Examines the frequency and correlates of unprotected anal intercourse among 250 gay and bisexual African-American men in the San Francisco (California) Bay area. More than 50 percent reported having unprotected anal intercourse in the past six months. Findings demonstrate the need for risk reduction programs targeting this population. (SLD)

A random household survey of 569 African-American adults in Oakland and 568 in San Francisco (California) indicates a high prevalence of smoking (41.9 percent), with smoking more likely by those reporting high stress. Stressful environment may contribute to high-risk smoking behavior among urban African Americans. (SLD)

In this paper we argue that interventions aimed at preventing social exclusion need to be informed by detailed analysis of the formation, disruption, reformation and support of trajectories of participation in the opportunities for action provided. We draw on evidence we gathered on the lives of two women who used an inner city drop-in centre to…