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

93 Scopus citations

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

ASJC Scopus subject areas

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

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    Jones, D. L., Irwin, K. L., Inciardi, J., Bowser, B., Schilling, R., Word, C., Evans, P., Faruque, S., McCoy, H. V., Edlin, B. R., Serrano, Y., McCoy, C. B., Holmberg, S. D., El-Bassel, N., Cabrera, A., Flores, Y., Guzman, N., Hogan, R., Melendez, N., ... Narkunas, J. (1998). The high-risk sexual practices of crack-smoking sex workers recruited from the streets of three American cities. Sexually Transmitted Diseases, 25(4), 187-193. https://doi.org/10.1097/00007435-199804000-00002