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Qualitative Health Research
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*Substance via MeSH
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*Cocaine
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Sex-for-Crack-Cocaine Exchange, Poor Black Women, and Pregnancy

Tanya Telfair Sharpe

Centers for Disease Control in Atlanta, Georgia

A sample of 34 poor Black women who exchanged sex for crack was screened to discover if sex-for-crack exchanges resulted in pregnancies. Ethnographic interviews were conducted with women who became pregnant this way. Out of the 34 women, 18 reported sex-for-crack pregnancies, and more than half of that number became pregnant this way more than once. Twenty-nine pregnancies were reported. Only 2 women chose to have abortions. Interview transcripts were analyzed using qualitative data analytical procedures. The following three issues shaped the women’s responses to sex-for-crack pregnancies: (a) severity of crack use, (b) religious beliefs, and (c) social organization patterns within poor Black communities. The findings have implications for drug treatment and child welfare policy.

Qualitative Health Research, Vol. 11, No. 5, 612-630 (2001)
DOI: 10.1177/104973201129119334


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