This study explores the characteristics and risk behaviors of sexual minority high school students using the 2011 Wisconsin Youth Risk Behavior Survey. Among 3,043 students surveyed, 8% of students identified as lesbian, gay, bisexual, or unsure, and 7% reported having contact with same-sex partners. Findings indicate sexual minority students experience some health disparities, including increased odds of forced sexual activity, although human immunodeficiency virus (HIV) sexual risk behaviors were not significantly associated with sexual minority students. Results suggest a need to address the complex social factors affecting sexual minority youth and broadly target HIV prevention initiatives to all youth, regardless of sexual orientation.