This study examines how cognitive influences such as sexual self-schema, HIV-related stigma, perception of HIV risk and condom sexual self-efficacy influence condom use at last sex among young adult Black women. An integrated theoretical framework consisting of The Health Belief Model, Social Cognitive Theory and Intersectionality Theory were presented to explore how these cognitive influences impact condom use at last sex among young adult Black women. The present study was based on a secondary data analysis collected by the Baylor College of Medicine Teen Clinic located in Houston, TX. Young adult Black women with high condom sexual self-efficacy are 33.2% more likely to report an increase in condom use at last sex after controlling for sexual self-schema, HIV-related stigma, and perception of HIV risk.