The high-risk sexual practices of crack-smoking sex workers recruited from the streets of three American cities

Diana L. Jones, Kathleen L. Irwin, James Inciardi, Benjamin Bowser, Robert Schilling, Carl Word, Patricia Evans, Sairus Faruque, H. Virginia McCoy, Brian R. Edlin, Yolanda Serrano, Clyde B McCoy, Scott D. Holmberg, Nabila El-Bassel, Anna Cabrera, Yvonne Flores, Nora Guzman, Robin Hogan, Nelson Melendez, Edgardo NievesAntonio Ocasio, Gustavo Rivera, Anthony Rizzolo, Fred Steele, Sharon Turso, Erik Alonso, Gibson Aristide, Melissa Ashley, Siouxniqua Bowens, Doris Buck-Walden, Samuel Comerford, Valerie DeVeaux-Shepard, Elaine Dyer, Marta Galvez, James Griffin, Monica Jones, Virginia LoCascio, Lawrence Magilner, Nilda Mendez, Carolyn McKay, Lulus McQueen, Christine Miles, Raniero Miranda, Lori Pagan, Rose Marie Pierre, Rose Salas, Lazara Seoane, Bilal Shabazz, Elaine Walden, Carlos Ballesteros, Sharon Byrd, Willie Curtis, Derrick Dogan, Anthony Garner, Mervyn Griffin, Cordell Hawkins, Dinese Hunter-Gamble, Camilo Iregui, Marcus Justice, Monica Lee, Mark Lodico, James McGilroy, Veronica Patterson, Sharon Penn, Cassandra Perkins, Nalini Persaud, Charles Richardson, Noel Robertson, Robert H. Byers, Dona Ludwig, Rebecca Johnson, Leeyang Wong, Jennifer Von Bargen, Balmatee Bidassie, Su Kuo-Hsien, Duane C. McBride, Norman Weatherby, James Rivers, Sandra Larsen, D. Scott Schmidt, Donna Strauss, Mary Ann Fletcher, Rolando Garcia-Morales, Arthur Back, John Narkunas

Research output: Contribution to journalArticle

91 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)187-193
Number of pages7
JournalSexually Transmitted Diseases
Volume25
Issue number4
DOIs
StatePublished - Apr 1 1998
Externally publishedYes

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Sex Workers
Smoking
Sexually Transmitted Diseases
HIV
Sex Work
Human Herpesvirus 2
Condoms
Syphilis
Sexual Behavior
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)

Cite this

The high-risk sexual practices of crack-smoking sex workers recruited from the streets of three American cities. / Jones, Diana L.; Irwin, Kathleen L.; Inciardi, James; Bowser, Benjamin; Schilling, Robert; Word, Carl; Evans, Patricia; Faruque, Sairus; McCoy, H. Virginia; Edlin, Brian R.; Serrano, Yolanda; McCoy, Clyde B; Holmberg, Scott D.; El-Bassel, Nabila; Cabrera, Anna; Flores, Yvonne; Guzman, Nora; Hogan, Robin; Melendez, Nelson; Nieves, Edgardo; Ocasio, Antonio; Rivera, Gustavo; Rizzolo, Anthony; Steele, Fred; Turso, Sharon; Alonso, Erik; Aristide, Gibson; Ashley, Melissa; Bowens, Siouxniqua; Buck-Walden, Doris; Comerford, Samuel; DeVeaux-Shepard, Valerie; Dyer, Elaine; Galvez, Marta; Griffin, James; Jones, Monica; LoCascio, Virginia; Magilner, Lawrence; Mendez, Nilda; McKay, Carolyn; McQueen, Lulus; Miles, Christine; Miranda, Raniero; Pagan, Lori; Pierre, Rose Marie; Salas, Rose; Seoane, Lazara; Shabazz, Bilal; Walden, Elaine; Ballesteros, Carlos; Byrd, Sharon; Curtis, Willie; Dogan, Derrick; Garner, Anthony; Griffin, Mervyn; Hawkins, Cordell; Hunter-Gamble, Dinese; Iregui, Camilo; Justice, Marcus; Lee, Monica; Lodico, Mark; McGilroy, James; Patterson, Veronica; Penn, Sharon; Perkins, Cassandra; Persaud, Nalini; Richardson, Charles; Robertson, Noel; Byers, Robert H.; Ludwig, Dona; Johnson, Rebecca; Wong, Leeyang; Von Bargen, Jennifer; Bidassie, Balmatee; Kuo-Hsien, Su; McBride, Duane C.; Weatherby, Norman; Rivers, James; Larsen, Sandra; Scott Schmidt, D.; Strauss, Donna; Fletcher, Mary Ann; Garcia-Morales, Rolando; Back, Arthur; Narkunas, John.

In: Sexually Transmitted Diseases, Vol. 25, No. 4, 01.04.1998, p. 187-193.

Research output: Contribution to journalArticle

Jones, DL, Irwin, KL, Inciardi, J, Bowser, B, Schilling, R, Word, C, Evans, P, Faruque, S, McCoy, HV, Edlin, BR, Serrano, Y, McCoy, CB, Holmberg, SD, El-Bassel, N, Cabrera, A, Flores, Y, Guzman, N, Hogan, R, Melendez, N, Nieves, E, Ocasio, A, Rivera, G, Rizzolo, A, Steele, F, Turso, S, Alonso, E, Aristide, G, Ashley, M, Bowens, S, Buck-Walden, D, Comerford, S, DeVeaux-Shepard, V, Dyer, E, Galvez, M, Griffin, J, Jones, M, LoCascio, V, Magilner, L, Mendez, N, McKay, C, McQueen, L, Miles, C, Miranda, R, Pagan, L, Pierre, RM, Salas, R, Seoane, L, Shabazz, B, Walden, E, Ballesteros, C, Byrd, S, Curtis, W, Dogan, D, Garner, A, Griffin, M, Hawkins, C, Hunter-Gamble, D, Iregui, C, Justice, M, Lee, M, Lodico, M, McGilroy, J, Patterson, V, Penn, S, Perkins, C, Persaud, N, Richardson, C, Robertson, N, Byers, RH, Ludwig, D, Johnson, R, Wong, L, Von Bargen, J, Bidassie, B, Kuo-Hsien, S, McBride, DC, Weatherby, N, Rivers, J, Larsen, S, Scott Schmidt, D, Strauss, D, Fletcher, MA, Garcia-Morales, R, Back, A & Narkunas, J 1998, 'The high-risk sexual practices of crack-smoking sex workers recruited from the streets of three American cities', Sexually Transmitted Diseases, vol. 25, no. 4, pp. 187-193. https://doi.org/10.1097/00007435-199804000-00002
Jones, Diana L. ; Irwin, Kathleen L. ; Inciardi, James ; Bowser, Benjamin ; Schilling, Robert ; Word, Carl ; Evans, Patricia ; Faruque, Sairus ; McCoy, H. Virginia ; Edlin, Brian R. ; Serrano, Yolanda ; McCoy, Clyde B ; Holmberg, Scott D. ; El-Bassel, Nabila ; Cabrera, Anna ; Flores, Yvonne ; Guzman, Nora ; Hogan, Robin ; Melendez, Nelson ; Nieves, Edgardo ; Ocasio, Antonio ; Rivera, Gustavo ; Rizzolo, Anthony ; Steele, Fred ; Turso, Sharon ; Alonso, Erik ; Aristide, Gibson ; Ashley, Melissa ; Bowens, Siouxniqua ; Buck-Walden, Doris ; Comerford, Samuel ; DeVeaux-Shepard, Valerie ; Dyer, Elaine ; Galvez, Marta ; Griffin, James ; Jones, Monica ; LoCascio, Virginia ; Magilner, Lawrence ; Mendez, Nilda ; McKay, Carolyn ; McQueen, Lulus ; Miles, Christine ; Miranda, Raniero ; Pagan, Lori ; Pierre, Rose Marie ; Salas, Rose ; Seoane, Lazara ; Shabazz, Bilal ; Walden, Elaine ; Ballesteros, Carlos ; Byrd, Sharon ; Curtis, Willie ; Dogan, Derrick ; Garner, Anthony ; Griffin, Mervyn ; Hawkins, Cordell ; Hunter-Gamble, Dinese ; Iregui, Camilo ; Justice, Marcus ; Lee, Monica ; Lodico, Mark ; McGilroy, James ; Patterson, Veronica ; Penn, Sharon ; Perkins, Cassandra ; Persaud, Nalini ; Richardson, Charles ; Robertson, Noel ; Byers, Robert H. ; Ludwig, Dona ; Johnson, Rebecca ; Wong, Leeyang ; Von Bargen, Jennifer ; Bidassie, Balmatee ; Kuo-Hsien, Su ; McBride, Duane C. ; Weatherby, Norman ; Rivers, James ; Larsen, Sandra ; Scott Schmidt, D. ; Strauss, Donna ; Fletcher, Mary Ann ; Garcia-Morales, Rolando ; Back, Arthur ; Narkunas, John. / The high-risk sexual practices of crack-smoking sex workers recruited from the streets of three American cities. In: Sexually Transmitted Diseases. 1998 ; Vol. 25, No. 4. pp. 187-193.
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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.",
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AU - Jones, Diana L.

AU - Irwin, Kathleen L.

AU - Inciardi, James

AU - Bowser, Benjamin

AU - Schilling, Robert

AU - Word, Carl

AU - Evans, Patricia

AU - Faruque, Sairus

AU - McCoy, H. Virginia

AU - Edlin, Brian R.

AU - Serrano, Yolanda

AU - McCoy, Clyde B

AU - Holmberg, Scott D.

AU - El-Bassel, Nabila

AU - Cabrera, Anna

AU - Flores, Yvonne

AU - Guzman, Nora

AU - Hogan, Robin

AU - Melendez, Nelson

AU - Nieves, Edgardo

AU - Ocasio, Antonio

AU - Rivera, Gustavo

AU - Rizzolo, Anthony

AU - Steele, Fred

AU - Turso, Sharon

AU - Alonso, Erik

AU - Aristide, Gibson

AU - Ashley, Melissa

AU - Bowens, Siouxniqua

AU - Buck-Walden, Doris

AU - Comerford, Samuel

AU - DeVeaux-Shepard, Valerie

AU - Dyer, Elaine

AU - Galvez, Marta

AU - Griffin, James

AU - Jones, Monica

AU - LoCascio, Virginia

AU - Magilner, Lawrence

AU - Mendez, Nilda

AU - McKay, Carolyn

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AU - Miles, Christine

AU - Miranda, Raniero

AU - Pagan, Lori

AU - Pierre, Rose Marie

AU - Salas, Rose

AU - Seoane, Lazara

AU - Shabazz, Bilal

AU - Walden, Elaine

AU - Ballesteros, Carlos

AU - Byrd, Sharon

AU - Curtis, Willie

AU - Dogan, Derrick

AU - Garner, Anthony

AU - Griffin, Mervyn

AU - Hawkins, Cordell

AU - Hunter-Gamble, Dinese

AU - Iregui, Camilo

AU - Justice, Marcus

AU - Lee, Monica

AU - Lodico, Mark

AU - McGilroy, James

AU - Patterson, Veronica

AU - Penn, Sharon

AU - Perkins, Cassandra

AU - Persaud, Nalini

AU - Richardson, Charles

AU - Robertson, Noel

AU - Byers, Robert H.

AU - Ludwig, Dona

AU - Johnson, Rebecca

AU - Wong, Leeyang

AU - Von Bargen, Jennifer

AU - Bidassie, Balmatee

AU - Kuo-Hsien, Su

AU - McBride, Duane C.

AU - Weatherby, Norman

AU - Rivers, James

AU - Larsen, Sandra

AU - Scott Schmidt, D.

AU - Strauss, Donna

AU - Fletcher, Mary Ann

AU - Garcia-Morales, Rolando

AU - Back, Arthur

AU - Narkunas, John

PY - 1998/4/1

Y1 - 1998/4/1

N2 - 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.

AB - 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.

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