Sexual aggression often has serious and lasting effects on victims of all genders. One key risk factor for sexual aggression is alcohol consumption. Alcohol consumption promotes sexual aggression by disrupting cognitive functions, including the ability to process the internal and external cues that regulate social behavior. This meta-analysis of the experimental literature with alcohol administration protocols aimed to quantify this relationship by updating previous work and by examining potential moderators. Acute alcohol consumption was operationalized using the experimental condition participants were randomly assigned to (i.e., alcohol or no alcohol control). Sexual aggression was operationalized through measures of sexual aggression intentions and behaviors, including coercive condom use resistance. We also investigated four moderators of this link, namely aggressive personality traits, past sexual aggression perpetration, alcohol-related expectancies, and emotion regulation capacity. The meta-analysis included 34 experimental studies involving 5,643 participants. We found a significant main effect of alcohol consumption on sexual aggression (g = 0.25, 95% confidence interval [0.13, 0.37]). None of the moderator variables we tested were significant, indicating that the link between alcohol and sexual aggression was robust; alcohol increases the chances of sexual aggression perpetration regardless of these individual differences. Although it is difficult to measure sexual aggression in the laboratory, we encourage the development of more realistic methods (e.g., virtual reality).
AbbeyA. (2011). Alcohol’s role in sexual violence perpetration : Theoretical explanations, existing evidence and future directions. Drug and Alcohol Review, 30(5), 481–489. https://doi.org/10.1111/j.1465-3362.2011.00296.x
2.
AbbeyA. (2023). Alcohol and men’s sexual assault perpetration against women : How is our understanding hampered by limitations in existing experimental analogues? In DiLilloD.GervaisS. J.McChargueD. E. (Éds.), Alcohol and sexual violence (pp. 139–171). Springer International Publishing. https://doi.org/10.1007/978-3-031-24426-1_6
3.
*AbbeyA.BuckP. O.ZawackiT.SaenzC. (2003). Alcohol’s effects on perceptions of a potential date rape. Journal of Studies on Alcohol, 64(5), 669–677. https://doi.org/10.15288/jsa.2003.64.669
4.
AbbeyA.HelmersB. R. (2020). Sexual aggression analogues used in alcohol administration research : Critical review of their correspondence to alcohol-involved sexual assaults. Alcoholism: Clinical and Experimental Research, 44(8), 1514–1528. https://doi.org/10.1111/acer.14388
5.
AbbeyA.McAuslanP.RossL.ZawackiT. (1999). Alcohol expectancies regarding sex, aggression, and sexual vulnerability : Reliability and validity assessment. Psychology of Addictive Behaviors, 13(3), 174–182.
6.
AbbeyA.ParkhillM. R.Clinton-SherrodA. M.ZawackiT. (2007). A comparison of men who committed different types of sexual assault in a community sample. Journal of Interpersonal Violence, 22(12), 1567–1580.
7.
*AbbeyA.ParkhillM. R.Jacques-TiuraA. J.SaenzC. (2009). Alcohol’s role in men’s use of coercion to obtain unprotected sex. Substance Use & Misuse, 44(9), 1329–1348. https://doi.org/10.1080/10826080902961419
8.
AbbeyA.WegnerR.WoernerJ.PegramS. E.PierceJ. (2014). Review of survey and experimental research that examines the relationship between alcohol consumption and men’s sexual aggression perpetration. Trauma, Violence, & Abuse, 15(4), 265–282. https://doi.org/10.1177/1524838014521031
9.
AbbeyA.ZawackiT.BuckP. O.ClintonA. M.McAuslanP. (2001). Alcohol and sexual assault. Alcohol Research & Health, 25(1), 43-51.
10.
AndersonC. A.BushmanB. J. (1997). External validity of “Trivzial” experiments : The case of laboratory aggression. Review of General Psychology, 1(1), 19–41. https://doi.org/10.1037/1089-2680.1.1.19
11.
*BartolucciA. D.ZeichnerA.MillerJ. D. (2009). Alcohol consumption and perceived sexual coercion : Effects of gender and personality determinants. Substance Use & Misuse, 44(9), 1399–1414. https://doi.org/10.1080/10826080902961583
12.
BègueL.BushmanB. J.GiancolaP. R.SubraB.RossetE. (2010). “There is no such thing as an accident,” especially when people are drunk. Personality & Social Psychology Bulletin, 36(10), 1301–1304.
13.
BègueL.SubraB. (2008). Alcohol and aggression: Perspectives on controlled and uncontrolled social information processing. Social and Personality Psychology Compass, 2, 511–538.
14.
BègueL.SubraB.ArversP.MullerD.BricoutV.ZormanM. (2009). A message in a bottle : Extrapharmacological effects of alcohol on aggression. Journal of Experimental Social Psychology, 45(1), 137–142. https://doi.org/10.1016/j.jesp.2008.07.018
15.
*BenbouricheM. (2018).Studying sexual coercion in a lab : Adaptation and validation of the French version of the “date rape analogue task.”Sexologies, 27(2), e21–e25. https://doi.org/10.1016/j.sexol.2018.02.004
16.
*BenbouricheM.TestéB.GuayJ.-P.LavoieM. E. (2019). The role of rape-supportive attitudes, alcohol, and sexual arousal in sexual (mis)perception : An experimental study. Journal of Sex Research, 56(6), 766–777. https://doi.org/10.1080/00224499.2018.1496221
17.
BorensteinM.HedgesL.HigginsJ.RothsteinH. (2021). Introduction to meta-analysis. John Wiley & Sons Ltd.
18.
BushmanB. J.CooperH. M. (1990). Effects of alcohol on human aggression : An intergrative research review. Psychological Bulletin, 107(3), 341–354. https://doi.org/10.1037/0033-2909.107.3.341
ChenW.HammettJ. F.StewartRobin J. D.KirwanMitchellDavisK. C. (2024). Receipt of coercive condom use resistance : A scoping review. The Journal of Sex Research, 61(3), 399–413. https://doi.org/10.1080/00224499.2023.2204297
21.
Clinton-SherrodM.Morgan-LopezA. A.BrownJ. M.McMillenB. A.CowellA. (2011). Incapacitated sexual violence involving alcohol among college women : The impact of a brief drinking intervention. Violence Against Women, 17(1), 135–154. https://doi.org/10.1177/1077801210394272
CraneC. A.GodleskiS. A.PrzybylaS. M.SchlauchR. C.TestaM. (2016). The proximal effects of acute alcohol consumption on male-to-female aggression : A meta-analytic review of the experimental literature. Trauma, Violence, & Abuse, 17(5), 520–531. https://doi.org/10.1177/1524838015584374
24.
*DavisK. C. (2010). The influence of alcohol expectancies and intoxication on men’s aggressive unprotected sexual intentions. Experimental and Clinical Psychopharmacology, 18(5), 418–428. https://doi.org/10.1037/a0020510
25.
*DavisK. C.DanubeC. L.NeilsonE. C.StappenbeckC. A.NorrisJ.GeorgeW. H.KajumuloK. F. (2016). Distal and proximal influences on men’s intentions to resist condoms : Alcohol, sexual aggression history, impulsivity, and social-cognitive factors. AIDS and Behavior, 20(1), 147–157. https://doi.org/10.1007/s10461-015-1132-9
26.
*DavisK. C.GulatiN. K.NeilsonE. C.StappenbeckC. A. (2018). Men’s coercive condom use resistance : The roles of sexual aggression history, alcohol intoxication, and partner condom negotiation. Violence Against Women, 24(11), 1349–1368. https://doi.org/10.1177/1077801218787932
27.
*DavisK. C.KirwanM.WegnerR.NeilsonE. C.StappenbeckC. A. (2020). Effects of alcohol, condom request style, and state anger on men’s condom use resistance. Journal of Studies on Alcohol and Drugs, 81(4), 454–461. https://doi.org/10.15288/jsad.2020.81.454
28.
*DavisK. C.NeilsonE. C.KirwanM.BirdE. R.EldridgeN.GeorgeW. H.StappenbeckC. A. (2021). The interplay of sexual arousal and power-related emotions in men’s alcohol-involved sexual aggression intentions. Journal of Sex Research, 59(6), 765–779. https://doi.org/10.1080/00224499.2021.1972923
29.
*DavisK. C.NeilsonE. C.KirwanM.EldridgeN.GeorgeW. H.StappenbeckC. A. (2021). Alcohol-involved sexual aggression : Emotion regulation as a mechanism of behavior change. Health Psychology, 40(12), 940–950. https://doi.org/10.1037/hea0001048
30.
*DavisK. C.NorrisJ.GeorgeW. H.MartellJ.HeimanJ. R. (2006). Men’s likelihood of sexual aggression : The influence of alcohol, sexual arousal, and violent pornography. Aggressive Behavior, 32(6), 581–589. https://doi.org/10.1002/ab.20157
31.
DavisK. C.ParrottD. J.GeorgeW. H.TharpA. T.HallG. C. N.StappenbeckC. A. (2014). Studying sexual aggression : A review of the evolution and validity of laboratory paradigms. Psychology of Violence, 4(4), 462–476. https://doi.org/10.1037/a0037662
32.
DavisK. C.SchraufnagelT. J.GeorgeW. H.NorrisJ. (2008). The use of alcohol and condoms during sexual assault. American Journal of Men’s Health, 2(3), 281–290. https://doi.org/10.1177/1557988308
33.
*DavisK. C.SchraufnagelT. J.Jacques-TiuraA. J.NorrisJ.GeorgeW. H.KiekelP. A. (2012). Childhood sexual abuse and acute alcohol effects on men’s sexual aggression intentions. Psychology of Violence, 2(2), 179–193. https://doi.org/10.1037/a0027185
34.
DavisK. C.SchraufnagelT. J.KajumuloK. F.GilmoreA. K.NorrisJ.GeorgeW. H. (2014). A Qualitative examination of men’s condom use attitudes and resistance : “It’s just part of the game”. Archives of Sexual Behavior, 43(3), 631–643. https://doi.org/10.1007/s10508-013-0150-9
35.
DavisK. C.StewartR.KirwanM.ChenW.HammettJ. F. (2023). Coercive condom use resistance : A scoping review. Psychology of Violence, 13(5), 361–373. https://doi.org/10.1037/vio0000481
DworkinE.KrahéB.ZinzowH. (2021). The global prevalence of sexual assault : A systematic review of international research since 2010. Psychology of Violence, 11, 497–508. https://doi.org/10.1037/vio0000374
38.
GidyczC. A.LaymanM. J.RichC. L.CrothersM.GylysJ.MatorinA.JacobsC. D. (2001). An evaluation of an acquaintance rape prevention program : Impact on attitudes, sexual aggression, and sexual victimization. Journal of Interpersonal Violence, 16(11), 1120–1138. https://doi.org/10.1177/088626001016011002
39.
GötzF. M.GoslingS. D.RentfrowP. J. (2022). Small effects : The indispensable foundation for a cumulative psychological science. Perspectives on Psychological Science, 17(1), 205–215.
40.
*GrossA. M.BennettT.SloanL.MarxB. P.JuergensJ. (2001). The impact of alcohol and alcohol expectancies on male perception of female sexual arousal in a date rape analog. Experimental and Clinical Psychopharmacology, 9(4), 380–388. https://doi.org/10.1037/1064-1297.9.4.380
*JohnsonJ. D.NoelN. E.Sutter HernandezJ. (2000). Alcohol and male acceptance of sexual aggression : The role of perceptual ambiguity. Journal of Applied Social Psychology, 30(6), 1186–1200. https://doi.org/10.1111/j.1559-1816.2000.tb02516.x
43.
*KirwanM.DavisK. C.StappenbeckC. A.GeorgeW. H. (2022a). The effect of state, trait, and situational factors on young men’s coercive condom use resistance. Psychology of Men & Masculinity, 23(4), 374–383. https://doi.org/10.1037/men0000399
44.
*KirwanM.DavisK. C.StappenbeckC. A.GeorgeW. H. (2022b). The roles of emotion regulation, alcohol consumption, and women’s condom request style in men’s coercive condom use resistance intentions. Journal of Aggression, Maltreatment & Trauma, 31(9), 1187–1205. https://doi.org/10.1080/10926771.2022.2089862
45.
*KirwanM.VanDaalenR. A.EldridgeN.DavisK. C. (2023). Sensation seeking and alcohol expectancies regarding sexual aggression as moderators of the relationship between alcohol use and coercive condom use resistance intentions. Psychology of Addictive Behaviors, 37(2), 309–317. https://doi.org/10.1037/adb0000822
46.
KnightR. A.Sims-knightJ. E. (2003). The developmental antecedents of sexual coercion against women : Testing alternative hypotheses with structural equation modeling. Annals of the New York Academy of Sciences, 989(1), 72–85. https://doi.org/10.1111/j.1749-6632.2003.tb07294.x
47.
KossM. P.AbbeyA.CampbellR.CookS.NorrisJ.TestaM.UllmanS.WestC.WhiteJ. (2007). Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization. Psychology of Women Quarterly, 31(4), 357–370. https://doi.org/10.1111/j.1471-6402.2007.00385.x
48.
KossM. P.GidyczC. A.WisniewskiN. (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(2), 162–170. https://doi.org/10.1037/0022-006X.55.2.162
49.
KossM. P.SwartoutK. M.LopezE. C.LamadeR. V.AndersonE. J.BrennanC. L.PrentkyR. A. (2022). The scope of rape victimization and perpetration among national samples of college students across 30 years. Journal of Interpersonal Violence, 37(1–2), NP25–NP47. https://doi.org/10.1177/08862605211050103
50.
LeighB. (1990). The relationship of sex-related alcohol expectancies to alcohol consumption and sexual behavior. British Journal of Addiction, 85(7), 919–928. https://doi.org/10.1111/j.1360-0443.1990.tb03722.x
*LeoneR. M.HaikalisM.ParrottD. J.Teten TharpA. (2022). A laboratory study of the effects of men’s acute alcohol intoxication, perceptions of women’s intoxication, and masculine gender role stress on the perpetration of sexual aggression. Alcoholism: Clinical and Experimental Research, 46(1), 166–176. https://doi.org/10.1111/acer.14753
53.
LimpseyM. W.WilsonD. B. (1993). The efficacy of psychological, educational and behavioral treatment. American Psychologist, 48(12), 1181. https://doi.org/10.1037/0003-066X.48.12.1181
54.
LonswayK. A.FitzgeraldL. F. (1995). Attitudinal antecedents of rape myth acceptance : A theoretical and empirical reexamination. Journal of Personality and Social Psychology, 68(4), 704–711. https://doi.org/10.1037/0022-3514.68.4.704
MalamuthN.HeaveyC.LintzD. (1993). Predicting men’s antisocial behavior against women : The interactional model of sexual aggression. In Sexual aggression : Issues in etiology, assessment and treatment (pp. 63–97). Taylor & Francis.
57.
MalamuthN. M.LamadeR. V.KossM. P.LopezE.SeamanC.PrentkyR. (2021). Factors predictive of sexual violence : Testing the four pillars of the Confluence Model in a large diverse sample of college men. Aggressive Behavior, 47(4), 405–420. https://doi.org/10.1002/ab.21960
*MarxB. P.GrossA. M.AdamsH. E. (1999). The effect of alcohol on the responses of sexually coercive and noncoercive men to an experimental rape analogue. Sexual Abuse: Journal of Research and Treatment, 11(2), 131–145. https://doi.org/10.1007/BF02658843
60.
*MarxB. P.GrossA. M.JuergensJ. P. (1997). The effects of alcohol consumption and expectancies in an experimental date rape analogue. Journal of Psychopathology and Behavioral Assessment, 19(4), 281–302. https://doi.org/10.1007/BF02229022
*NeilsonE. C.EakinsD. R.Cue DavisK.NorrisJ.GeorgeW. H. (2017). Depressive symptoms, acute alcohol intoxication, and risk rationale effects on men’s condom use resistance. The Journal of Sex Research, 54(6), 764–775. https://doi.org/10.1080/00224499.2016.1217500
65.
*NeilsonE. C.MaitlandD. W. M.GeorgeW. H. (2023). Power-related emotions, alcohol intoxication, and nonconsensual sex intentions : The role of fear of intimacy. Sexual Abuse: Journal of Research and Treatment, 35(3), 313–339. https://doi.org/10.1177/10790632221096420
66.
*NeilsonE. C.SmithL.DavisK. C.GeorgeW. H. (2022). Acute alcohol intoxication, state anger, and sexual assault perpetration : The role of state emotion regulation. Psychology of Violence, 12(1), 42–51. https://doi.org/10.1037/vio0000381
67.
NelsonP.A. (1979). Personality, sexual functions and sexual behavior: An experiment in methodology [Unpublished Doctoral Dissertation, University of Florida].
68.
*NoelN. E.MaistoS. A.JohnsonJ. D.JacksonL. A.Jr. (2009). The effects of alcohol and cue salience on young men’s acceptance of sexual aggression. Addictive Behaviors, 34(4), 386–394. https://doi.org/10.1016/j.addbeh.2008.11.016
69.
*NorrisJ.DavisK.GeorgeW.MartellJ.HeimanJ. (2002). Alcohol’s direct and indirect effects on men’s self-reported sexual aggression likelihood. Journal of Studies on Alcohol, 63(6), 688–695. https://doi.org/10.15288/jsa.2002.63.688
70.
*NorrisJ.GeorgeW.DavisK.MartellJ.LeonesioR. (1999). Alcohol and hypermasculinity as determinants of men’s empathic responses to violent pornography. Journal of Interpersonal Violence, 14(7), 683–700. https://doi.org/10.1177/088626099014007001
71.
*NorrisJ.KerrK. L. (1993). Alcohol and violent pornography : Responses to permissive and nonpermissive cues. Journal of Studies on Alcohol, 11, 118–127. https://doi.org/10.15288/jsas.1993.s11.118
R Core Team. (2021). R: A language and environment for statistical computing (Version 4.4.0). Logiciel.
75.
Scott-SheldonL. A. J.CareyK. B.CunninghamK.JohnsonB. T.CareyM. P., & The MASH Research Team. (2016). Alcohol use predicts sexual decision-making : A systematic review and meta-analysis of the experimental literature. AIDS and Behavior, 20(1), 19–39. https://doi.org/10.1007/s10461-015-1108-9
76.
SchusterI.TomaszewskaP.KrahéB. (2022). A theory-based intervention to reduce risk and vulnerability factors of sexual aggression perpetration and victimization in German university students. Journal of Sex Research, 60(8), 1206–1221. https://doi.org/10.1080/00224499.2022.2105290
77.
SetoM. C.BarbareeH. E. (1995). The role of alcohol in sexual aggression. Clinical Psychology Review, 15(6), 545–566.
78.
SteeleB.MartinM.SciarraA.Melendez-TorresG. J.EspostiM. D.HumphreysD. K. (2023). The prevalence of sexual assault among higher education students : A systematic review with meta-analyses. Trauma, Violence, & Abuse, 25(3), 1885–1898. https://doi.org/10.1177/15248380231196119
79.
SteeleC. M.JosephsR. A. (1990). Alcohol myopia. Its prized and dangerous effects. The American Psychologist, 45(8), 921–933.
80.
SterneJ. A. C.SavovićJ.PageM. J.ElbersR. G.BlencoweN. S.BoutronI.CatesC. J.ChengH.-Y.CorbettM. S.EldridgeS. M.EmbersonJ. R.HernánM. A.HopewellS.HróbjartssonA.JunqueiraD. R.JüniP.KirkhamJ. J.LassersonT.LiT.. . .HigginsJ. P. T. (2019). RoB 2 : A revised tool for assessing risk of bias in randomised trials. BMJ, 366, l4898. https://doi.org/10.1136/bmj.l4898
81.
VladutiuC. J.MartinS. L.MacyR. J. (2011). College- or university-based sexual assault prevention programs : A review of program outcomes, characteristics, and recommendations. Trauma, Violence, & Abuse, 12(2), 67–86. https://doi.org/10.1177/1524838010390708
*WegnerR.DavisK. C.StappenbeckC. A.KajumuloK. F.NorrisJ.GeorgeW. H. (2017). The effects of men’s hostility toward women, acute alcohol intoxication, and women’s condom request style on men’s condom use resistance tactics. Psychology of Violence, 7(4), 593–601. https://doi.org/10.1037/vio0000069
*WoernerJ.AbbeyA.PegramS. E.HelmersB. R. (2018). The effects of alcohol intoxication and sexual interest on men’s sexual persistence and hostility in a dating simulation. Aggressive Behavior, 44, 537–547. https://doi.org/10.1002/ab.21773
86.
WoernerJ.CooperR.PappL. J.NeilsonE. C.DavisC.DvorakR. D.DunnM. E. (2025). Within- and between-person fluctuations in men’s sex-related alcohol expectancies and perceptions of sexual interest in a hypothetical sexual scenario. Applied Cognitive Psychology, 39(3), e70067. https://doi.org/10.1002/acp.70067
87.
*WydraA.MarshallW. L.EarlsC. M.BarbareeH. E. (1983). Identification of cues and control of sexual arousal by rapists. Behaviour Research and Therapy, 21(5), 469–476. https://doi.org/10.1016/0005-7967(83)90037-2
