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Using a structured timeline followback interview, participants reported their sexual, alcohol, and drug use behaviors over a 3-month period. Over 2, vaginal or anal sexual anal alcohol consumption method were reported from participants. Overall, condom use was not associated with heavy or non-heavy alcohol consumption among those reporting both sexual events concurrent with heavy drinking and when no alcohol was consumed. Results from multilevel regression analyses revealed a more complex pattern. Among women, but not men, less condom use anal alcohol consumption method associated with steady vs. At the event-level, alcohol consumption among heavy drinking college students leads to risky sexual behavior but the relation differs by gender and partner type.