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In his comment on our findings regarding cocaine injection, crack use, and human immunodeficiency virus infection among drug users, Dr Grove has misread our position regarding the substitution of smoking crack for injecting cocaine as a form of AIDS risk reduction. We mentioned this as a hypothesis regarding the evolving patterns of drug use in the United States and presented data showing the lack of a rapid switch between these two forms of using cocaine. (A long-term switch may still occur.) At no point were we "approving" the smoking of crack as a form of AIDS risk reduction. Testing a hypothesis should not be construed as advocacy of the behavior involved.We strongly disapprove of the use of crack, but must object to the logic in the statement by Dr Grove that "the drug user... will need to take full responsibility for whatever consequence of their drug use
Jarlais DCD, Friedman SR. Intravenous Cocaine, Crack, and HIV Infection-Reply. JAMA. 1988;260(11):1556. doi:10.1001/jama.1988.03410110063026