"A 28-day program ain't helping the crack smoker"--perceptions of effective drug abuse prevention interventions by north central Florida African Americans who use cocaine.
BACKGROUND
Cocaine is a major problem in the rural South, but knowledge is limited regarding the impact on African American populations.


OBJECTIVE
This study of 18-39-year-old black drug users assessed perceptions of contributing factors to drug use and possible interventions.


METHODS
The study design was qualitative-descriptive, utilizing 4 focus groups with 5 rural women and 14 small-city residents.


RESULTS
Some respondents perceived that drug use initiation and continuation were due to themes of (1) loss, (2) peer pressure, (3) personal problems and dealing with pain, (4) desire for fun or to "feel good," and (5) drugs and drug-related messages within their environments. Common themes of effective strategies to stop drug use were (1) the necessity of wanting to quit, (2) the importance of help or support from family and friends, and (3) the need for resources, such as a job, car, and housing. Some respondents agreed on 3 human resources: (1) family, (2) ex-users, and (3) churches. Strategies to increase attendance at drug prevention programs included (1) making the program fun/enjoyable, (2) having mixed gender programs, (3) providing food/money, and (4) having the programs in their community. Recurrent themes were the lack of drug prevention intervention programs available to respondents and the failure of traditional programs of the majority culture to adequately meet their needs.


CONCLUSIONS
Effective drug prevention programs for southern African Americans who use cocaine must be community based, personalized, and culturally relevant.
University of Central Florida School of Nursing, College of Health and Public Affairs, Orlando, FL 32816-2210, USA. ejbrown@mail.ucf.edu
Emma J
EJ
Brown
Mary Angelique
MA
Hill
Stacey A
SA
Giroux
D000293:Adolescent; D000328:Adult; D001741:Black or African American; D019970:Cocaine-Related Disorders / Q000517:prevention & control* / Q000523:psychology*; D016578:Crack Cocaine; D003863:Depression / Q000523:psychology; D005260:Female; D005431:Florida; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D011314:Preventive Health Services / Q000379:methods; D036301:Qualitative Research; D012424:Rural Population; D012938:Social Perception; D012944:Social Support
D016578:Crack Cocaine