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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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants were 45 young adult bisexual+ (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924) and heterosexual (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200921) women who reported heavy episodic drinking (4+ drinks in a sitting) at least four times in the last 30\u2009days and a sexual assault history. Sixty\u2010minute semi\u2010structured individual interviews were conducted. Data were coded and analyzed using thematic analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70255","type":"journal-article","created":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T04:37:42Z","timestamp":1771821462000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Heavy drinking antecedents among bisexual+ and heterosexual women with sexual assault histories: A qualitative inquiry"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8622-8935","authenticated-orcid":false,"given":"Gabriela","family":"L\u00f3pez","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Human Behavior The Warren Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Adult Psychiatry and Behavioral Health Rhode Island Hospital  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samyukta","family":"Singh","sequence":"additional","affiliation":[{"name":"Addictions, Drug &amp; Alcohol Institute University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia J.","family":"Gerlein","sequence":"additional","affiliation":[{"name":"Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7885-4637","authenticated-orcid":false,"given":"Melissa","family":"Pielech","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior The Warren Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7345-3658","authenticated-orcid":false,"given":"Holly K.","family":"Boyle","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9048-3576","authenticated-orcid":false,"given":"Lindsay M.","family":"Orchowski","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior The Warren Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Adult Psychiatry and Behavioral Health Rhode Island Hospital  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5449-5473","authenticated-orcid":false,"given":"Kristina M.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Rutgers Addiction Research Center Rutgers Robert Wood Johnson Medical School  Piscataway New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer E.","family":"Merrill","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1891\/088667007781553955"},{"key":"e_1_2_10_3_1","volume-title":"The national intimate partner and sexual violence survey: 2016\/2017 report on sexual violence","author":"Basile K.C.","year":"2022"},{"key":"e_1_2_10_4_1","unstructured":"Bhaskar R. 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