We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Black Adolescent Crack Users in Oakland: No Quick Fix

Barbara G. Silverman, MD, MPH
JAMA. 1990;264(3):337. doi:10.1001/jama.1990.03450030053026.
Text Size: A A A
Published online

To the Editor.—  The article by Dr Fullilove et al1 provides an excellent summary of those risk behaviors that increase the likelihood of teenaged "crack" cocaine users becoming infected with sexually transmitted diseases, including human immunodeficiency virus disease. The risk behaviors elicited, including exchanging sexual favors for drugs or money, engaging in sexual relations while under the influence of drugs or alcohol, and impulsive behavior, clearly do not lend themselves to a "quick fix" precisely because they are so fundamentally linked to drug dependency and the complex psychosocial problems of these adolescents.While condoms are an adjunct to "safe sex," they are of little value in the absence of responsible behavior, not only in the choice of sexual partners but in the use of the condoms themselves. Furthermore, many of these youngsters, such as the addicted girl exchanging sexual favors for money or drugs, lack the authority in


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.