A Comparison of the Social and Sexual Networks of Crack-Using and Non-Crack Using African American Men who Have Sex with Men

摘要: The role of crack cocaine in accelerating the HIV epidemic among heterosexual populations has been well documented. Little is known about use as an risk factor African American men who have sex with (AA MSM), a group disproportionately infected HIV. We sought to compare social and sexual network characteristics crack-using non-crack using AA MSM Baltimore, MD, USA examine associations risk. Participants were recruited street-based internet-based outreach, printed advertisements, word mouth. Inclusion criteria being aged 18 years or older, black race/ethnicity, self-reported another male prior 90 days. Crack was operationalized self-report Logistic regression used identify variables that independently associated use. Of 230 enrolled MSM, 37% (n = 84) reported networks composed greater number HIV-positive partners, exchange partners both drug fewer whom they always condoms compared MSM. increased odds bisexual identity overlap lesser condom Results this study highlight crack-smoking may promote transmission interventions are needed tailored address context behaviors.