Abstract/Details

Correlates of sexual risk among women who use crack cocaine


2004 2004

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Abstract (summary)

Crack cocaine use is associated with sexual risk behaviors and sexually transmitted infections (STIs), including human immunodeficiency virus (HIV). This dissertation includes three papers that examine the correlates of sexual risk among women who use crack cocaine. The data for this secondary analysis come from a woman-focused HIV intervention study among African American women crack users in Raleigh-Durham, North Carolina, funded by the National Institute on Drug Abuse (NIDA).

As a precursor to papers 2 and 3, the first paper compares the prevalence of abuse among women crack users who trade sex and women crack users who do not trade sex. The second paper examines the distal and proximal factors associated with trading sex among women who use crack cocaine. The third paper examines the distal and proximal factors associated with unprotected sex among women crack users who trade sex.

The results of paper I show a higher prevalence of physical, sexual, and emotional abuse among women who trade sex than among women who do not trade sex. This finding was observed for each of the time frames examined: lifetime, childhood, in the past year and in the past 30 days. The findings of paper 2 confirm the association between proximal factors, including heavier crack use, homelessness, and unemployment, and trading sex. In addition, the results show that childhood abuse is associated with trading sex and that this relationship is, in part, mediated by psychological distress. The results of paper 3 reveal that childhood abuse is also associated with having unprotected sex during sex trading encounters. This relationship is, in part, mediated by psychological distress and condom use self-efficacy. These findings underscore the importance for public health interventions to consider the various factors that contribute to and/or co-occur with women crack users' drug use which, in turn, may affect their sexual risk and overall well being.

Indexing (details)


Subject
Public health;
Women;
Cocaine;
Drug abuse;
Studies;
Sexual behavior
Classification
0573: Public health
Identifier / keyword
Health and environmental sciences; AIDS; Crack cocaine; HIV; Immune deficiency; Sexual risk; Women
Title
Correlates of sexual risk among women who use crack cocaine
Author
Edwards, Jessica M.
Number of pages
125
Publication year
2004
Degree date
2004
School code
0153
Source
DAI-B 65/12, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9780496168668, 0496168665
Advisor
Halpern, Carolyn T.
University/institution
The University of North Carolina at Chapel Hill
University location
United States -- North Carolina
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3156137
ProQuest document ID
305168043
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/305168043
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