Past research has indicated gender differences among narcotic users th
at have implications for the prevention and treatment of substance abu
se; however, little is known about these differences among crack cocai
ne users. The purpose of this secondary analysis was to compare the re
lational context of male and female crack cocaine use. Data from open-
ended, structured interviews with 46 predominantly African-American wo
men (n = 23) and men (n = 23) were compared using manifest content ana
lysis. Women were more likely to begin, use and/or maintain their use
of crack in the context of more intimate opposite sex relationships, w
hile men were more likely to begin their use with male friends and ass
ociates and to maintain drug use with income from jobs and selling dru
gs. Overall, relationships (both sexual and familial) were a more prom
inent aspect of crack use for women while entrepreneurship was more sa
lient for men. These findings suggest the need for gender-sensitive pr
evention and treatment strategies. (C) 1994 John Wiley & Sons, Inc.