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.
OBJECTIVE
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).


OBJECTIVE
To examine the prevalence of risky sexual behaviors and HIV and STD in a large sample of street-recruited crack-smoking sex workers.


METHODS
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.
Jones
D L
DL
Department of Sociology, Emory University, Atlanta, Georgia.
Irwin
K L
KL
Inciardi
J
J
Bowser
B
B
Schilling
R
R
Word
C
C
Evans
P
P
Faruque
S
S
McCoy
H V
HV
Edlin
B R
BR
D000328:Adult; D019970:Cocaine-Related Disorders / Q000453:epidemiology; D017280:Condoms / Q000706:statistics & numerical data; D016578:Crack Cocaine; D003710:Demography; D004467:Economics; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D015528:HIV Seroprevalence; D006558:Herpes Genitalis / Q000453:epidemiology; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology; D015995:Prevalence; D012309:Risk-Taking; D012495:San Francisco / Q000453:epidemiology; D011477:Sex Work; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology; D015819:Substance Abuse, Intravenous / Q000453:epidemiology; D013587:Syphilis / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D014505:Urban Population
D016578:Crack Cocaine