“…Furthermore, the racial homogeneity of the sample, although representative of Appalachian Kentucky (Pollard & Jacobsen, 2016), may limit generalizability to other ethnicities of women, even within rural settings. Previous research has also identified other variables that are implicated in risky behaviors among women from adolescence to adulthood, such as trauma (Ullman, Relyea, Peter-Hagene, & Vasquez, 2013), environmental factors (Stevens, Gilliard-Matthews, Nilsen, Malven, & Dunaev, 2014), psychological distress (Elkington, Bauermeister, & Zimmerman, 2010), and personal characteristics like behavioral disinhibition (Epstein et al, 2014). Consideration of such variables was unfortunately beyond the scope of this study and should be considered for future research.…”