OBJECTIVE: We examined the relationship between American Indian @entity1 's attitudes toward pregnancy prevention, STI/ @entity645 prevention, and @entity146 . Attention was given to: (1) attitudes and intentions to use condoms and @entity146 ; (2) STI/ @entity645 prevention characteristics and @entity146 ; (3) attitudes toward abstinence and monogamy and @entity146 ; and (4) decision-making in relationships and @entity146 . STUDY DESIGN: Our sample included 120 heterosexual American Indian @entity1 aged 18 to 24 living on a reservation. Data were collected during in-depth interviews. A community-based participatory research framework was used to ensure the relevancy and acceptability of the study given the sensitivity of the topic. PRINCIPAL FINDINGS: Results demonstrated that attitudinal factors were associated with @entity146 , particularly inconsistent condom use. Attitudes associated with consistent condom use suggested greater levels of positive dispositions toward prevention and intention to use condoms. Consistent condom use was associated with more cautious attitudes toward sex with multiple sex partners. Study results suggested that American Indian @entity1 who reported sex with multiple partners exhibited a set of attitudes and beliefs toward pregnancy prevention and STI/ @entity645 prevention that corresponded with a disposition resulting from their behaviors, in that engaging in @entity146 elevated their levels of risk perception. CONCLUSIONS: Our findings suggest that heterosexual American Indian @entity1 living in rural environments need sexual and reproductive health programs and clinical services that address differing attitudes toward condom use within the context of multiple sex partners and @entity146 .

The Relationship Between Pregnancy Prevention and STI/ XXXX Prevention and Sexual Risk Behavior Among American Indian @entity1 .

@entity1 :: ('9606', 'Species') :: ['men'] @entity645 :: ('57667', 'Species') :: ['HIV'] @entity146 :: ('MESH:D001523', 'Disease') :: ['sexual risk behavior']
@entity645 :: (57667,Species) :: ['HIV']
