Jones D L, Irwin K L, Inciardi J, Bowser B, Schilling R, Word C, Evans P, Faruque S, McCoy H V, Edlin B R
Department of Sociology, Emory University, Atlanta, Georgia.
Sex Transm Dis. 1998 Apr;25(4):187-93. doi: 10.1097/00007435-199804000-00002.
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).
To examine the prevalence of risky sexual behaviors and HIV and STD in a large sample of street-recruited crack-smoking sex workers.
From 1991 to 1992, 419 crack-smoking sex workers were recruited from urban neighborhoods, interviewed, and serologically tested.
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%).
Interventions to prevent HIV/STD transmission among crack-smoking sex workers are urgently needed.
小型人种学研究和基于诊所的研究表明，吸食强效纯可卡因的性工作者感染人类免疫缺陷病毒（HIV）和性传播疾病（STD）的风险很高。
在大量通过街头招募的吸食强效纯可卡因的性工作者样本中，调查危险性行为以及HIV和STD的流行情况。
1991年至1992年，从城市社区招募了419名吸食强效纯可卡因的性工作者，对其进行访谈并进行血清学检测。
许多女性和男性性工作者报告称曾与注射吸毒者（30%至41%）或感染HIV者（8%至19%）发生性行为，有既往STD史（73%至93%），且使用避孕套的情况不一致（各类性行为中>50%）。在强效纯可卡因吸食场所或空地工作、以强效纯可卡因作为报酬或注射毒品的性工作者性行为风险最高。大多数性工作者在首次吸食强效纯可卡因之前就开始从事性工作。超过25%的人感染了HIV（27.9%）、梅毒（37.5%）或2型单纯疱疹病毒（66.8%）。
迫切需要采取干预措施以预防吸食强效纯可卡因的性工作者之间的HIV/STD传播。
