title: 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: 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.
authors.affiliation: Department of Sociology, Emory University, Atlanta, Georgia.
authors.forename: D L
authors.initials: DL
authors.lastname: Jones
authors.forename: K L
authors.initials: KL
authors.lastname: Irwin
authors.forename: J
authors.initials: J
authors.lastname: Inciardi
authors.forename: B
authors.initials: B
authors.lastname: Bowser
authors.forename: R
authors.initials: R
authors.lastname: Schilling
authors.forename: C
authors.initials: C
authors.lastname: Word
authors.forename: P
authors.initials: P
authors.lastname: Evans
authors.forename: S
authors.initials: S
authors.lastname: Faruque
authors.forename: H V
authors.initials: HV
authors.lastname: McCoy
authors.forename: B R
authors.initials: BR
authors.lastname: Edlin
mesh_terms: 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
chemical_list: D016578:Crack Cocaine