The high-risk sexual practices of crack-smoking sex workers recruited from the streets of three American cities. The Multicenter Crack Cocaine and HIV Infection Study Team.

Abstract:

BACKGROUND AND OBJECTIVES:Small ethnographic and clinic-based studies indicate that crack-smoking sex workers are at high risk for human immunodeficiency virus (HIV) and sexually transmitted diseases (STD). STUDY GOALS:To examine the prevalence of risky sexual behaviors and HIV and STD in a large sample of street-recruited crack-smoking sex workers. STUDY DESIGN:From 1991 to 1992, 419 crack-smoking sex workers were recruited from urban neighborhoods, interviewed, and serologically tested. RESULTS:Many female and male sex workers reported sex with injectors (30% to 41%) or HIV-infected persons (8% to 19%), past STD (73% to 93%), and inconsistent condom use (> 50% for all types of sex). Sex workers who worked in crack houses or vacant lots, were paid with crack, or injected drugs had the riskiest sex practices. Most sex workers initiated sex work before they first smoked crack. More than 25% were infected with HIV (27.9%), syphilis (37.5%), or herpes simplex virus type 2 (66.8%). CONCLUSIONS:Interventions to prevent HIV/STD transmission among crack-smoking sex workers are urgently needed.

journal_name

Sex Transm Dis

authors

Jones DL,Irwin KL,Inciardi J,Bowser B,Schilling R,Word C,Evans P,Faruque S,McCoy HV,Edlin BR

doi

10.1097/00007435-199804000-00002

subject

Has Abstract

pub_date

1998-04-01 00:00:00

pages

187-93

issue

4

eissn

0148-5717

issn

1537-4521

journal_volume

25

pub_type

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