“…The 1998 HIV prevalence rates for African American men and women in Alabama were 69/100,000 and 28/100,000, respectively, compared to rates of 11/100,000 for white men and 2/100,000 for white women. 1 Compelling evidence supports the claim that cocaine use, 2-4 marijuana use, 5 alcohol use, 6,7 and polysubstance use (e.g., alcohol and cocaine, alcohol and mari-juana) 5,8 are associated with high-risk sexual behavior and higher rates of STDs and HIV. Cocaine use appears to be associated with especially high risk of STDs and HIV, [2][3][4] primarily because of high rates of sex without condoms, multiple sex partners, and substance-impaired sex among users.…”