Gary Holy Bull was convicted following a trial by jury of sexual abuse of a minor, in violation of 18 U.S.C. § 2248(a). In a pretrial ruling, the district court 1 held admissible evidence of prior sexual contact with a minor, pursuant to Federal Rule of Evidence 413. Holy Bull was sentenced to 87 months’ imprisonment, the low end of the Guidelines range. On appeal, Holy Bull raises three issues: whether the district court abused its discretion by admitting evidence of prior sexual abuse, whether the evidence was sufficient to support the conviction, and whether the sentence imposed was substantively reasonable. We affirm.
I
In 2007, Gary Holy Bull lived in a residence on the Sisseton-Wahpeton Sioux Indian Reservation in South Dakota. Also living at the same residence were Holy Bull’s wife, A.W., and Holy Bull’s stepdaughter B.B. On one evening during May 2007, B.B. heard a noise at her window; feeling scared, she went into Holy Bull’s bedroom and climbed into bed with him. B.B. woke up later that evening to Holy Bull kissing her, putting his tongue in her mouth, and fondling her vaginal area underneath her clothing. After B.B. broke off physical contact, Holy Bull began to cry and gave B.B. a ceremonial pipe as a gift. On the following night, B.B. again spent the night in Holy Bull’s bed. During the night, she woke up to Holy Bull fondling her buttocks. B.B. was twelve years old at the time of these incidents.
Approximately six months later, B.B. told her mother about the abuse. After A.W. confronted Holy Bull, he admitted to her that he “woke up kissing her and that he hurt her.” Holy. Bull was subsequently interviewed by FBI Special Agent Joe Weir. During the interview, Holy Bull admitted to fondling B.B.’s vaginal area underneath her clothing and kissing B.B. on the lips.
Holy Bull was indicted on charges of sexual abuse of a minor, in violation of 18 U.S.C. § 2243(a), and abusive sexual contact, in violation of 18 U.S.C. § 2244(a)(3). Prior to trial, the prosecution brought a motion to admit evidence of prior misconduct by Holy Bull. The prior conduct consisted of testimony of a different stepdaughter who stated she was fondled by Holy Bull at various times between 1981 and 1985. The prior victim testified that Holy Bull often rubbed her thighs, buttocks, and breasts; she further testified that Holy Bull would enter her bedroom at night, or call her into his bedroom, and fondle her in the vaginal area. The district court held the evidence admissible and the evidence was presented to the jury. After the evidence was presented, the court cautioned the jury not to auto *873 matically infer guilt based on the prior conduct.
The jury found Holy Bull guilty of sexual abuse of a minor, but acquitted him of abusive sexual contact. The district court sentenced Holy Bull to 87 months’ imprisonment, the bottom end of the Guidelines range.
Holy Bull timely appeals.
II
Holy Bull contends the district court erred by admitting evidence of his prior acts of sexual abuse. We will not reverse a district court’s evidentiary rulings unless they constitute a clear and prejudicial abuse of discretion.
See United States v. Goodson,
Evidence of prior bad acts is generally not admissible to prove a defendant’s character or propensity to commit crime. Fed. R.Evid. 404(b). However, Congress altered this rule in sex offense cases when it adopted Rules 413 and 414 of the Federal Rules of Evidence. After the adoption of Rules 413 and 414, in sexual assault and child molestation cases, evidence that the defendant committed a prior similar offense “may be considered for its bearing on any matter to which it is relevant,” including the defendant’s propensity to commit such offenses. Fed.R.Evid. 413(a), 414(a). If relevant, such evidence is admissible unless its probative value is “substantially outweighed” by one or more of the factors enumerated in Rule 403, including “the danger of unfair prejudice.”
United States v. LeCompte,
Our most apposite case is
United States v. Gabe,
We began our analysis in
Gabe
by examining whether the evidence had probative value, recognizing “the strong legislative judgment that evidence of prior sexual offenses should ordinarily be admissible.”
Id.; LeCompte,
testimony [was] highly probative. The abuse alleged by [the prior victim] was almost identical to the abuse of [the more recent victim] alleged in [the indictment]. Both were young girls of six or seven years at the time of the offenses; both were related to [the defendant]; and the sexual nature of the offenses was similar.
Gabe,
This case is similar to Gabe. The testimony of the prior victim revealed a pattern of abuse quite similar to the abuse alleged in the indictment. Although we recognize the district court’s concern that the jury could impermissibly punish Holy Bull for his prior conduct, this risk is *874 apparently one Congress considered when it adopted Rules 413 and 414. We therefore cannot say the district court abused its discretion in admitting the evidence.
Ill
Next, Holy Bull argues that the evidence presented at trial was insufficient to prove beyond a reasonable doubt that he committed sexual abuse of a minor “knowingly,” as required by statute. Rather, Holy Bull contends that he was asleep when the abuse occurred.
This court reviews de novo challenges to the sufficiency of the evidence presented at trial.
United States v. Irani,
The crime of sexual abuse of a minor provides, in relevant part, that “[wjhoever, in the ... territorial jurisdiction of the United States ... knowingly engages in a sexual act with another person who ... has attained the age of 12 years but has not attained the age of 16 years; and is at least four years younger than the person so engaging” shall be imprisoned for not more than fifteen years. 18 U.S.C. § 2243(a). An act is done knowingly if “the defendant is aware of the act and does not act [or fail to act] through ignorance, mistake, or accident.”
United States v. Dockter,
We conclude the evidence was sufficient to prove Holy Bull knowingly engaged in sexual abuse of B.B. Although the jury could have concluded Holy Bull was asleep when the abuse occurred, the possibility Holy Bull was asleep does not create a reasonable doubt about his guilt in this case. B.B. complained of abuse on two consecutive nights. The abuse included at least three discrete inappropriate acts: fondling the vaginal area and kissing on the first night, and fondling the buttocks on the second night. The succession of acts itself — normally done with purpose and not through ignorance, mistake, or accident — convinces us a reasonable jury could find, beyond a reasonable doubt, that Holy Bull acted with knowledge of his actions.
IV
Finally, Holy Bull argues the sentence of 87 months’ imprisonment imposed by the district court was substantively unreasonable. When this court reviews the imposition of sentences, whether inside or outside the Guidelines range, it applies “a deferential abuse-of-discretion standard.”
United States v. Hayes,
Holy Bull contends the district court erred by failing to adequately consider two factors weighing in favor of a lighter sentence: his poor health and his history as a victim of sexual abuse. Our review of the transcript of the sentencing hearing reveals the district court considered both issues. The court noted “there is no doubt the defendant has substantial medical problems,” and specifically sentenced Holy Bull to the low end of the Guidelines range “based upon the fact of his health problems.” The record similarly shows that the district court considered Holy Bull’s experiences as a victim of sexual abuse. According to the district court: “There is no doubt that someone who has been sexually abused themselves is very likely to be a perpetrator,” and “that’s exactly what happened here with Mr. Holy Bull. He was sexually abused by his cousins, and then — God help us — by the nuns.... ” Thus, the district court clearly included Holy Bull’s history of sexual abuse in its analysis.
We conclude the district court did not abuse its discretion in imposing an 87-month sentence.
V
We affirm.
Notes
. The Honorable Charles B. Kornmann, United States District Judge for the District of South Dakota.
