Supporting the habit: income generation activities of frequent crack users compared with frequent users of other hard drugs

被引:70
作者
Cross, JC
Johnson, BD
Davis, WR
Liberty, HJ
机构
[1] Natl Dev & Res Inst Inc, Inst Special Populat Res, World Trade Ctr 2, New York, NY 10048 USA
[2] Vassar Coll, New York, NY 12604 USA
关键词
crack; cocaine powder; heroin; economics; employment; gender; epidemiology;
D O I
10.1016/S0376-8716(01)00121-1
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
US Federal sentencing guidelines punish possession of crack cocaine very differently from powder cocaine, based partially upon the assumption that crack users engage more frequently in criminal behavior to pay for their habit. This article analyzed frequent users (those who have used at least 15 of the last 30 days) of crack with subgroups of less frequent hard drug users in terms of various income generation activities reported during the past 30 days. The sample consists of 602 African-Americans who were current (in past 30 days) users or sellers of cocaine powder, crack, and heroin. They were carefully recruited from randomly selected blocks in the Central Harlem area of New York City and interviewed extensively in 1998-1999. Their IGAs were classified into six categories. Compared with not-frequent (less than 15 days) hard drug users, frequent crack and multiple hard drug users were equally likely to be involved in drug distribution activities, but were significantly less likely to have full-time jobs, part-time jobs, aid to families with dependent children or welfare support. They had much higher odds ratios for non-drug related illegal (theft mainly) income generation activities and sex work among women. Often, gender and birth cohort variables had higher odds ratios with specific income generation activities than the frequent use of the primary drug(s). This evidence suggests that very frequent crack users have been stigmatized by, are largely excluded from, and perform very marginal economic roles in the legal economic system (jobs and welfare), the illegal economic system, and even in the hard drug distribution system. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:191 / 201
页数:11
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