AIDS-RELATED KNOWLEDGE, BELIEFS AND RISK BEHAVIORS IN A SAMPLE OF CRACK ADDICTS

This longitudinal study examines male veterans with a history of cocai ne dependence and treatment, focusing on the relationship between leve ls of crack use and HIV-related knowledge, beliefs and risk behaviours . Over half the subjects were African-American and the majority were h eterosexual. A survey instrument was administered at one and two years after initiating treatment. HIV serotesting was conducted at each int erview which showed the rate of seropositivity to be low at both point s. Knowledge about HIV transmission increased significantly over time for the sample, but no differences were significantly related to level of crack use. Few subjects report the use of condoms on a consistent basis, regardless of crack use level. However, both the number of sex partners reported and beliefs about personal susceptibility to HIV inf ection increased as the level of crack use increased. Our crack-using subjects had not fully internalized their risk of HIV infection or wer e fatalistic about their ability to change HIV-related risk behaviors. Either of these possibilities presents a significant challenge to edu cation and prevention efforts targeted to crack users. AIDS education efforts in drug treatment programs- may need to more strongly emphasiz e the sexual transmission routes of HIV infection and highlight the ef fects of cocaine use on sexual practices.