The Medical Outcomes Study Short Form 36 (SF-36) was administered to 343 no
t-in-treatment. crack-cocaine smokers to explore the relationship between f
requency of crack, alcohol, and tobacco use, addiction to these drugs, and
health status. The reliability of the SF-36 with crack smokers was also ass
essed. Statistically significant, negative associations emerged between fre
quency of crack use and all SF-36 subscales except physical functioning. Th
ere were not significant associations between frequency of alcohol or tobac
co use and any SF-36 subscale. Self-assessed addiction to crack was strongl
y and negatively associated with all SF-36 subscales: alcohol and tobacco a
ddiction were also negatively associated with health status, but not to the
degree of crack. The SF-36 produces reliable data on the health status of
crack users and, as such, may have a useful role in assessments involving c
rack-using populations. (C) 2000 Elsevier Science Ltd.