Research in sexually transmitted diseases (STD) has been primarily directed at biological and clinical aspects. Recently, the more common STDs have become more difficult to control and contain, and new STDs have appeared that are not responsive to the usual therapies. Alternative approaches are required for prevention. Behavior modification as one of these alternatives was shown to be successful in homosexual males in response to the AIDS epidemic. These behavioral changes have also resulted in reduced levels of syphilis and gonorrhea for this population. Changes in sexual habits, earlier onset of sexual activity in women, unplanned pregnancies, and problems of youth make the need for educational and behavioral interventions more urgent. Many of the high risk persons are users of inner city STD clinics and these clinics provide an important point for the dissemination of health and related information. A study group of 116 African-American women, 16 to 43 years old, were selected from those attending an inner city clinic. The patients were consecutively selected, and the usual routine tests were conducted as indicated by patient complaints and symptoms. Each woman was interviewed and questioned regarding sexual behavior, age at first intercourse, number of partners, frequency, pregnancies, sanitary product and douche usage, knowledge of the Pap test, social and smoking habits, and other general and sex related questions. Responses strongly indicated a lack of rudimentary information and the need for both clinical and social education. The STD clinic provides a suitable setting for the delivery of this information. (Consumer Summary produced by Reliance Medical Information, Inc.)