HIGH-RISK BEHAVIORS FOR HIV - A COMPARISON BETWEEN CRACK-ABUSING AND OPIOID-ABUSING AFRICAN-AMERICAN WOMEN

被引:63
作者
COHEN, E
NAVALINE, H
METZGER, D
机构
[1] University of Pennsylvania, Veterans Administration Medical Center, Center for Studies of Addiction, Philadelphia, PA, 19104, VA Medical Center-Bldg. #7, University and Woodland Avenues
关键词
AFRICAN-AMERICAN; AIDS; CRACK COCAINE; HIV; OPIOIDS; WOMEN;
D O I
10.1080/02791072.1994.10472436
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
High rates of unprotected sexual behaviors and the exchange of sex for crack have been reported among female crack cocaine users. This subpopulation of drug users is at significant risk for contracting and transmitting HIV and AIDS. To date, there has been no research comparing crack- and opioid-abusing women, particularly regarding their involvement in high-risk behaviors and other key background indicators for different subgroups of drug-abusing women. Sixty-one crack-abusing African-American women who recently entered an intensive outpatient treatment program were compared to 64 matched women whose primary drug of abuse was heroin. The opioid subgroup represented both those who were involved in methadone maintenance and those who were out of treatment. Higher rates of high-risk sexual behaviors were reported by the crack subgroup, including prostitution, number of sexual partners, and infrequency of condom use. As expected, IV drug use and high-risk behaviors associated with needle use were much higher among the opioid subgroup. Other significant differences were found between the two groups across key indicators. Individuals in the crack subgroup were younger, cared for more children, were less employable, were less likely to be married, and had more extensive lifetime substance abuse. Quantitative and qualitative background and clinical data are also presented. The nature of crack versus heroin abuse is also discussed, particularly in relation to high-risk sexual behaviors. Finally, the impact of the findings on developing appropriate treatment interventions for both groups is addressed.
引用
收藏
页码:233 / 241
页数:9
相关论文
共 48 条
  • [1] NEEDLE SHARING IN CONTEXT - PATTERNS OF SHARING AMONG MEN AND WOMEN INJECTORS AND HIV RISKS
    BARNARD, MA
    [J]. ADDICTION, 1993, 88 (06) : 805 - 812
  • [2] BEARD J, 1978, ALTERNATIVES MENTAL
  • [3] BENCIVENGO MR, 1993, EPIDEMIOLOGIC TRENDS
  • [4] BOWSER SL, 1990, J NATIONAL MED ASS, V8, P538
  • [5] WOMEN AND AIDS
    CAMPBELL, CA
    [J]. SOCIAL SCIENCE & MEDICINE, 1990, 30 (04) : 407 - 415
  • [6] THE CRACK LIFE - AN ETHNOGRAPHIC OVERVIEW OF CRACK USE AND SEXUAL-BEHAVIOR AMONG AFRICAN-AMERICANS IN A MIDWEST METROPOLITAN CITY
    CARLSON, RG
    SIEGAL, HA
    [J]. JOURNAL OF PSYCHOACTIVE DRUGS, 1991, 23 (01) : 11 - 20
  • [7] HETEROSEXUAL TRANSMISSION OF HIV-1 ASSOCIATED WITH THE USE OF SMOKABLE FREEBASE COCAINE (CRACK)
    CHIASSON, MA
    STONEBURNER, RL
    HILDEBRANDT, DS
    EWING, WE
    TELZAK, EE
    JAFFE, HW
    [J]. AIDS, 1991, 5 (09) : 1121 - 1126
  • [8] HIV-INFECTION, GENITAL ULCER DISEASE, AND CRACK COCAINE USE AMONG PATIENTS ATTENDING A CLINIC FOR SEXUALLY-TRANSMITTED DISEASES
    CHIRGWIN, K
    DEHOVITZ, JA
    DILLON, S
    MCCORMACK, WM
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 1991, 81 (12) : 1576 - 1579
  • [9] IMPACT OF THE HUMAN-IMMUNODEFICIENCY-VIRUS EPIDEMIC ON MORTALITY IN WOMEN OF REPRODUCTIVE AGE, UNITED-STATES
    CHU, SY
    BUEHLER, JW
    BERKELMAN, RL
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (02): : 225 - 229
  • [10] HIGH-RISK SEX BEHAVIOR AMONG YOUNG STREET-RECRUITED CRACK COCAINE SMOKERS IN 3 AMERICAN CITIES - AN INTERIM-REPORT
    EDLIN, BR
    IRWIN, KL
    LUDWIG, DD
    MCCOY, HV
    SERRANO, Y
    WORD, C
    BOWSER, BP
    FARUQUE, S
    MCCOY, CB
    SCHILLING, RF
    HOLMBERG, SD
    [J]. JOURNAL OF PSYCHOACTIVE DRUGS, 1992, 24 (04) : 363 - 371