Crack Users in East Harlem, New York and Philadelphia, Pennsylvania: HIV-Related Risk Behaviors and Predictors of Serostatus
Crack use has been associated with increased risk for HIV seropositivity. This study was undertaken to examine HIV-related risk behaviors among crack users in East Harlem, New York and Philadelphia, Pennsylvania, two northeastern communities which have reported extensive crack use. Crack users recru...
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Veröffentlicht in: | The American journal of drug and alcohol abuse 1997-01, Vol.23 (4), p.555-567 |
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description | Crack use has been associated with increased risk for HIV seropositivity. This study was undertaken to examine HIV-related risk behaviors among crack users in East Harlem, New York and Philadelphia, Pennsylvania, two northeastern communities which have reported extensive crack use. Crack users recruited in East Harlem (n = 1434) and Philadelphia (n = 694) were compared on demographics, drug and sex-related risk behaviors, health-related behaviors, and HIV serostatus. Many significant differences were found, and seropositivity was higher in the New York sample (25% vs. 11%, x2 = 36.28, p |
doi_str_mv | 10.3109/00952999709016895 |
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This study was undertaken to examine HIV-related risk behaviors among crack users in East Harlem, New York and Philadelphia, Pennsylvania, two northeastern communities which have reported extensive crack use. Crack users recruited in East Harlem (n = 1434) and Philadelphia (n = 694) were compared on demographics, drug and sex-related risk behaviors, health-related behaviors, and HIV serostatus. Many significant differences were found, and seropositivity was higher in the New York sample (25% vs. 11%, x2 = 36.28, p <. 001). Being a recent drug injector was a significant predictor of seropositivity in both communities, and differences between communities were found in additional predictors of serostatus. Results suggest that tailored HIV interventions may be needed for different communities. In addition, aggregate data across communities, even those that may be in geographical proximity, may obfuscate differences important to incorporate in developing prevention/intervention efforts.</description><identifier>ISSN: 0095-2990</identifier><identifier>EISSN: 1097-9891</identifier><identifier>DOI: 10.3109/00952999709016895</identifier><identifier>PMID: 9366973</identifier><identifier>CODEN: AJDABD</identifier><language>eng</language><publisher>Colchester: Informa UK Ltd</publisher><subject>Acquired Immune Deficiency Syndrome ; Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Behavior ; Biological and medical sciences ; Cocaine ; Crack Cocaine ; Drug abuse ; Drug addiction ; Drug Injection ; Female ; HIV ; HIV Seropositivity - complications ; HIV Seropositivity - epidemiology ; HIV Seropositivity - psychology ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infectious diseases ; Intervention ; Male ; Medical sciences ; New York - epidemiology ; New York City, New York ; Philadelphia - epidemiology ; Philadelphia, Pennsylvania ; Prevention ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk ; Risk Factors ; Sexual Behavior ; Substance Abuse, Intravenous - complications ; Substance Abuse, Intravenous - epidemiology ; Substance Abuse, Intravenous - psychology ; Substance-Related Disorders - complications ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - psychology ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids</subject><ispartof>The American journal of drug and alcohol abuse, 1997-01, Vol.23 (4), p.555-567</ispartof><rights>1997 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1997</rights><rights>1998 INIST-CNRS</rights><rights>Copyright Marcel Dekker, Inc. Nov 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c521t-80c115082e302f4633769d1994a6fd8cb5a7226bc8c709bdbb0b20701bf6c11e3</citedby><cites>FETCH-LOGICAL-c521t-80c115082e302f4633769d1994a6fd8cb5a7226bc8c709bdbb0b20701bf6c11e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.3109/00952999709016895$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.3109/00952999709016895$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,30999,33774,33775,59647,59753,60436,60542,61221,61256,61402,61437</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2058354$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9366973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Deren, Sherry</creatorcontrib><creatorcontrib>Kotranski, Lynne</creatorcontrib><creatorcontrib>Beardsley, Mark</creatorcontrib><creatorcontrib>Collier, Karyn</creatorcontrib><creatorcontrib>Tortu, Stephanie</creatorcontrib><creatorcontrib>Semaan, Salaam</creatorcontrib><creatorcontrib>Lauby, Jennifer</creatorcontrib><creatorcontrib>Hamid, Rahul</creatorcontrib><title>Crack Users in East Harlem, New York and Philadelphia, Pennsylvania: HIV-Related Risk Behaviors and Predictors of Serostatus</title><title>The American journal of drug and alcohol abuse</title><addtitle>Am J Drug Alcohol Abuse</addtitle><description>Crack use has been associated with increased risk for HIV seropositivity. This study was undertaken to examine HIV-related risk behaviors among crack users in East Harlem, New York and Philadelphia, Pennsylvania, two northeastern communities which have reported extensive crack use. Crack users recruited in East Harlem (n = 1434) and Philadelphia (n = 694) were compared on demographics, drug and sex-related risk behaviors, health-related behaviors, and HIV serostatus. Many significant differences were found, and seropositivity was higher in the New York sample (25% vs. 11%, x2 = 36.28, p <. 001). Being a recent drug injector was a significant predictor of seropositivity in both communities, and differences between communities were found in additional predictors of serostatus. Results suggest that tailored HIV interventions may be needed for different communities. In addition, aggregate data across communities, even those that may be in geographical proximity, may obfuscate differences important to incorporate in developing prevention/intervention efforts.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Behavior</subject><subject>Biological and medical sciences</subject><subject>Cocaine</subject><subject>Crack Cocaine</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug Injection</subject><subject>Female</subject><subject>HIV</subject><subject>HIV Seropositivity - complications</subject><subject>HIV Seropositivity - epidemiology</subject><subject>HIV Seropositivity - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical sciences</subject><subject>New York - epidemiology</subject><subject>New York City, New York</subject><subject>Philadelphia - epidemiology</subject><subject>Philadelphia, Pennsylvania</subject><subject>Prevention</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Sexual Behavior</subject><subject>Substance Abuse, Intravenous - complications</subject><subject>Substance Abuse, Intravenous - epidemiology</subject><subject>Substance Abuse, Intravenous - psychology</subject><subject>Substance-Related Disorders - complications</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - psychology</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><issn>0095-2990</issn><issn>1097-9891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kU1v1DAQhiMEKkvhB3BAshCqODTgj8SJoRdYFbZSBVWhSJyiiTNR3HXixU5arcSPx8suRYDoybLf5xnNeJLkMaMvBKPqJaUq50qpgirKZKnyO8ksvhepKhW7m8w2eRoBej95EMIlpZSVRbaX7CkhpSrELPk-96CX5CKgD8QM5BjCSBbgLfaH5ANek6_OLwkMDTnrjIUG7aozcEjOcBjC2l7BYOAVWZx8Sc_RwogNOTdhSd5iB1fGxZo_VY-N0ePm6lryCb0LI4xTeJjca8EGfLQ795OLd8ef54v09OP7k_mb01TnnI1pSTVjOS05CsrbTApRSNUwpTKQbVPqOoeCc1nrUsePqJu6pjWnBWV1K6OJYj852NZdefdtwjBWvQkarYUB3RQqyXIhmCgi-PxWkBWSSZVJriL69C_00k1-iGNUnCkhJC9ZhNgW0nHk4LGtVt704NcVo9Vmg9U_G4zOk13hqe6xuTF2K4v5s10OQYNtPQzahBuM07wUeRaxoy1mhtb5Hq6dt001wto6_8sRt3Xx-g-9Q7Bjp8Hj7zn_b_8AmALGgw</recordid><startdate>19970101</startdate><enddate>19970101</enddate><creator>Deren, Sherry</creator><creator>Kotranski, Lynne</creator><creator>Beardsley, Mark</creator><creator>Collier, Karyn</creator><creator>Tortu, Stephanie</creator><creator>Semaan, Salaam</creator><creator>Lauby, Jennifer</creator><creator>Hamid, Rahul</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>K7.</scope><scope>K9.</scope></search><sort><creationdate>19970101</creationdate><title>Crack Users in East Harlem, New York and Philadelphia, Pennsylvania: HIV-Related Risk Behaviors and Predictors of Serostatus</title><author>Deren, Sherry ; Kotranski, Lynne ; Beardsley, Mark ; Collier, Karyn ; Tortu, Stephanie ; Semaan, Salaam ; Lauby, Jennifer ; Hamid, Rahul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c521t-80c115082e302f4633769d1994a6fd8cb5a7226bc8c709bdbb0b20701bf6c11e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Acquired Immune Deficiency Syndrome</topic><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Behavior</topic><topic>Biological and medical sciences</topic><topic>Cocaine</topic><topic>Crack Cocaine</topic><topic>Drug abuse</topic><topic>Drug addiction</topic><topic>Drug Injection</topic><topic>Female</topic><topic>HIV</topic><topic>HIV Seropositivity - complications</topic><topic>HIV Seropositivity - epidemiology</topic><topic>HIV Seropositivity - psychology</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Intervention</topic><topic>Male</topic><topic>Medical sciences</topic><topic>New York - epidemiology</topic><topic>New York City, New York</topic><topic>Philadelphia - epidemiology</topic><topic>Philadelphia, Pennsylvania</topic><topic>Prevention</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Sexual Behavior</topic><topic>Substance Abuse, Intravenous - complications</topic><topic>Substance Abuse, Intravenous - epidemiology</topic><topic>Substance Abuse, Intravenous - psychology</topic><topic>Substance-Related Disorders - complications</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - psychology</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deren, Sherry</creatorcontrib><creatorcontrib>Kotranski, Lynne</creatorcontrib><creatorcontrib>Beardsley, Mark</creatorcontrib><creatorcontrib>Collier, Karyn</creatorcontrib><creatorcontrib>Tortu, Stephanie</creatorcontrib><creatorcontrib>Semaan, Salaam</creatorcontrib><creatorcontrib>Lauby, Jennifer</creatorcontrib><creatorcontrib>Hamid, Rahul</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>The American journal of drug and alcohol abuse</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deren, Sherry</au><au>Kotranski, Lynne</au><au>Beardsley, Mark</au><au>Collier, Karyn</au><au>Tortu, Stephanie</au><au>Semaan, Salaam</au><au>Lauby, Jennifer</au><au>Hamid, Rahul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Crack Users in East Harlem, New York and Philadelphia, Pennsylvania: HIV-Related Risk Behaviors and Predictors of Serostatus</atitle><jtitle>The American journal of drug and alcohol abuse</jtitle><addtitle>Am J Drug Alcohol Abuse</addtitle><date>1997-01-01</date><risdate>1997</risdate><volume>23</volume><issue>4</issue><spage>555</spage><epage>567</epage><pages>555-567</pages><issn>0095-2990</issn><eissn>1097-9891</eissn><coden>AJDABD</coden><abstract>Crack use has been associated with increased risk for HIV seropositivity. This study was undertaken to examine HIV-related risk behaviors among crack users in East Harlem, New York and Philadelphia, Pennsylvania, two northeastern communities which have reported extensive crack use. Crack users recruited in East Harlem (n = 1434) and Philadelphia (n = 694) were compared on demographics, drug and sex-related risk behaviors, health-related behaviors, and HIV serostatus. Many significant differences were found, and seropositivity was higher in the New York sample (25% vs. 11%, x2 = 36.28, p <. 001). Being a recent drug injector was a significant predictor of seropositivity in both communities, and differences between communities were found in additional predictors of serostatus. Results suggest that tailored HIV interventions may be needed for different communities. In addition, aggregate data across communities, even those that may be in geographical proximity, may obfuscate differences important to incorporate in developing prevention/intervention efforts.</abstract><cop>Colchester</cop><pub>Informa UK Ltd</pub><pmid>9366973</pmid><doi>10.3109/00952999709016895</doi><tpages>13</tpages></addata></record> |
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source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN |
subjects | Acquired Immune Deficiency Syndrome Addictive behaviors Adult Adult and adolescent clinical studies Behavior Biological and medical sciences Cocaine Crack Cocaine Drug abuse Drug addiction Drug Injection Female HIV HIV Seropositivity - complications HIV Seropositivity - epidemiology HIV Seropositivity - psychology Human immunodeficiency virus Human viral diseases Humans Infectious diseases Intervention Male Medical sciences New York - epidemiology New York City, New York Philadelphia - epidemiology Philadelphia, Pennsylvania Prevention Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Risk Factors Sexual Behavior Substance Abuse, Intravenous - complications Substance Abuse, Intravenous - epidemiology Substance Abuse, Intravenous - psychology Substance-Related Disorders - complications Substance-Related Disorders - epidemiology Substance-Related Disorders - psychology Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
title | Crack Users in East Harlem, New York and Philadelphia, Pennsylvania: HIV-Related Risk Behaviors and Predictors of Serostatus |
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