Using a "Positive Deviance" Framework to Discover Adaptive Risk Reduction Behaviors Among High-Risk HIV Negative Black Men Who Have Sex with Men.

Despite the high incidence of HIV among young Black MSM in the United States and engagement in high risk behaviors, many men in this group avoid infection. This suggests that some men may engage in systematic risk reduction behaviors when not always using condoms or abstaining from substances. Using a "positive deviance" framework, we conducted qualitative interviews with HIV-negative, Black MSM between 25 and 35 who reported unprotected anal sex and drug use in the past six months or current heavy drinking (N = 29) to discover behaviors that could facilitate remaining HIV-uninfected. Findings showed that MSM who remain HIV negative despite continuing to engage in high-risk behaviors may be engaging in adaptive risk reduction behaviors that, through successive decisions and advance planning along the timeline to a sexual event, could lead to increased condom use, avoidance or delay of a risky sexual event, or reduction of HIV positive partners.

Headache in college students: a comparison of four populations.

Recent studies have reported a much lower rate of headache prevalence for Australian college students as compared with those for two campuses in the United States. We present such data here for a third U.S. campus and make several comparisons of these data for the four campuses. While the gender difference of higher female over male headache frequency was found for all four campuses, the same measure for combined genders is reliably higher for all three U.S. groups over their Australian counterpart and there are significant differences among the U.S. groups as well. Possible reasons for these campus differences in headache prevalence are outlined and discussed and further research is indicated.