Rollins have analysed the unconventional behavior that occurs between Noah and Ham as revolving around sexuality and the exposure of genitalia as compared with other Hebrew Bible texts, such as Habakkuk 2:15 and Lamentations 4:21.

Other commentaries mention that "uncovering someone's nakedness" could mean having sexual intercourse with that person or that person's spouse, as quoted in Leviticus 18:7-8 and 20. From this interpretation comes the speculation that Ham was guilty of engaging in incest