Using data from a NIDA-funded study that randomly assigned female substance users to one of three intervention groups, this work stratified crack cocaine using women into groups according to criminal justice history: 1) St. Louis Female Drug Court referred; 2) community recruited with lifetime arrest; and 3) community recruited with no lifetime arrest history. Analyses focused on determining whether women differed on health and behavioral risk factors upon enrollment; whether the enhanced interventions were more effective than the NIDA standard at reducing high-risk drug use and sexual behaviors post-intervention; and whether drug use behaviors changed with greater frequency than sexual risk behaviors, in response to the HIV intervention between baseline, 4 and 12 month follow-up interviews. Findings are presented in detail and, overall, confirm that cocaine using women can change high-risk behaviors, although further efforts to tailor interventions are necessary.
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About the Author
Catina Callahan OLeary obtained her PhD in Social Work from the George Warren Brown School of Social Work at Washington University in St. Louis in December of 2007. She is currently a Research Instructor at Washington University School of Medicine in the Department of Psychiatry, where she has coordinated research studies since 1998.
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