Limited attention has been focused on HIV risk behaviors of crack smokers and their sex partners, yet there is evidence that the crack house and the crack-using life-style may be playing significant roles in the transmission of HIV and other sexually transmitted diseases. The purposes of this research were to study the attributes and patterns of “sex for crack” exchanges, particularly those that occurred in crack houses, and to assess their potential impact on the spread of HIV. Structured interviews were conducted with 17 men and 35 women in Miami, Florida, who were regular users of crack and who had exchanged sex for crack (or for money to buy crack) during the past 30 days. In addition, participant observation was conducted in 8 Miami crack houses. Interview and observational data suggest that individuals who exchange sex for crack do so with considerable frequency, and through a variety of sexual activities. Systematic data indicated that almost a third of the men and 89% of the women had had 100 or more sex partners during the 30-day period prior to study recruitment. Not only were sexual activities anonymous, extremely frequent, varied, uninhibited (often undertaken in public areas of crack houses), and with multiple partners but, in addition, condoms were not used during the majority of contacts. Of the 37 subjects who were tested for HIV and received their test results 31% of the men and 21% of the women were HIV seropositive.
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Bowser, B. P. (1989). Crack and AIDS: An ethnographic impression.J. Nat. Med. Assoc. 81: 538–540.
Carmen, A., and Moody, H. (1985).Working Women: The Subterranean World of Street Prostitution Harper & Row, New York.
Cohen, J. B., and Wofsy, C. B. (1989). Heterosexual transmission of HIV. In Levy, J. A. (ed.),AIDS: Pathogenesis and Treatment Marcel Dekker, New York, pp. 135–137.
Cohen, P. T., Sande M. A., and Volberding, P. A. (1987).The AIDS Knowledge Base Massachusetts Medical Society, Waltham, MA.
Des Jarlias, D. C., and Friedman, S. R. (1988). Intravenous cocaine, crack, and HIV infection.J. Am. Med. Assoc. 259: 1945–1946.
Evans, H. (1979).Harlots, Whores and Hookers: A History of Prostitution Dorset Books, New York.
Fischl, M. A. (1988). Prevention of transmission of AIDS during sexual intercourse. In DeVita, V. T., Hellman, S., and Rosenberg, S. A. (eds.),AIDS: Etiology, Diagnosis, Treatment, and Prevention J. B. Lippincott, Philadelphia, PA, pp. 369–374.
Fischl, M., Fayne, T., Flanagan, S., Leda, M., Stevens, R., Fletcher, M., La Voie, L., and Trapido, E. (1988). Seroprevalence and risks of HIV infection in spouses of persons infected with HIV. Paper presented at the Fourth International Conference on AIDS, June, Stockholm, Sweden.
Fullilove, R. E., Fullilove, M. T., Bowser, B. P., and Gross, S. A. (1990). Risk of sexually transmitted disease among black adolescent crack users in Oakland and San Francisco, California.J. Am. Med. Assoc. 263: 851–855.
Goldstein, P. J. (1979).Prostitution and Drugs D.C. Heath, Lexington, MA.
Grinspoon, L., and Bakalar, J. B. (1976).Cocaine: A Drug and Its Social Evolution Basic Books, New York.
Guinan, M. E. (1989). Women and crack addiction.J. Am. Med. Women's Assoc. 44: 129.
Heyl, B. S. (1979).The Madam as Entrepreneur: Career Management in House Prostitution Transaction Books, New Brunswick, NJ.
Inciardi, J. A., Lockwood, D., and Pottieger, A. E. (1993). Women and Crack-Cocaine, Macmillan, New York.
Johnson, A. M., and Laga, M. (1988). Heterosexual transmission of HIV.AIDS 2: S49-S56.
Kaslow, R. A., and Francis, D. P. (1989).The Epidemiology of AIDS: Expression, Occurrence, and Control of Human Immunodeficiency Virus Type 1 Infection Oxford University Press, New York.
Levy, J. A. (1989). The human immunodeficiency viruses: Detection and pathogenesis. In Levy, J. A. (ed.),AIDS: Pathogenesis and Treatment Marcel Dekker, New York, pp. 159–229.
Ma, P., and Armstrong, D. (1989).AIDS and Infections of Homosexual Men Butterworths, Boston, MA.
Mavligit, G. M., Talpaz, M., Hsia, F. T., Wong, W., Lichtiger, B., Mansell, P. W. A., and Mumford, D. M. (1984). Chronic immune stimulation by sperm alloantigens: Support for the hypothesis that spermatozoa induce immune dysregulation in homosexual men.J. Am. Med. Assoc. 251: 237–241.
Miller, E. M. (1986).Street Women Temple University Press, Philadelphia, PA.
Peterson, T. A. (1990). Facilitators of HIV transmission during sexual contact. In Alexander, N. J., Gabelnick, H. L., and Speiler, J. M. (eds.),Heterosexual Transmission of AIDS Wiley-Liss, New York, pp. 55–68.
Redfield, R., Markham, P. D., Salahuddin, S. Z., Sarngadharan, M. G., Bodner, A. J., Folks, T. N., Ballou, W. R., Wright, D. C., and Gallo, R. C. (1985). Frequent transmission of HTLV-III among spouses of patients with AIDS-related complex and AIDS.J. Am. Med. Assoc. 253: 1571–1573.
Rolfs, R. T., Goldberg, M., and Sharrar, R. G. (1990). Risk factors for syphilis: Cocaine use and prostitution.Am. J. Public Health 80: 853–857.
Rosenbaum, M. (1981).Women on Heroin Rutgers University Press, New Brunswick, NJ.
Schultz, S., Zweig, M., Sing, T., and Htoo, M. (1990). Congenital syphilis: New York City, 1986–1988.Am. J. Dis. Child. 144: 279.
Sterk, C. (1988). Cocaine and HIV seropositivity.Lancet 1: 1052–1053.
Trapido, E. J., Lewis, N., and Comerford, M. (1990). HIV-1 and AIDS in Belle Glade, Florida: A reexamination of the issues.Am. Behav. Sci. 33: 451–464.
Vogt, M. W., Craven, D. E., Crawford, D. E., Witt, D. J., Byington, R., Schooley, R. T., and Hirsch, M. S. (1986). Isolation of HTLV-III/LAV from cervical secretions of women at risk for AIDS.Lancet 1: 525–527.
Vogt, M. W., Witt, D. J., Craven, D. E., Byington, R., Crawford, D. S., Hutchinson, M. S., Schooley, R. T., Hirsch, M. S. (1987). Isolation patterns of the human immunodeficiency virus from cervical secretions during the menstrual cycle of women at risk for the acquired immunodeficiency syndrome.Ann. Intern. Med. 106: 380–382.
Walters, J. M., (1980). What is ethnography? In Akins, C., and Beschner, G. (eds.),Ethnography: A Research Tool for Policy Makers in the Drug and Alcohol Fields National Institute on Drug Abuse, Rockville, MD, pp. 15–20.
Weiss, R. D., and Mirin, S. M. (1987).Cocaine American Psychiatric Press, Washington, DC.
Winick, C., and Kinsie, P. M. (1971).The Lively Commerce: Prostitution in the United States Quadrangle Books, Chicago.
Wofsy, C. B., Cohen, J. B., Hauer, L. B., Padian, N., Michaelis, B., Evans, J., and Levy, J. A. (1986). Isolation of AIDS-associated retrovirus from genital secretions of women with antibodies to the virus.Lancet 1: 527–529.
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Inciardi, J.A. Crack, crack house sex, and HIV risk. Arch Sex Behav 24, 249–269 (1995). https://doi.org/10.1007/BF01541599
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