women. Journal of Studies on Alcohol, 65, 37–45.CrossRefPubMed Mohler-Kuo, M., Dowdall, G. W., Koss, M. P., & Wechsler, H. (2004). Correlates of rape while intoxicated in a national sample of college women. Journal of Studies on Alcohol, 65, 37–45.CrossRefPubMed
go back to reference Nation, M., Crusto, C., Wandersman, A., Kumpfer, K. L., Seybolt, D., Morrissey-Kane, E., & Davino, K. (2003). What works in prevention: Principles of effective prevention programs. American Psychologist, 58, 449.CrossRefPubMed Nation, M., Crusto, C., Wandersman, A., Kumpfer, K. L., Seybolt, D., Morrissey-Kane, E., & Davino, K. (2003). What works in prevention: Principles of effective prevention programs. American Psychologist, 58, 449.CrossRefPubMed
go back to reference Nicholas, A. (1977). Rape: Power, anger, and sexuality. American Journal of Psychiatry, 134, 1239–1243.CrossRef Nicholas, A. (1977). Rape: Power, anger, and sexuality. American Journal of Psychiatry, 134, 1239–1243.CrossRef
go back to reference Rennison, C. M. (2002). Rape and sexual assault: Reporting to police and medical attention, 1992–2000. Washington, DC: US Department of Justice, Office of Justice Programs. Rennison, C. M. (2002). Rape and sexual assault: Reporting to police and medical attention, 1992–2000. Washington, DC: US Department of Justice, Office of Justice Programs.
go back to reference Rothman, E. F., Exner, D., & Baughman, A. L. (2011). The prevalence of sexual assault against people who identify as gay, lesbian, or bisexual in the United States: A systematic review. Trauma, Violence & Abuse. doi:10.1177/1524838010390707. Rothman, E. F., Exner, D., & Baughman, A. L. (2011). The prevalence of sexual assault against people who identify as gay, lesbian, or bisexual in the United States: A systematic review. Trauma, Violence & Abuse. doi:10.​1177/​1524838010390707​.
go back to reference Small, S. A., Cooney, S. M., & O’connor, C. (2009). Evidence-informed program improvement: Using principles of effectiveness to enhance the quality and impact of family-based prevention programs. Family Relations, 58, 1–13.CrossRef Small, S. A., Cooney, S. M., & O’connor, C. (2009). Evidence-informed program improvement: Using principles of effectiveness to enhance the quality and impact of family-based prevention programs. Family Relations, 58, 1–13.CrossRef
go back to reference Talley, A. E., Hughes, T. L., Aranda, F., Birkett, M., & Marshal, M. P. (2014). Exploring alcohol-use behaviors among heterosexual and sexual minority adolescents: Intersections with sex, age, and race/ethnicity. American Journal of Public Health, 104, 295–303.CrossRefPubMedPubMedCentral Talley, A. E., Hughes, T. L., Aranda, F., Birkett, M., & Marshal, M. P. (2014). Exploring alcohol-use behaviors among heterosexual and sexual minority adolescents: Intersections with sex, age, and race/ethnicity. American Journal of Public Health, 104, 295–303.CrossRefPubMedPubMedCentral
Metadata
Title
Prevalence of Past-Year Sexual Assault Victimization Among Undergraduate Students: Exploring Differences by and Intersections of Gender Identity, Sexual Identity, and Race/Ethnicity
Authors
Robert W. S. Coulter
Christina Mair
Elizabeth Miller
John R. Blosnich
Derrick D. Matthews
Heather L. McCauley
Publication date
01-08-2017
Publisher
Springer US
Published in
Prevention Science / Issue 6/2017
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-017-0762-8

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