Due to racial segregation and discriminatory practices by real estate agents, African American families were largely located in low-income inner city neighborhoods. This led to crack impacting African American communities far more than others.
Between 1984 and 1989, the homicide rate for black males aged 14 to 17 more than doubled, and the homicide rate for black males aged 18 to 24 increased nearly as much. During this period, the black community also experienced a 20–100% increase in fetal death rates, low birth-weight babies, weapons arrests, and the number of children in foster care. The United States remains the largest overall consumer of narcotics in the world as of 2014.
A 2018 study found that the crack epidemic had long-run consequences for crime, contributing to the doubling of the murder rate of young black males soon after the start of the epidemic, and that the murder rate was still 70 percent higher 17 years after crack's arrival.
The paper estimated that eight percent of the murders in 2000 are due to the long-run effects of the emergence of crack markets, and that the elevated murder rates for young black males can explain a significant part of the gap in life expectancy between black and white males.
The reasons for these increases in crime were mostly because distribution of the drug to the end-user occurred mainly in low-income inner city neighborhoods. This gave many inner-city residents the opportunity to move up the "economic ladder" in a drug market that allowed dealers to charge a low minimum price.
Crack cocaine use and distribution became popular in cities that were in a state of social and economic chaos such as New York, Los Angeles and Atlanta. "As a result of the low-skill levels and minimal initial resource outlay required to sell crack, systemic violence flourished as a growing army of young, enthusiastic inner-city crack sellers attempt to defend their economic investment."
Once the drug became embedded in the particular communities, the economic environment that was best suited for its survival caused further social disintegration within that city.
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