Little is known about the sexual behaviors of older adults, although the prevalence of HIV/AIDS is rapidly increasing in this population. As part of a larger multi-site study examining secondary HIV prevention, we recruited from an HIV primary care clinic 210 sexually active HIV positive individuals aged 45 and over (125 men, 85 women) who had engaged in vaginal or anal sex within the past six months. Twenty percent of the participants reported inconsistent use of condoms and 33% had multiple sexual partners during the previous six months. Negative mood and perceived HIV stigma were associated with inconsistent condom use. In addition, multiple sex partners and higher level of education were related to inconsistent condom use during sex with partners of negative or unknown serostatus. These findings indicate that contrary to current beliefs, sexually active older adults, similar to younger ones, may be engaging in high risk transmission behaviors.

Although no temporal relationships can be determined between drinking alcohol before age 13 and delinquent behavior outcomes, the results suggested that adolescents under the age of 13 need to be included in national epidemiological surveys on alcohol use and more efforts need to be directed toward the implementation of prevention programs early in elementary and middle schools.

Despite the fact that older women represent a growing risk group for HIV, they have been rarely targeted by public health campaigns designed to prevent HIV/AIDS and are often excluded from many prevention studies. This unique cohort may be often overlooked due to beliefs that older women are not sexually active and do not engage in high risk sexual activity. Data suggest a need for increased attention to this unique cohort. Risk reduction interventions tailored to the special needs of people living with HIV/AIDS have begun to demonstrate promising results. In this manuscript, we report the 6 month outcomes for female participants in Project ROADMAP, a secondary prevention intervention designed to reduce high risk sexual behavior in older adults living with HIV/AIDS. Our results indicate that female participants in the intervention group were more likely to report a reduction in high risk sexual behavior than women in the control condition. Our findings also suggest that the intervention succeeded in increasing the HIV-related knowledge of the participants and decreasing their stigma vis-à-vis the HIV condition. The study findings suggest that Project ROADMAP is an effective secondary prevention intervention for sexually active older HIV positive women.

ABSTBACT The apple maggot fly, Rhagoletis pomonella Walsh (Diptera: Tephritidae), is a major pest of commercially grown domesticated apple (Malus domestica Borkhausen) in North America. The shift of the fly from its native host hawthorn (Crataegus mollis) to apple in the eastern United States is often cited as an example of incipient sympatric speciation in action. However, R. pomonella is also present in the Pacific Northwest region of the United States where it infests apple, native black hawthorn (Crataegus douglasii), and introduced English ornamental hawthorn (C. monogyna). It is believed that R. pomonella was introduced to the Portland, OR, area via larval-infested apples from the east. The fly subsequently spread through the region, shifting onto black hawthorn and ornamental hawthorn as additional hosts as it spread. It is also possible, however, that R. pomonella is native to black hawthorn in the Pacific Northwest and switched to infest apple and ornamental hawthorn after the introduction of these two alternative hosts to the region. Here, we document the distribution of R. pomonella through the Pacific Northwest and Rocky Mountain states of the western United States to help clarify the origin (s) of the fly outside the eastern United States. We report a distribution pattern consistent with the hypothesis that R. pomonella was introduced to the Pacific Northwest via infested apples. In particular, the low levels or lack of C. dougliasii-infesting R. pomonella east of the Cascade Mountains in the states of Washington, OR, and Idaho implies that the fly is not native on black hawthorn and is of recent origin. We discuss the evolutionary and applied implications of the results with respect to our current understanding of host race formation and control for R. pomonella.