Crack use and human immunodeficiency virus infection among San Francisco intravenous drug users

The relationship between crack use, human immunodeficiency virus (HIV) infection, and risk behavior among 1281 intravenous drug users in treatment is analyzed. Of these patients, 23% reported crack use, and blacks and women were more likely to use crack. Of crack users 19% were HIV positive, in comp...

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Bibliographic Details
Published inSexually transmitted diseases Vol. 19; no. 2; p. 111
Main Authors Wolfe, H, Vranizan, K M, Gorter, R G, Keffelew, A S, Moss, A R
Format Journal Article
LanguageEnglish
Published United States 01.03.1992
Subjects
Adult
Aged
Continental Population Groups
Crack Cocaine
Female
HIV Infections - epidemiology
HIV Infections - etiology
Humans
Male
Middle Aged
Regression Analysis
San Francisco
Sex Factors
Sexual Behavior
Substance Abuse, Intravenous - complications
Substance Abuse, Intravenous - epidemiology
San Francisco
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Summary:The relationship between crack use, human immunodeficiency virus (HIV) infection, and risk behavior among 1281 intravenous drug users in treatment is analyzed. Of these patients, 23% reported crack use, and blacks and women were more likely to use crack. Of crack users 19% were HIV positive, in comparison to 8% of non-users (OR = 2.9, P = 0.0001). In multivariate analysis, the association was no longer significant (OR = 1.4, P = 0.14). Independent behavioral predictors of HIV seropositivity were number of sexual partners, and intravenous cocaine use among blacks. Crack use was a marker for high-risk sexual and drug use behavior in the study population.
ISSN:0148-5717
DOI:10.1097/00007435-199219020-00009