title: Beyond Sexual Partnerships: The Lack of Condom Use during Vaginal Sex with Steady Partners.
abstract: OBJECTIVE
  The purpose of this paper is to identify independent correlates of the lack of condom use when engaging in vaginal sex with steady partners among HIV-negative African American adults. The conceptual model includes proximal as well as more distal domains.
  
  
  METHODS
  Cross-sectional data were collected between May 2009 and August 2011. Recruitment involved active and passive recruitment strategies. Computer-assisted, individual interviews were conducted with 1,050 African American adults. Multivariate logistic regression was used to identify independent predictors of a lack of condom use with steady partners in the past 30 days.
  
  
  RESULTS
  In multivariate analysis, being older than 35, being partnered, perceiving having a steady partner as important, and ever having been homeless were associated positively with the odds of a lack of condom use during vaginal sex with steady partners in the past 30 days. On the other hand, reporting more than one steady partner in the past 30 days, having health insurance during the past 12 months, and perceived neighborhood social cohesion were negatively associated.
  
  
  CONCLUSIONS
  These findings highlight the need for HIV risk-reduction prevention and intervention efforts that consider distal as well as proximal domains. Such a perspective allows for a broader sociological inquiry into health disparities that moves beyond epidemiological factors that commonly guide public health research.
authors.affiliation: Emory University, Rollins School of Public Health, Department of Behavioral Sciences and Health Education, 1518 Clifton Road, Atlanta, GA 30322.
authors.forename: Lara
authors.initials: L
authors.lastname: Depadilla
authors.affiliation: Emory University, Rollins School of Public Health, Department of Behavioral Sciences and Health Education, 1518 Clifton Road, Atlanta, GA 30322.
authors.forename: Kirk W
authors.initials: KW
authors.lastname: Elifson
authors.affiliation: Emory University, Rollins School of Public Health, Department of Behavioral Sciences and Health Education, 1518 Clifton Road, Atlanta, GA 30322.
authors.forename: Claire E
authors.initials: CE
authors.lastname: Sterk
keywords: African American; Condom; Socioeconomic Status; Steady Partner