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Black Adolescent Crack Users in Oakland: No Quick Fix-Reply

Robert E. Fullilove, EdD; Mindy Thompson Fullilove, MD; Benjamin P. Bowser, PhD; Shirley A. Gross, MPH
JAMA. 1990;264(3):337. doi:10.1001/jama.1990.03450030053027.
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In Reply.—  We are in agreement with Dr Silverman that no "quick fix" is likely to have a dramatic impact on sexual behaviors that are mediated by drug and alcohol abuse and that responsible safe sex behavior requires more than the use of condoms. We would further concur that educators and policymakers should not be tempted into believing that providing crack users with condoms can or should replace "more difficult and costly programs, particularly... drug treatment programs."In proposing a campaign of condom distribution, our intent was not to suggest that condoms are a panacea for the many problems associated with crack use. Rather, our findings should suggest to educators, policymakers, and health care professionals that the sexual behaviors of crack users are as problematic as their crack abuse, and that effective treatment programs for such users should include concerted efforts to reduce the user's risk of becoming infected with


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