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Introduction Handling sexual interactions in a competent manner is a key skill for young adults, which is linked to positive aspects of sexual and general well-being. Several research conceptualizations of sexual competence have been proposed in the literature, but little is known about how young adults define sexual competence and what consequences they consider low sexual competence may have. Methods In this qualitative study conducted in 2019, 571 university students (365 women, 206 men) from Germany with a mean age of 22.6 years provided open-ended answers to two questions: (Q1) What do you consider to be sexual competence? (Q2) What consequences can low sexual competence have? Combining thematic analysis and qualitative content analysis, responses were coded into 264 categories that were then condensed into 30 latent themes, with 14 themes referring to Q1 and 16 themes referring to Q2. All categories showed strong inter-coder agreement. Result Participants defined sexual competence in a multi-faceted way and in partial overlap with research definitions. Gender differences emerged in four themes (needs/desires, communication, skills/abilities, and setting boundaries/limits). Participants’ statements about the consequences of low sexual competence corresponded closely with their definitions of sexual competence. Gender differences emerged in five themes (risk of sexual victimization and sexual aggression, problems in sexual communication, problematic [sexual] risk behavior, negative influence on [sexual] satisfaction, and lack of skills). Conclusions and Policy Implications The implications of the findings for research conceptualizations of sexual competence, for designing interventions to promote sexual competence, and for policy measures designed to reduce sexual aggression are discussed.

The current study evaluated an intervention program, designed by the authors and based on the theory of sexual scripts and social learning theory, to reduce empirically established risk and vulnerability factors of sexual aggression. A sample of 1,181 university students in Germany (762 female) were randomly assigned to an intervention and a no-intervention control group. The intervention group completed six modules addressing established antecedents of sexual aggression perpetration and victimization: risky sexual scripts, risky sexual behavior, low sexual self-esteem, low sexual assertiveness, acceptance of sexual coercion, and perceived realism of pornography. After baseline (T1), intervention effects were measured one week after the last module (T2), nine months later (T3), and another 12 months later (T4). The intervention group showed significantly less risky sexual scripts and higher sexual self-esteem at T2, T3, and T4. The intervention indirectly reduced risky sexual behavior at T3 and T4 via less risky sexual scripts at T2 and increased sexual assertiveness at T3 and T4 via higher sexual self-esteem at T2. No intervention effects were found on the acceptance of sexual coercion and pornography realism. The implications of the findings for reducing the prevalence of sexual aggression perpetration and victimization are discussed.

Abstract. The current study examined the links between viewing female and male sexualized Instagram images (SII) and body image concerns within the three-step process of self-objectification among adolescents aged 13–18 years from Germany ( N = 300, 61% female). Participants completed measures of SII use, thin- and muscular-ideal internalization, valuing appearance over competence, and body surveillance. Structural equation modeling revealed that SII use was associated with body image concerns for boys and girls via different routes. Specifically, female SII use was indirectly associated with higher body surveillance via thin-ideal internalization and subsequent valuing appearance over competence for girls. For both girls and boys, male SII use was indirectly linked to higher body surveillance via muscular-ideal internalization. Implications for the three-step model of self-objectification by sexualized social media are discussed.

Recent high-profile incidents involving the deadly application of force in the United States sparked worldwide protests and renewed scrutiny of police practices as well as scrutiny of relations between police officers and minoritized communities. In this report, we consider the inappropriate use of force by police from the perspective of behavioral and social science inquiry related to aggression, violence, and intergroup relations. We examine the inappropriate use of force by police in the context of research on modern policing as well as critical race theory and offer five recommendations suggested by contemporary theory and research. Our recommendations are aimed at policymakers, law enforcement administrators, and scholars and are as follows: (1) Implement public policies that can reduce inappropriate use of force directly and through the reduction of broader burdens on the routine activities of police officers. (2) For officers frequently engaged in use-of-force incidents, ensure that best practice, evidence-based treatments are available and required. (3) Improve and increase the quality and delivery of noncoercive conflict resolution training for all officers, along with police administrative policies and supervision that support alternatives to the use of force, both while scaling back the militarization of police departments. (4) Continue the development and evaluation of multicomponent interventions for police departments, but ensure they incorporate evidence-based, field-tested components. (5) Expand research in the behavioral and social sciences aimed at understanding and managing use-of-force by police and reducing its disproportionate impact on minoritized communities, and expand funding for these lines of inquiry.

Abstract. Two experiments examined the impact of voice pitch on gender stereotyping. Participants listened to a text read by a female (Study 1; N = 171) or male (Study 2, N = 151) speaker, whose voice pitch was manipulated to be high or low. They rated the speaker on positive and negative facets of masculinity and femininity, competence, and likability. They also indicated their own gendered self-concept. High pitch was associated with the ascription of more feminine traits and greater likability. The high-pitch female speaker was rated as less competent, and the high-pitch male speaker was perceived as less masculine. Text content and participants’ gendered self-concept did not moderate the pitch effect. The findings underline the importance of voice pitch for impression formation.

A growing body of research has demonstrated negative effects of sexualization in the media on adolescents’ body image, but longitudinal studies and research including interactive and social media are scarce. The current study explored the longitudinal associations of adolescents’ use of sexualized video games (SVG) and sexualized Instagram images (SII) with body image concerns. Specifically, our study examined relations between adolescents’ SVG and SII use and appearance comparisons, thin- and muscular-ideal internalization, valuing appearance over competence, and body surveillance. A sample of 660 German adolescents (327 female, 333 male; Mage = 15.09 years) participated in two waves with an interval of 6 months. A structural equation model showed that SVG and SII use at Time 1 predicted body surveillance indirectly via valuing appearance over competence at Time 2. Furthermore, SVG and SII use indirectly predicted both thin- and muscular-ideal internalization through appearance comparisons at Time 1. In turn, thin-ideal internalization at Time 1 predicted body surveillance indirectly via valuing appearance over competence at Time 2. The results indicate that sexualization in video games and on Instagram can play an important role in increasing body image concerns among adolescents. We discuss the findings with respect to objectification theory and the predictive value of including appearance comparisons in models explaining the relation between sexualized media and self-objectification.

Die Arbeit des Fachkollegiums Psychologie sieht sich gegenwartig mit zwei Herausforderungen konfrontiert: 1) Die durchschnittliche Bearbeitungszeit eingereichter DFG-Antrage steigt und 2) die Forderquote von DFGAntragen ist in letzter Zeit merklich gesunken. Beide Probleme betreffen die DFG-Forderung generell (siehe z.B. „DFG-Forderquote sinkt rapide“, Forschung & Lehre, Heft 8, 2013, S. 608) und sind keineswegs spezifisch fur die Psychologie. Dies kann naturlich kein Grund sein, sich mit dem Status Quo zufriedenzugeben. Wir mochten deshalb in diesem Bericht Masnahmen darstellen, die aus unserer Sicht geeignet sind, den aktuellen Herausforderungen zu begegnen.1

Peer groups are critical socialization agents for the development of social behavior in adolescence, but studies examining peer-group effects on individuals’ prosocial behavior are scarce. Using a two-wave, multilevel data set (N = 16,893, 8481 male; 8412 female; mean age at Time 1: 14.0 years) from 1308 classes in 252 secondary schools in Germany, main effects of the classroom level of prosocial behavior, cross-level interactions between the classroom and the individual levels of prosocial behavior at Time 1, and the moderating role of gender were examined. The results showed that adolescents in classrooms with high collective levels of prosocial behavior at Time 1 reported more prosocial behavior at Time 2, about two years later, reflecting a class-level main effect. A significant cross-level interaction indicated that a high classroom level of prosocial behavior particularly affected individuals with lower levels of prosocial behavior at Time 1. The influence of same-gender peers was larger compared with opposite-gender peers. The findings are discussed with respect to social learning mechanisms in the development of prosocial behavior and their implications for interventions to promote prosocial behavior.

Sexual aggression is a problem among college students worldwide, and a growing body of research has identified variables associated with an increased risk of victimization and perpetration. Among these, sexuality-related cognitions, such as sexual scripts, sexual self-esteem, perceived realism of pornography, and acceptance of sexual coercion, play a major role. The current experimental study aimed to show that these cognitive risk factors of sexual aggression victimization and perpetration are amenable to change, which is a critical condition for evidence-based intervention efforts. College students in Germany ( N = 324) were randomly assigned to one of three groups: a treatment group designed to change participants’ sexual scripts for consensual sex with regard to the role of alcohol consumption, casual sex, and ambiguous communication of sexual intentions as risk factors for sexual aggression (EG1), a treatment group designed to promote sexual self-esteem, challenge the perceived realism of pornography, and reduce the acceptance of sexual coercion (EG2), and a non-treatment control group (CG). Baseline (T1), post-experimental (T2), and follow-up (T3) measures were taken across an eight-week period. Sexual scripts contained fewer risk factors for sexual aggression in EG1 than in EG2 and CG at T3. Sexual self-esteem was enhanced in EG2 at T2 relative to the other two groups. Acceptance of sexual coercion was lower in EG2 than in EG1 and CG at T2 and T3. No effect was found for perceived realism of pornography. The findings are discussed in terms of targeting cognitive risk factors as a basis for intervention programs.

In this article, I examine the development of aggressive behavior from middle childhood to adolescence as a result of the interaction between the person and the environment and discuss implications for intervention measures. Three main questions are addressed and illustrated by examples from recent research: What are intrapersonal risk factors for the development and persistence of aggressive behavior from middle childhood to adolescence? What factors in the social environment contribute to the development of aggressive behavior? How do individual dispositions and environmental risk factors interact to explain developmental trajectories of aggressive behavior?

Exposure to pornographic material has been linked to sexual aggression perpetration and victimization in a large body of research. Based on social learning theory and 3A theory of script learning, this study contributes to this research by testing the hypothesis that the more realistic pornography is perceived to be by young adults, the more likely they are to experience and engage in sexual aggression. Two underlying pathways were proposed: one path via scripts and patterns of sexual behavior regarding consensual sexual interactions that contain established risk factors for sexual aggression victimization and perpetration, and a second path via the acceptance of sexual coercion. In a cross-sectional study, 1181 university students in Germany (762 female; 419 male) completed measures of pornography use and perception, risky sexual scripts and sexual behavior, and acceptance of sexual coercion. As predicted, pornography realism was a positive predictor of risky sexual scripts, risky sexual behavior, and acceptance of sexual coercion. Indirect links with sexual aggression victimization and perpetration were found via both pathways. No gender differences in the associations were found. The implications for media literacy interventions addressing the realism of pornography are discussed.

From the beginning of systematic research on sexual victimization, it has been recognized that a substantial proportion of women report nonconsensual sexual experiences meeting the defining criteria of rape in response to behaviorally specific items, but do not acknowledge their experience as rape in response to broad questions about whether they have ever been raped. Recent studies suggest that rates of unacknowledged rape may be as high or even higher among men than among women. This study examined rates of unacknowledged female and male victims of rape and sexual assault by comparing responses to behaviorally specific items of the Sexual Aggression and Victimization Scale (SAV-S) with responses to broad questions using the labels of sexual assault and rape (SARA) in 593 participants (303 women) in Germany. As predicted, more women and men were classified as rape victims based on behaviorally specific items than on the basis of the broad rape item. The rates of unacknowledged rape were about 60% for women and 75% for men. The gender difference was not significant. Against our prediction, no significant differences in acknowledgement of sexual assault were found in relation to coercive strategy and victim-perpetrator relationship. Few cases of rape and sexual assault identified by the SARA items were missed by the behaviorally specific questions. The implications for establishing prevalence rates of rape and sexual assault and for comparing victims and nonvictims in terms of vulnerability factors and outcomes of sexual victimization are discussed.

This pre-registered study evaluated an intervention designed to reduce sexual aggression perpetration and victimization by changing risky scripts for consensual sexual interactions and corresponding risky sexual behavior, and by improving sexual self-esteem, refusal assertiveness, and initiation assertiveness. In a four-wave longitudinal study covering 23 months, 1181 university students in Germany (762 female) were randomly assigned to an intervention and a no-intervention control group. The intervention group completed six weekly modules addressing the targeted theory-based risk and vulnerability factors of sexual aggression perpetration and victimization. Controlling for baseline levels (T1), the intervention group showed less risky sexual scripts one week post-intervention (T2), which predicted less risky sexual behavior nine months later (T3), which predicted lower odds of sexual aggression perpetration and victimization 12 months later (T4). No direct intervention effects on rates of sexual aggression perpetration and victimization at T3 and T4 were found. No indirect intervention effect on sexual aggression was found via sexual self-esteem and sexual assertiveness. However, sexual self-esteem at T2, which was higher in the intervention group, predicted lower odds of sexual aggression victimization at T3 via higher initiation assertiveness at T3. Implications for reducing sexual aggression and conceptualizing risk and vulnerability factors of sexual aggression are discussed.

Objective We present a review of peer-reviewed English-language studies conducted outside the United States and Canada on the prevalence of sexual assault victimization in adolescence and adulthood published since 2010. Method A systematic literature search yielded 32 articles reporting on 45 studies from 29 countries. Studies that only provided prevalence estimates for sexual assault in intimate relationships or did not present separate rates for men and women were excluded. All studies were coded by two coders, and a risk of bias score was calculated for each study. Both past-year and prevalence rates covering longer periods were extracted. Results The largest number of studies came from Europe (n=21), followed by Africa (n=11), Asia and Latin America (n=6 each). One study came from the Middle East and no studies were found from Oceania. Across the 22 studies that reported past-year prevalence rates, figures ranged from 0% to 59.2% for women, 0.3% to 55.5% for men, and 1.5% to 18.2% for LGBT samples. The average risk of bias score was 5.7 out of 10. Studies varied widely in methodology. Conclusion Despite regional variation, most studies indicate that sexual assault is widespread. More sustained, systematic, and coordinated research efforts are needed to gauge the scale of sexual assault in different parts of the world and to develop prevention measures.

Sexual scripts serve as cognitive representations of typical elements of sexual interactions that guide sexual behavior. To the extent that cognitive scripts for consensual sex comprise elements associated with a risk of experiencing nonconsensual sex, they may be indirectly linked to sexual victimization via risky sexual behavior. A longitudinal study with 2,425 college students in Germany (58% female) examined pathways from sexual scripts for consensual sex, sexual behavior, and sexual victimization over three data waves separated by 12-month intervals. Sexual scripts and behavior were defined as risky to the extent that they include known vulnerability factors for sexual victimization (casual sex, alcohol consumption, ambiguous communication of sexual intentions). Path analyses confirmed that more risky sexual scripts prospectively predicted more risky sexual behavior, which predicted higher odds of sexual victimization. The findings held for men and women and participants with exclusively opposite-sex and both same- and opposite-sex contacts. Moreover, reciprocal influences between risky scripts and risky sexual behavior were found over time, confirming the proposed mutual reinforcement of scripts and behavior. The findings have implications for conceptualizing the role of scripts for consensual sex as vulnerability factors for sexual victimization among women and men and may inform intervention efforts.

Aggressive behavior is defined as social behavior carried out with the intention to harm. Violence denotes those forms of aggression that are intended to cause severe physical harm. Aggressive behavior has severe negative consequences for individuals, social groups, and societies as a whole. Therefore, understanding why some individuals are more prone to engaging in aggressive behavior than others and some situational circumstances and social contexts are more likely to elicit aggressive behavior is a critical task. Influential psychological theories of aggression conceptualize aggression as the result of the interplay between variables in the person and the situation. To explain individual differences in aggressive behavior, one line of research has looked at broad personality dimensions, such as self-esteem and narcissism, lack of self-control, and the “Big-Five” personality factors. Evidence shows that high narcissism, low self-control, low openness to experience, conscientiousness, extraversion, and agreeableness, and high neuroticism are linked to a higher propensity to engage in aggressive behavior. Another line of research has focused on more circumscribed, aggression-related personality constructs, demonstrating that individuals who are habitually anger-prone, have a tendency ruminate about anger-eliciting experiences, and show a hostile attributional style in terms of seeing other persons’ behavior as an expression of hostile intent are more likely to show aggressive behavior. On the side of the situation and social environment, several conditions have been identified under which the likelihood of aggressive behavior is increased. Individuals are more likely to show aggressive behavior when they have consumed alcohol, after they have experienced social rejection by others, when aggressive cues, such as weapons, are present in the situation, and when they have access to a firearm. Aggression is also more likely to be shown under conditions of anonymity and high temperature and as a result of regular exposure to depictions of violence in the media. In addition to such “main effects,” there is evidence of an interactive effect of individual and situational characteristics. For example, the impact of exposure to violent media is greater on individuals with a higher disposition to show aggressive behavior, and the effect of alcohol consumption on aggression is greater among people who are habitually prone to engage in angry rumination. Approaches to preventing aggression may build on the evidence on personal and situational differences. For example, anger management trainings may promote better control of angry impulses, focusing on the personal risk factors for aggression, whereas providing role models who show nonaggressive responses in anger-eliciting situations reflects a focus on situational interventions. In conclusion, personality and situational variables need to be considered in combination and interaction to predict when aggressive behavior is likely to occur. Gaining a better understanding of the factors promoting aggressive behavior needs to remain high on the agenda for theory building and empirical research in psychology.

Measures designed to collect prevalence reports of sexual victimization need to be robust against variations of question context to yield valid findings. Previous research has examined variations in the order in which questions about unwanted sexual acts and questions about coercive tactics are presented. The current study examined potential effects of the order in which coercive tactics are presented on self-reported prevalence rates of sexual victimization. The following two versions of the Sexual Aggression and Victimization Scale (SAV-S), a validated measure for studying sexual aggression victimization and perpetration in college students, were used: (a) the standard version in which the physical-force items were presented first and the items referring to the use of verbal pressure were presented last, and (b) a reversed order in which the verbal-pressure items were presented first and the physical-force items were presented last. Items referring to the exploitation of the victim’s inability to resist were placed in the middle in both versions. In a sample of 856 participants from Germany (475 female, 381 male, mean age of 24 years), most of whom were university students, 80.4% of women and 55.3% of men reported at least one experience of sexual victimization since the age of 14. No order effects on overall victimization rates were found. For both genders, the victimization rate through verbal pressure was higher when this tactic was presented first. Victimization rates through the threat or use of force were higher in the force-first than in the force-last condition for women, but could not be tested for men due to small cell sizes. No order effects were found for both men and women on reports of victimization through exploiting the inability to resist. The implications of the results for the reliable measurement of sexual aggression are discussed.

This study examined the prevalence of sexual aggression perpetration and victimization in a sample of 1,172 students (755 female, 417 male) from four universities in Germany. All participants were asked about both victimization by, and perpetration of, sexual aggression since the age of 14 years, using the Sexual Aggression and Victimization Scale (SAV-S). Prevalence rates were established for different coercive strategies, sexual acts, and victim–perpetrator relationships. Both same-sex and opposite-sex victim–perpetrator constellations were examined. The overall victimization rate was 62.1% for women and 37.5% for men. The overall perpetration rate was 17.7% for men and 9.4% for women. Prevalence rates of both victimization and perpetration were higher for participants who had sexual contacts with both opposite-sex and same-sex partners than for participants with exclusively opposite-sex partners. Significant overlap was found between victim and perpetrator status for men and women as well as for participants with only opposite-sex and both opposite-sex and same-sex partners. A disparity between (higher) victimization and (lower) perpetration reports was found for both men and women, suggesting a general underreporting of perpetration rather than a gendered explanation in terms of social desirability or the perception of consent cues. The findings are placed in the international research literature on the prevalence of sexual aggression before and after the #metoo campaign, and their implications for prevention efforts are discussed. Supplementary Information The online version contains supplementary material available at 10.1007/s10508-021-01963-4.

Aggression Replacement Training (ART) is a multimodal intervention for chronically aggressive youth. The program has been frequently administered in a variety of samples in the original form or in modified versions. This review examines evaluations of the efficacy of ART on aggressive behavior and secondary outcomes in children and youth, including modifications of ART and evaluations of the original version not covered by earlier reviews. Method Scholarly databases were searched to identify 10 articles reporting 11 independent studies evaluating the efficacy ART in reducing aggressive behavior and improving anger control, social skills, and moral reasoning in children and youth. Results The majority of studies found positive effects of ART on aggression and other outcomes related to anger control, social skills, and moral reasoning. However, most studies were based on small samples, and few included a control group to evaluate intervention success. Conclusions The studies reviewed in this paper tentatively suggest that ART is an efficacious intervention to reduce aggressive behavior and improve anger control, social skills, and moral reasoning in at-risk children and youth. However, this conclusion is qualified by a number of methodological limitations that highlight the need for further, more rigorous evaluation studies.

Women’s average voice pitch has decreased in recent years, reducing the gap between men on this vocal dimension. The present study examined whether a woman speaking at a lower pitch would be perceived as less feminine and more masculine than a woman speaking at a higher pitch. Participants (n = 100, 67 female) listened to an audiotape of a woman in which her natural voice was manipulated to represent a pitch of either 220 Hz or 165 Hz. They then rated her on positive and negative facets of masculinity and femininity as well as competence and likeability. In addition, participants’ gendered self-concept was measured to examine potential moderator effects. As predicted, positive masculinity ratings were significantly higher, and positive and negative femininity ratings were significantly lower, in the 165 Hz than in the 220 Hz condition. The woman was also rated as more likeable in the 220 Hz than in the 165 Hz condition. No difference was found for negative masculinity and competence ratings, and no moderation effect of participants’ gendered self-concept emerged. The findings suggest that lower voice pitch is a masculinity cue that elicits stereotyped perceptions of female speakers and may have implications for impression formation in a variety of domains.

To address the shortage of cross-cultural research on vulnerability factors of sexual victimization, this two-wave longitudinal study examined predictors of sexual victimization among female and male college students in Chile (N = 1098) and Turkey (N = 885). These two countries were selected based on theoretical considerations regarding religiosity and gender inequality. A path model was tested that conceptualized participants' risky scripts for consensual sex, risky sexual behavior, sexual self-esteem, refusal assertiveness, and religiosity at T1 as predictors of sexual victimization in the following 12 months, as assessed at T2, mediated through past experiences of sexual victimization. As predicted, more risky sexual scripts were linked to more risky sexual behavior and lower refusal assertiveness, indirectly increasing the odds of sexual victimization in both countries. Lower sexual self-esteem predicted a higher probability of sexual victimization through lower refusal assertiveness as well as through more risky sexual behavior in both the Chilean and Turkish samples. Higher religiosity in Chile, a Christian country, and Turkey, a Muslim country, indirectly predicted a lower vulnerability to sexual victimization through less risky sexual scripts and less risky sexual behavior. In the Turkish sample only, higher religiosity predicted a higher vulnerability to sexual victimization through lower sexual self-esteem. The findings show that risky sexual scripts played a central role in the prediction of sexual victimization in both cultures, which has implications for prevention efforts.

Female role models in video games are rare, and if they are present, they are often heavily sexualized. Objectification theory suggests that exposure to sexualized media characters increases self-objectification and decreases body satisfaction in female users. This study investigated the effect of playing a video game with a sexualized versus a nonsexualized character on women's experiences of self-objectification and body satisfaction. We further studied the effect of character personalization as a core feature of video games on the relation between sexualized avatars, self-objectification and body satisfaction. N = 262 female participants reported state self-objectification and body satisfaction after 30 min of playing the video game The Sims 4 with a sexualized or nonsexualized avatar that was either generic or personalized to look like the participant. We predicted that controlling for trait self-objectification, playing the game with a sexualized character would increase state self-objectification, especially in the personalized condition. Regarding the effect of character sexualization on body satisfaction, competing hypotheses based on priming vs. the Proteus effect were tested, considering character personalization and enjoyment of sexualization as moderators and controlling for trait body satisfaction. The current study did not find evidence for the proposed hypotheses. The findings are discussed in terms of the relevance of objectification theory in explaining effects of sexualized models in interactive media.

Background: Some (minority) groups (MGs) are more vulnerable to sexual violence (SV) exposure than others. Othering-based stress (OBS) may mediate the relationship between minority identification and SV. This study aims to assess the prevalence of SV in different MGs to explore the relationship between minority identification and SV, to investigate whether belonging to multiple MGs moderates this relationship, and to explore OBS SV moderation for different MGs. Method: Through an online survey administered to a nationally representative sample in Belgium, data was collected from 4632 persons, of whom 21.01% self-identified as belonging to a MG (SI-Minority). SV prevalence was measured using behaviorally specific questions based on the WHO definition of SV. SI-Minority participants received an additional scale on OBS. Results: SI-Minority participants reported more SV victimization compared to the non-minorities. However, this increased risk was not moderated by minority identification but linked to the socio-demographic SV risk markers common to minority individuals. Multiple-minority participants were found more at risk of SV compared to single-minority respondents. Lesbian, gay, bisexual, pan-/omnisexual, asexual, and other non-heterosexual (LGB+) participants were found more at risk than heterosexual participants. OBS was found to be significantly correlated to SV in sexual and gender minorities and in cultural minorities. Conclusions: This study contributes to our understanding of the relationship between minority identification, OBS, and SV. Studying both specific and common SV vulnerabilities and outcomes within specific societal subgroups and the general population may inform policy makers when allocating resources to those interventions with the largest societal impact.