Document Type


Publication Date




Publication Title

Substance Use & Misuse








Background: Given higher sexual victimization and greater alcohol use among bisexual women, a critical public health challenge is to understand within-group variation that may heighten or explain these associations in bisexual women. Objectives: The present study tested a moderated-mediation model in which sexual coercion was hypothesized to be associated with alcohol-related consequences via drinking to cope motives in self-identified bisexual women who reported at least occasional binge drinking. Negative affect was hypothesized to moderate the sexual coercion-drinking to cope motives association. Methods: Participants were a community sample of 107 self-identified bisexual women (age M = 20.97, SD = 2.11) who completed an online survey and reported at least one binge drinking episode as well as engaging in sexual activity in the past 30 days. Results: Of these participants, 57 (53.3%) reported one or more experiences of sexual coercion in the past 30 days. Sexual coercion was associated with negative alcohol-related consequences via drinking to cope motives. Negative affect moderated the association between sexual coercion and drinking to cope motives such that the association was stronger among women with greater negative affect. Conclusions/Importance: Methods of addressing vulnerability to sexual coercion and educating young bisexual women about the association between sexual coercion and potentially problematic affective coping through alcohol use are needed.


This is an Accepted Manuscript of an article published by Taylor & Francis in Substance Use & Misuse on December 26, 2017, published in a 2018 issue, available at:

Original Publication Citation

Kelley, M. L., Ehlke, S. J., Lewis, R. J., Braitman, A. L., Bostwick, W., Heron, K. E., & Lau-Barraco, C. (2018). Sexual coercion, drinking to cope motives, and alcohol-related consequences among self-identified bisexual women. Substance Use & Misuse, 53(7), 1146-1157.


0000-0003-3643-0419 (Kelley), 0000-0001-7288-2418 (Ehlke), 0000-0003-2259-1094 (Braitman), 0000-0002-7452-876X (Heron),