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Crack users: the new AIDS risk group?

R E Fullilove1, M T Fullilove, B Bowser

  • 1Multicultural Inquiry and Research on AIDS, San Francisco, CA 94105.

Cancer Detection and Prevention
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PubMed
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Crack cocaine users engaging in sex face higher STD risks. Factors like female gender, marijuana use, and passive sexual approach predict STD history in this population.

Area of Science:

  • Public Health
  • Substance Abuse Research
  • Epidemiology

Background:

  • Crack cocaine use is prevalent in urban areas, particularly among adolescents.
  • High rates of unprotected sex and sexually transmitted diseases (STDs) are reported among crack users.
  • Concerns exist regarding the potential for HIV transmission within this demographic.

Purpose of the Study:

  • To identify factors distinguishing crack users with a history of STDs from those without.
  • To understand the relationship between crack cocaine use, sexual behavior, and STD prevalence.

Main Methods:

  • A discriminant analysis was performed on 101 adolescent crack users who reported combining crack use with sexual activity.
  • Data were collected from participants in Oakland and San Francisco, California.

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  • Five variables were identified as significant predictors of STD history.

    • Main Results:

    • Female gender was a significant predictor of STD history (p = 0.000).
    • Increased frequency of marijuana use (p = 0.005) and a passive approach to sex (p = 0.002) were associated with STD history.
    • Attitudes towards condom use (p = 0.006) and using drugs to escape problems (p = 0.029) also distinguished groups.

    Conclusions:

    • Crack users who combine drug use with sex may exhibit passivity in their sexual decision-making.
    • These findings highlight potential targets for public health interventions aimed at reducing STD transmission in this population.