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    All authors contributed to the conception and design of the study. Grudzen originated the study, helped develop the coding and sampling scheme, supervised the acquisition of data, analyzed and interpreted the data, and wrote the initial draft of the article. Elliott originated the study, guided development of the coding and sampling scheme, data analysis plans, and interpretation of data, and reviewed and revised drafts of the article. Kerndt, M. Schuster, R. Brook, and L.
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    The Role of Young Adults’ Pleasure Attitudes in Shaping Condom Use

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    The Role of Young Adults’ Pleasure Attitudes in Shaping Condom Use

    Higgins conceived the study design, oversaw the analyses, and took the lead in writing the article. Wang managed the data, conducted analyses, created tables, and assisted with article preparation. Condoms can help young adults protect themselves from sexually transmitted infections and unintended pregnancy. We used a nationally representative sample of heterosexually active, unmarried to year-old young adults to document multivariate associations with condom nonuse at the last sexual episode. For both young men and women, pleasure-related attitudes were more strongly associated with lack of condom use than all sociodemographic or sexual history factors. Because of their unique ability to prevent both pregnancy and sexually transmitted infections STIs , male condoms are a vital public health tool.
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    Adult Condom Use

    The online survey used quota-based population sample matching of census targets for gender, age, region, language, visible minority status, and education level. We report general patterns of self-reported condom use, as well as results from zero-inflated negative binomial regression models on the relationship between condom use and social location, relationship status, and sexual health. Condom use varies by gender, age, education, visible minority status, and relationship status. Use of condoms is related to the perception of risk of being diagnosed with a sexually transmitted infection in the next six months and to the experience of receiving lessons in condom use.
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    There are several ways to promote condom use among people at high risk for sexual transmission of HIV. Although, individual-level, group-level, and community-level interventions demonstrate moderate to high success in promoting condom use, they show the greatest effect in reducing the risk of HIV infection when combined with structural-level interventions. Structural-level interventions, such as distributing free condoms in diverse venues, social marketing campaigns, or policy change, can address the social, economic, and political environments that shape and constrain individual, community, and societal health outcomes.
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