Objective: to identify differences between women who exchange sex for crack (exchangers)and those who do not (non-exchangers) in terms of their drug use patterns, sexual relationships, and sexual activity.
Methods: Between June 1997 and February 1999, interviews were conducted with 150 female crack users in Atlanta, Georgia. Data analysis involved descriptive statistics and logistic analysis.
Findings: Exchangers were significantly younger than non-exchangers, more likely to be single, and have a history of homelessness. No significant differences were identified in the women's drug use patterns. In terms of their relationships, women in both groups viewed themselves as more selective when choosing a steady partner than women in general, viewed having a steady partner as important for emotional and economic support, and talked with their most recent steady partner about his past sex partners. Exchangers were significantly more likely than the non-exchangers to have discussed a steady partner's expectations of the relationship and having cheated on a steady partner. When comparing their sexual activity, exchangers were more likely to have had vaginal and oral sex with a casual non-paying partner as well as with a paying partner. The women's sexual activity with their steady partners did not differ.
Conclusions: The drug use patterns of exchangers and non-exchangers do not do not differ, nor does their sexual activity with their steady partners. They do differ in terms of their sexual involvement with casual paying and non-paying partners. It is important to acknowledge the heterogeneity among female crack users and to address the differences between exchangers and non-exchangers.
Learning Objectives: At the conclusion of this presentation, audience members will be able to: 1. articulate the heterogeneity among female crack users 2. recognize the importance of expanding a traditional focus on sexual activity to sexuality in general
Keywords: Drug Use, Women's Sexuality
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.