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EXECUTIVE SUMMARY
1
INTRODUCTION
39
PART I RESEARCH FINDINGS AND OPPORTUNITIE:
2
UNDERSTANDING HIV TRANSMISSION
47
Sexual Transmission
HIV Risk and Injection Drug Use
53
Crack Cocaine and HIV Risk: The Intersection of Drug Use and Sexual Behavior
59
Alcohol Use and Sexual Transmission
63
Monitoring the Epidemic
66
Prevalence and Incidence of HIV Infection
69
Factors Influencing the Epidemic's Course: Risky Acts, Social Networks, and Unsafe Places
71
Conclusion and Recommendations
75
3
UNDERSTANDING THE DETERMINANTS OF HIV RISK BEHAVIOR
78
Neurobiological Determinants of Risk Behavior
Neurobiological Basis of Drug-Using Behavior
80
Psychosocial Determinants of Risk Behavior
83