Crack ‘Hos and Skeezers: Traumatic experiences of women crack users

The involvement of women in crack cocaine abuse has had a severe impact on their health, the health of their children and the stability of their communities. Of particular concern has been the development of a system of barter in which crack‐for‐sex exchanges are the means through which women obtain the drug. Earlier studies have suggested that drug abuse may be related to and exacerbated by trauma. In the project described herein, we interviewed women crack users in Harlem to study the relationship between trauma, crack use, and crack‐related sexual behavior. Results suggested the existence of three types of trauma: (1) traumas that predate the respondent's onset of crack use; (2) traumas that were the direct sequelae of crack use; and (3) stigma trauma, that is, trauma that results from membership in a despised or oppressed group. We observed a complex inter‐relationship involving crack use, crack‐for‐sex transactions, and these three types of trauma. Treatment of the eventual co‐morbidity of trauma and addiction is an urgent challenge.     

Age differences in alcohol and cocaine expectancies and attitudes

Positive and negative expectancies regarding the behavioral effects of alcohol and cocaine were assessed and used to predict attitudes toward their use across four age groups (5-7, 8-10, 11-14, and 18-25, N = 121). Regardless of gender and minority status, children and early adolescents appeared to overgeneralize their beliefs about alcohol to a less familiar drug, cocaine, perceiving the effects of the two drugs similarly. Only college students differentiated between drugs, perceiving cocaine as less likely than alcohol to produce drunkenness and more likely to have stimulant and elation/empowerment effects. With age and other expectancies controlled, expectancy of drunkenness was the best predictor of disapproval of alcohol use; attitudes toward cocaine use were unrelated to expectancies but became more negative with age. Drug prevention programs should rest on data regarding children's preexisting beliefs about the consequences of drug use and should help them understand that different drugs (for example, stimulants and depressants) pose different dangers.     

“I Was in Crisis”

This article explores the illicit labor and imprisonment of two women, Cynthia and Dinah, in the Santa Monica prison in Lima, Peru through the lens of gendered motherwork. Because the unequal distribution of care places the burden of this labor on women, Cynthia and Dinah were primarily responsible for the care of their adult children who were diagnosed with AIDS. Both women entered the transnational cocaine commodity chain in order to provide their children with medication that was not administered by the state. Neoliberal healthcare in the form of cuts to national health systems makes the motherwork of poor women more difficult to perform. In order to afford care for their children's health, Cynthia and Dinah entered a labor market that is criminalized by punitive war on drug policies and they were subsequently imprisoned. Illicit labor was therefore an extension of their motherwork and the removal of this care from their children resulted in tragic health consequences. This article is based on ethnographic dissertation fieldwork in 2008–09 in the largest women's prison in Peru.     

Social isolation and sexual abuse among women who smoke crack

The purpose of this study was to explore the prevalence of social isolation and its relationship to sexual trauma in a sample of Black women who smoke crack cocaine. Using a convenience sample of 115 Black women with a history of smoking crack cocaine, participants were interviewed for 2 to 4 hours and asked a variety of questions about their health, relationships, sexuality, and drug use. Bivariate and multivariate logistical regressions were used to predict whether the women reported being socially isolated. While social isolation was not necessarily a common experience among the sample, it was found that women who had been sexually abused were three times more likely to report being socially isolated than women who had not been sexually abused. In addition, social isolation was more common among women who had been abused by a family member, who had been abused when they were young, and who had been abused for a long period of time. However, multivariate analyses revealed that the age at which the sexual trauma occurred was the most salient predictor of social isolation in adulthood. Implications for drug treatment are discussed.     

Informal Care Intensity and Caregiver Drug Utilization

Providing informal care has negative health consequences for informal caregivers. If these health consequences increase drug utilization among caregivers, estimates of health care savings from informal care—mainly realized through reductions in utilization among care recipients—should consider the increased drug costs incurred by informal caregivers. This paper evaluates whether more intensive informal caregivers have higher drug utilization than less intensive caregivers, controlling for initial health status and other factors. We find that informal care intensity is associated with higher drug consumption. An increase of 10% of total informal care per day is associated with a 0.7% increase in drugs. The small magnitudes indicate that, in this application, it is not important to consider caregiver drug utilization when quantifying the net savings to the health care system of informal care. For individual caregivers, such as those who take multiple drugs per month and/or have no drug coverage, the increase in drug utilization associated with intensive caregiving is likely to be costly.     

Beyond the Federal Drug War: A Panel Study of State-Level Powder and Crack Cocaine Laws, 1977–2010

Scholars claim that more punitive drug laws are one of the main reasons for the rapid growth of U.S. incarceration rates and related collateral consequences over recent decades. Yet despite the widespread impact of these laws, researchers continue to ignore a seemingly fundamental research question: Why do some states, but not others, enact harsher drug laws? To partly address this gap in the literature I locate the social, political, and economic factors responsible for changes in the severity of U.S. state-level powder and crack cocaine laws from 1977 to 2010. Two-way fixed-effects panel estimates reveal that theoretical accounts based on racial threat, partisan politics, and gendered politics largely explain variation in cocaine law strength within states over this period.     

Does a helping hand put others at risk?: affirmative action,police departments,and crime

Will increasing the number of minority and women police officers make law enforcement more effective by drawing on abilities that have gone untapped and creating better contact with communities and victims? Or will standards have to be lowered too far before large numbers of minorities and women can be hired? Using cross‐sectional time‐series data for U.S. cities for 1987, 1990, and 1993, I find that hiring more black and minority police officers increases crime rates, but this apparently arises because lower hiring standards involved in recruiting more minority officers reduces the quality of both new minority and new nonminority officers. The most adverse effects of these hiring policies have occurred in the areas most heavily populated by blacks. There is no consistent evidence that crime rates rise when more women are hired, and this raises questions about whether norming tests or altering their content to create equal pass rates is preferable. The article examines how the changing composition of police departments affects such measures as the murder of and assaults against police officers.     

‘Failure to thrive’ revisited

The term ‘non‐organic failure to thrive’ (FTT) has long been used in relation to young children with faltering growth for which no organic cause is found. In this paper, problems arising from dichotomised organic/non‐organic responses to FTT are explored and reasons for the assumption that non‐organic FTT was always due to emotional abuse or neglect are presented. The case is made that, except in a minority of cases, children fail to grow because they consume insufficient calories. Research studies on reasons for poor intake, from factors related to the child and their parents to the wider family and environment, are summarised. Following a brief reference to literature on outcomes, I argue that centile charts should be routinely completed for all young children. If faltering growth is identified, a multi‐factorial assessment should be undertaken. Such an assessment reduces the risk of interventions being based on outdated assumptions about non‐organic FTT and maximises the potential for successful resolution of poor growth. After briefly summarising the literature on interventions, I conclude with suggestions for improving practice in this field, including working in partnership with families and with health and social care professionals already known to them. Copyright © 2008 John Wiley & Sons, Ltd.     

Patterns and economic effects of drug overdose mortality in Texas: 1980-1986

Drug overdose mortality and its economic consequences are explored for ten different drug categories in this article. Data on drug overdose mortality in Texas for the years 1980-1986 are examined and a cost of mortality analysis is presented using the human capital methodology. In addition, mortality rates per 100,000 population are presented for each drug category. The results indicate that the cost of drug overdose mortality has more than doubled over the six-year period. The greatest growth in mortality cost has been for narcotics and cocaine, with commonly prescribed psychoactive drugs remaining fairly constant. The results suggest that men are at far greater risk of drug overdose than women with respect to illicit drugs. Women, however, appear to be at greater risk for overdose from commonly prescribed drugs.     

The Varied Impact of Couple Relationship Breakdown on Children: Implications for Practice and Policy

This review of international literature assesses the impacts that the relationship breakdown of parents has on children and factors that can provide support should this occur. The parental separation process causes significant albeit short‐term distress for most children, with a minority reporting longer‐term outcomes such as socio‐economic disadvantage, behavioural problems, poor educational achievement, and physical and emotional health problems. Factors increasing the likelihood of sustained disadvantage include: poverty; poor parent–child relationships; continuing parental conflict, multiple transitions in family formation; and poor maternal mental health. Supporting the factors that can improve child outcomes, exploring opportune ways to strengthen couple and family relationships, and integrating the views of children (for example, in court‐based dispute resolution) are the leading implications for practice and policy.     

Opting Out (Without Kids): Understanding Non‐Mothers' Workplace Exit in Popular Autobiographies

Since the term appeared in 2003, popular media and academics have been interested in the phenomenon of ‘opting out’ — elite women choosing to leave their jobs to stay at home with their children. Although it is unclear whether the opt‐out revolution actually exists, this conversation has resulted in a wealth of scholarship on women leaving successful jobs to care for their children, particularly how maternity might be a graceful time to exit gendered organizations. However, there is not scholarship considering women without children who opt out of the dominant career model. In this study, I look at three popular autobiographies of women who left successful careers to pursue alternative work (farming, baking). I found that the women sought meaning in their work, control over their labour process, and a new definition of success. These narratives provide broader insight into the constraints of the dominant career model and gendered organizations as well as the particular difficulties for non‐mothers to opt out.     

Stripping in the New Millennium: Thinking about Trends in Exotic Dance and Dancers' Lives

With the increasing presence of sex and sexuality in American popular culture, the stripping industry is undoubtedly undergoing important subcultural and organizational transition. What are the implications of these changes for the individuals involved? The current paper reviews much of the literature on exotic dance to consider the potential transformations in the organization of the sex industry and how these changes may impact the lives of those involved. Specifically, I note some key differences in the literature that suggest how exotic dance has shifted. I then pose some questions for empirical inquiry. I argue that transformations in the exotic industry are creating new opportunities and challenges for women, and may be particularly deleterious for poor and minority women. I call for sociologists to investigate the consequences of organizational transferal in sexual labor, reevaluate the dynamics of agency and exploitation, and consider the potential differential impact of these trends on poor women and women of color.     

Match quality and maternal investments in children

Marriage advocates contend that the unstable environment caused by divorce can have adverse effects on children’s educational and behavioral outcomes. However, the assignment of poor outcomes to the divorce itself fails to take into account relationship quality and heterogeneity in place before or in the absence of union dissolution. I explore the link between heterogeneity of relationship quality and investments in children by showing that women who report less satisfaction in their relationships spend less time reading with their children. I test various theoretical mechanisms by which we would expect women to decrease their investments in a child using information about the match including reported argument frequency and whether the union dissolves. The results suggest that subjective measures tell a more complete story about investments in children than indicated by future union status, argument frequency or parental quality.     

THE PARADOX OF THE PILL: HETEROGENEOUS EFFECTS OF ORAL CONTRACEPTIVE ACCESS

The twentieth century saw dramatic increases in nonmarital births, concentrated heavily among poor and working‐class women. In this paper, we investigate whether the oral contraceptive pill played a causal role in the rise of nonmarital births. Exploiting exogenous variation in laws governing access to the pill, we find that changes in marital access to the pill increased the nonmarital birthrate by between 15% and 18%, accounting for about one‐third of the overall increase in nonmarital births. These effects are concentrated almost entirely among women whose fathers did not graduate high school and among minority women. We also document that the pill increased spacing between first and second births, and lowered the probability that a woman obtained a high‐school diploma, consistent with increases in nonmarital births. We find no evidence that postsecondary education levels were influenced by pill access, and no evidence that nonmarital births move with male employment patterns. Our findings add to a growing literature which documents the power of the pill to shape women's lives in broadly heterogenous ways, with minority and less‐well‐educated women bearing the brunt of the losses, a phenomenon we call the paradox of the pill. (JEL J12, J13, I24)     

Sing a Song of Drug Use-Abuse: Four Decades of Drug Lyrics in Popular Music–From the Sixties through the Nineties

Songs dealing with illegal drugs have long dotted popular music. It was not until the aftermath of the sixties youth counterculture, however, that drug lyrics became a recurring musical motif. In the decades since, the lyrical treatment of drugs has undergone change. Heroin and cocaine have largely, though not exclusively, been treated antagonistically, with the animosity toward cocaine becoming more pronounced after crack cocaine was introduced in the mid-1980s. Marijuana, on the other hand, has generally been perceived as innocuous, if not positively assessed, and this treatment has crossed the decades into the nineties. In more recent years, however, the positive assessment of marijuana has undergone change, with younger musicians more likely to decry the harm that drugs do than older musicians do. This prosocial aspect of contemporary popular music has been largely ignored.     

UN: Treatment not accessible,especially in prisons,globally

Last week, the United Nations Office on Drugs and Crime (UNODC) released a report revealing that the adverse health consequences of drug use are more severe and widespread than previously thought. About 35 million people globally are estimated to need treatment for drug use disorders, according to the World Drug Report 2019, released June 26. The number of opioid users is now 53 million, up 56% from previous estimates. Opioids are responsible for two‐thirds of the 585,000 drug use deaths in 2017. Across the world, 11 million people injected drugs in 2017; 1.4 million of them have HIV and 5.6 million have hepatitis C.     

Beliefs and Behaviors of Pregnant Women with Addictions Awaiting Treatment Initiation

Substance use during pregnancy poses clear risks to children’s healthy development. However, women with addictions face unique barriers to accessing substance abuse treatment and often delay or avoid treatment seeking. The objective of this study was to examine women’s beliefs about the impact of use on the developing baby and to examine the protective behaviors that women with addictions engage in during the period of time between when they first find out they are pregnant and when they begin substance abuse treatment. Semi-structured interviews were conducted with 15 women who were either pregnant or postpartum and who had used illicit substances during pregnancy. All participants were currently receiving inpatient substance abuse treatment services to address their addiction and were asked to retrospectively report on their experiences. Interviews were transcribed, imported into a qualitative data analysis software, and iteratively coded for themes. Women reported being concerned about the impact of substance use on the developing baby, in particular, about the physical and long-term developmental consequences of prenatal exposure. Given these concerns, women described trying to protect the baby from harm on their own, outside of accessing traditional treatment services. They sought information anonymously, increased their engagement in health-promoting behaviors, and decreased their use of alcohol and other drugs. The results suggest that women who use alcohol and other drugs during pregnancy are often motivated to protect their baby from harm and are engaging in harm reduction behaviors prior to accessing treatment services.     

MEASURING CRACK COCAINE AND ITS IMPACT

Numerous social indicators turned negative for Blacks in the 1980s and rebounded a decade later. We explore whether crack cocaine explains these patterns. Absent a direct measure, we construct a crack prevalence index using multiple proxies. Our index reproduces spatial and temporal patterns described in ethnographic accounts of the crack epidemic. It explains much of the 1980s rise in Black youth homicide and more moderate increases in adverse birth outcomes. Although our index remains high through the 1990s, crack's deleterious social impact fades. Changes over time in behavior, crack markets, and the user population may have mitigated crack's damaging impacts. (JEL K42, J15, I30)