Efficacy of a woman-focused intervention to reduce HIV risk and increase self-sufficiency among African American crack abusers.

Journal Article (Clinical Trial;Journal Article)


This study compares 3- and 6-month outcomes of a woman-focused HIV intervention for crack abusers, a revised National Institute on Drug Abuse standard intervention, and a control group.


Out-of-drug-treatment African American women (n = 620) who use crack participated in a randomized field experiment. Risk behavior, employment, and housing status were assessed with linear and logistic regression.


All groups significantly reduced crack use and high-risk sex at each follow-up, but only woman-focused intervention participants consistently improved employment and housing status. Compared with control subjects at 6 months, woman-focused intervention participants were least likely to engage in unprotected sex; revised standard intervention women reported greatest reductions in crack use.


A woman-focused intervention can successfully reduce risk and facilitate employment and housing and may effectively reduce the frequency of unprotected sex in the longer term.

Full Text

Duke Authors

Cited Authors

  • Wechsberg, WM; Lam, WKK; Zule, WA; Bobashev, G

Published Date

  • July 1, 2004

Published In

Volume / Issue

  • 94 / 7

Start / End Page

  • 1165 - 1173

PubMed ID

  • 15226138

Pubmed Central ID

  • PMC1448416

Electronic International Standard Serial Number (EISSN)

  • 1541-0048

International Standard Serial Number (ISSN)

  • 0090-0036

Digital Object Identifier (DOI)

  • 10.2105/ajph.94.7.1165


  • eng