HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions

Epidemiological studies have found that young men who have sex with men (YMSM) represent the majority of young people infected with HIV annually in the United States. Further, they are one of the few risk groups to show an increase in the rate of infections in recent years. In addition to these disparities in prevalence and infection rates, there is an inequity in prevention and intervention research on this population. The purpose of this article is to review the existing YMSM literature on HIV epidemiology, correlates of risk, and intervention research. The article concludes that promising future directions for basic research include a focus on multiple clustering health issues, processes that promote resiliency, the role of family influences, and the development of parsimonious models of risk. In terms of intervention research, the article suggests that promising future directions include Internet-based intervention delivery, integration of biomedical and behavioral approaches, and interventions that go beyond the individual level to address partnership, structural, community, and network factors.     

Genetic Studies of Pathological Gambling: A Review of Methodology and Analyses of Data from the Vietnam Era Twin Registry

Twin studies represent an important and powerful approach to estimating the relative contributions of environmental and genetic factors to the expression of psychiatric illnesses. In this article, we first explain the rationale for using large populations of monozygotic and dizygotic twin pairs to estimate genetic and environmental contributions to a disorder and the statistical modeling associated with this approach. We then review results from studies of the Vietnam Era Twin Registry that use this methodology to examine the etiology of pathological gambling (PG) behaviors. The results provide strong evidence for genetic contributions to the development of PG in men and set the foundation for future studies aimed at identifying the manner in which specific genes and environmental factors individually and in conjunction contribute to PG.     

The interaction of aging and 10 years of racing on ultraendurance running performance

The aim of this study was to examine the interaction between aging and 10 years of racing in endurance runners. Race-time data from 194 runners who had completed 10 consecutive 56-km ultramarathons were obtained. The runners were either 20.5 +/- 0.7, 30.0 +/- 1.0, 39.9 +/- 0.9, or 49.4 +/- 1.0 years old at their first race. Each runner's race speed was determined for each race over the 10 years. Data were analyzed using repeated-measures ANOVA, one-way ANOVA, and independent t tests and showed that performance improved and declined at greater rates for younger runners; younger runners had a greater capacity for improvement than older runners; approximately 4 years were required to reach peak racing speed, regardless of age; it was not possible to compete at peak speed for more than a few years; and the combined effects of 10 years of aging and racing neither improve nor worsen net performance. In conclusion, these data suggest that although these runners showed similar patterns of change in race speed over a 10-year period, the extent of change in performance was greater in younger than in older runners.     

Internships for women in higher education administration: springboards for success?

Administrative positions within higher education have been very homogeneous, reflecting an institutional culture in which males prevail. In an attempt to encourage women to consider alternatives in administrative positions, internship programs were developed to provide women with opportunities and a mechanism for career advancement. The purpose of this case study was to examine what women did as a result of participating in such an administrative internship program over a ten year time period at a comprehensive university. Interview data yielded consistent results that support existing literature about women in higher education. Trends were identified and recommendations suggested for encouraging more diversity within administrative positions in higher educational institutions. The findings of this study confirm the need for mentoring relationships for women in administrative positions.