“…Using an ecological model (McLeroy et al, 1988) to frame sexual health influences, there are significant opportunities to intervene and promote healthy sexual behavior. Previous research supports a myriad of influences on American Indian adolescents’ sexual risk behaviors across levels of the social–ecological model including parent–adolescent communication and relationships (Saftner, 2016), peer norms (Chambers et al, 2018; Saftner, Martyn, Momper, Loveland-Cherry, & Low, 2015), perceived impact of risky sexual behavior (Chambers et al, 2018), intention to have sex (Tingey et al, 2018), and condom use self-efficacy (Tingey et al, 2018).…”