@article {2918,
	title = {Economic dependence and unprotected sex: the role of sexual assertiveness among young urban mothers.},
	journal = {Journal of urban health : bulletin of the New York Academy of Medicine},
	volume = {87},
	year = {2010},
	month = {2010 May},
	pages = {416-25},
	abstract = {In the USA, sexual intercourse is the leading route of human immunodeficiency virus transmission among women, primarily through their main partner. Because male condom use is not directly under a woman{\textquoteright}s control, gender inequalities may help shape this sexual risk behavior. To examine this association, data came from follow-up interviews of young, primarily minority, pregnant women enrolled in a prospective, randomized controlled trial. Specifically, we aimed to determine the relationship between economic dependence on a male partner and condom use, and to establish whether this relationship was mediated by sexual assertiveness. Overall, 28\% of women reported being economically dependent on a male partner. Young women dependent on a male partner were 1.6 times more likely to report not using a condom at last sex than women not dependent on their partner (95\% confidence interval = 1.11-2.32; p = 0.01). Sexual assertiveness mediated the relationship between economic dependence and condom use (Sobel = 2.05, p = 0.04). Coupled with past research, this study supports the premise that sexual behaviors may be rooted in a complex web of social determinants. Addressing gender inequalities in contextual factors may promote healthier decisions within sexual relationships.},
	keywords = {Adolescent, Adult, Assertiveness, Economics, Female, Humans, Interviews as Topic, Mothers, Object Attachment, United States, Unsafe Sex, Urban Population, Young Adult},
	issn = {1468-2869},
	doi = {10.1016/j.amepre.2009.08.027},
	author = {Biello, Katie Brooks and Sipsma, Heather L and Ickovics, Jeannette R and Kershaw, Trace}
}
