A Comparison of Intimate Partner Violence Victimization and Perpetration, Adverse Childhood Experiences, and Mental Health Among Men in Same-Gender and Different-Gender Relationships

Intimate partner violence (IPV) is a serious social and public health problem in the United States. Adverse childhood experiences (ACEs) and poor mental health are associated with IPV. Sexual minority men (SMM) experience each of these disproportionately; however, limited studies have examined the interrelationships of these variables among SMM. Cross-sectional data from the first wave (September 1, 2020–April 25, 2021) of the National Couples’ Health and Time Study were used to assess the prevalence of physical, sexual, and psychological IPV victimization and perpetration and the association with ACEs and depression, anxiety, and stress among cisgender men in same-gender and different-gender relationships. Log-binomial regression was used to evaluate relationships, stratified by couples’ gender identity. In a sample of 1,681 men, including 689 sexual minority men, 40.6% reported IPV victimization and 33.1% reported IPV perpetration. Stratified by couples’ gender identity, victimization and perpetration were reported more frequently among men in different-gender relationships compared to men in same-gender relationships (40.7% vs. 33.9%; 33.2% vs. 30.2%). Psychological victimization and perpetration were the most commonly reported. Among men in same-gender relationships, depression symptoms had the highest association with IPV victimization (prevalence ratio [PR] = 2.14, 95% confidence interval [CI]: 1.56–2.95) and perpetration (PR = 1.72, 95% CI: 1.24–2.39). Research, clinical screenings, and other settings that focus on understanding and intervening on partner violence victimization and perpetration should intentionally consider the experiences of SMM in order to effectively promote healthy relationships and optimal mental health.