The St. Louis EachOneTeachOne (EOTO) project is a National Institute o
n Drug Abuse (NIDA)-funded cooperative agreement aimed at examining ra
tes of HIV risk behaviors and studying HIV risk reduction intervention
s among out-of-treatment injection and crack cocaine drug users. This
paper uses data collected during the first year of recruitment and enr
ollment to document the effect of street outreach on HIV risk behavior
involvement, The major findings are that: (1) men reported more HIV r
isk behaviors than did women, but the results failed to show striking
racial or ethnic differences; (2) we successfully enrolled women in sp
ite of the fact that our women street contacts were largely ineligible
to enroll in EOTO; and (3) actual EOTO enrollees, compared with all s
treet contacts and eligible street contacts, engaged in fewer HIV risk
behaviors. These results imply that strategies in addition to street
outreach may be needed to enlist more individuals, particularly whites
and women who are engaging in the highest risk drug and sexual behavi
ors.