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M94A2055.TXT
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1994-10-24
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Document 2055
DOCN M94A2055
TI Crack smoking methods as risk factors for HIV infection.
DT 9412
AU Porter J; Bonilla L; Drucker E; Hammond JP; Lax L; Dept of Sociology,
Bryn Mawr College, PA 19010.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):391 (abstract no. PD0170). Unique
Identifier : AIDSLINE ICA10/94370520
AB OBJECTIVES: Methods used to smoke crack may be a risk factor for the
transmission of HIV. Lip injuries transmit HIV through exposure to blood
on shared devices (pipes) and to semen during oral sex. We investigate
the relationship between: 1) the way crack is smoked and extent of lip
injuries; 2) lip injuries and the sharing of crack pipe and unprotected
oral sex; 3) demographics and high risk crack smoking practices.
METHODS: 153 crack smokers at a needle exchange program were interviewed
with a brief questionnaire which investigated crack smoking practices
and oral sex. RESULTS: 1) Use of metal rather than glass pipes is
somewhat more likely to create frequent lip injuries (burns). 2) Those
with frequent lip injuries are also most likely to share pipes, to have
seen blood on crack pipes, and to have oral sex without condoms and with
multiple partners. 3) Men, the young, whites, the HIV+, and prostitutes
are more likely to engage in some of the high risk practices for HIV
like experiencing lip injuries, smoking with metal pipes, sharing pipes,
and having unprotected oral sex. DISCUSSION AND CONCLUSION: There is a
pattern of HIV risk behavior associated with crack smoking methods.
Those who experience lip injuries more often use metal pipes, share
pipes and report unprotected oral sex. Our findings suggest a need for
harm reduction programs to stress smoking crack more safely, eg.
avoiding metal pipes, not sharing crack pipes and using condoms for oral
sex, especially among prostitutes, males, whites, the young, and HIV+.
DE Adolescence Adult *Blood-Borne Pathogens Burns/*COMPLICATIONS
Condoms *Crack Cocaine Female Human *HIV HIV Infections/PREVENTION
& CONTROL/*TRANSMISSION HIV Seropositivity/TRANSMISSION Knowledge,
Attitudes, Practice Lip/*INJURIES Male Prostitution Risk Factors
Sex Behavior Substance Dependence/*COMPLICATIONS MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).