title: Factors associated with condom use among at-risk women students and nonstudents seen in managed care.
abstract: OBJECTIVE
  Sexually transmitted diseases (STD) research has focused on high-risk populations such as STD clinic patients and college students. This report examines predictors of unprotected sex among nonstudent women seen in primary care.
  
  
  METHODS
  Data are taken from the baseline survey of an intervention trial testing tailored print materials to encourage condom use.
  
  
  METHODS
  Eligible women were identified from automated databases of two managed care organizations and were ages 18-25, unmarried, heterosexually active in the prior 6 months, and not in a long-term monogamous relationship.
  
  
  RESULTS
  The frequency of and relative contribution of risk behaviors to occurrences of unprotected vaginal sex were compared among non-full-time students (n=711) and full-time students (n=390).
  
  
  RESULTS
  STD risk behaviors were prevalent and had similar associations with unprotected sex in both subsamples. Older age, using hormonal or no usual contraception, and having a "primary" partner increased unprotected sex; partner approval of condoms and having bought or carried condoms decreased unprotected sex.
  
  
  CONCLUSIONS
  While sexually active single women seen in primary care perceive themselves at low STD risk, their risk profiles are similar to those of higher risk populations. Clinic-based interventions that include proactive identification of at-risk women and systems for encouraging safer sex practices are needed.
authors.affiliation: Department of Community and Family Medicine, Duke University Medical Center, Durham, NC 27710, USA. yarna001@mc.duke.edu
authors.forename: Kimberly S H
authors.initials: KS
authors.lastname: Yarnall
authors.forename: Colleen M
authors.initials: CM
authors.lastname: McBride
authors.forename: Pauline
authors.initials: P
authors.lastname: Lyna
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Fish
authors.forename: Diane
authors.initials: D
authors.lastname: Civic
authors.forename: Louis
authors.initials: L
authors.lastname: Grothaus
authors.forename: Delia
authors.initials: D
authors.lastname: Scholes
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D015999:Multivariate Analysis; D009657:North Carolina; D012307:Risk Factors; D012309:Risk-Taking; D021841:Safe Sex / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D013334:Students; D014861:Washington