Female crack users and their sexual relationships: The role of sex‐for‐crack exchanges

Abstract

This study challenges the image of female crack users as exchangers, or women who exchange sex for crack. Between June 1997 and February 1999, quantitative interviews were conducted with 150 active female crack users, one half of whom also completed a qualitative interview. Data analysis involved contingency analysis, bivariate logistic regression analysis, and the constant comparison method. Exchangers (n = 65) were younger, and were more likely to have been homeless and to be single than were nonexchangers (n = 85). Exchangers also were more likely to report infidelity and less likely to communicate with their most recent steady partner about the partner's relationship expectations. Sexual behaviors differed by partner type among the exchangers and nonexchangers. These findings provide a comprehensive picture of female crack users. Additionally, the findings indicate the importance of designing interventions that capture the complexities of the women's sexual relationships.