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Clinical and social vulnerabilities in crack users according to housing status: a multicenter study in six Brazilian state capitals.

Abstract The study had the goal to evaluate psychoactive substance use severity, violence, physical and emotional health of crack users who seeks specialized treatment in Psychosocial Care Centers for Alcohol and Drugs (CAPSad) concerning housing status. This is a multicenter cross-sectional study in six Brazilian capitals with 564 crack users categorized into two groups (1) users who have been homeless sometime in life (n = 266) and (2) individuals who have never lived on streets (n = 298). To assess the substance use severity and the characteristics of the individuals, the Addiction Severity Index, 6th version (ASI-6) was used. Group 1 users showed worse indicators regarding alcohol, medical and psychiatric problems, employment and family support subscales, as well as greater involvement with legal problems, violence, sexual abuse, suicide risk and health related problems such as HIV/AIDS, hepatitis and tuberculosis. In addition they have lower income to pay for basic needs. After analysis and control for possible confounders, not having enough income to pay for basic needs, showing depression symptoms, and having been arrested for theft remained statistically significant. This study evaluated more deeply drug use severity and housing status of crack users. Interventions developed in outpatient treatment should be designed and tailored to specific profiles and demands of drug users, especially homeless individuals.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title cadernos de saude publica
Publication Year Start




PMID- 28678934
OWN - NLM
STAT- MEDLINE
DA  - 20170705
DCOM- 20170726
LR  - 20170726
IS  - 1678-4464 (Electronic)
IS  - 0102-311X (Linking)
VI  - 33
IP  - 6
DP  - 2017 Jul 03
TI  - [Clinical and social vulnerabilities in crack users according to housing status: 
      a multicenter study in six Brazilian state capitals].
PG  - e00037517
LID - S0102-311X2017000605002 [pii]
LID - 10.1590/0102-311X00037517 [doi]
AB  - The study had the goal to evaluate psychoactive substance use severity, violence,
      physical and emotional health of crack users who seeks specialized treatment in
      Psychosocial Care Centers for Alcohol and Drugs (CAPSad) concerning housing
      status. This is a multicenter cross-sectional study in six Brazilian capitals
      with 564 crack users categorized into two groups (1) users who have been homeless
      sometime in life (n = 266) and (2) individuals who have never lived on streets (n
      = 298). To assess the substance use severity and the characteristics of the
      individuals, the Addiction Severity Index, 6th version (ASI-6) was used. Group 1 
      users showed worse indicators regarding alcohol, medical and psychiatric
      problems, employment and family support subscales, as well as greater involvement
      with legal problems, violence, sexual abuse, suicide risk and health related
      problems such as HIV/AIDS, hepatitis and tuberculosis. In addition they have
      lower income to pay for basic needs. After analysis and control for possible
      confounders, not having enough income to pay for basic needs, showing depression 
      symptoms, and having been arrested for theft remained statistically significant. 
      This study evaluated more deeply drug use severity and housing status of crack
      users. Interventions developed in outpatient treatment should be designed and
      tailored to specific profiles and demands of drug users, especially homeless
      individuals.
FAU - Halpern, Silvia Chwartzmann
AU  - Halpern SC
AD  - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 
      Porto Alegre, Brasil.
FAU - Scherer, Juliana Nichterwitz
AU  - Scherer JN
AD  - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 
      Porto Alegre, Brasil.
FAU - Roglio, Vinicius
AU  - Roglio V
AD  - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 
      Porto Alegre, Brasil.
FAU - Faller, Sibele
AU  - Faller S
AD  - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 
      Porto Alegre, Brasil.
FAU - Sordi, Anne
AU  - Sordi A
AD  - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 
      Porto Alegre, Brasil.
FAU - Ornell, Felipe
AU  - Ornell F
AD  - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 
      Porto Alegre, Brasil.
FAU - Dalbosco, Carla
AU  - Dalbosco C
AD  - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 
      Porto Alegre, Brasil.
FAU - Pechansky, Flavio
AU  - Pechansky F
AD  - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 
      Porto Alegre, Brasil.
FAU - Kessler, Felix
AU  - Kessler F
AD  - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 
      Porto Alegre, Brasil.
FAU - Diemen, Lisia von
AU  - Diemen LV
AD  - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 
      Porto Alegre, Brasil.
LA  - por
PT  - Journal Article
PT  - Multicenter Study
TT  - Vulnerabilidades clinicas e sociais em usuarios de crack de acordo com a situacao
      de moradia: um estudo multicentrico de seis capitais brasileiras.
DEP - 20170703
PL  - Brazil
TA  - Cad Saude Publica
JT  - Cadernos de saude publica
JID - 8901573
RN  - 0 (Crack Cocaine)
SB  - IM
MH  - Adult
MH  - Brazil/epidemiology
MH  - Cities/epidemiology
MH  - Cocaine-Related Disorders/*epidemiology/*psychology
MH  - Crack Cocaine/*adverse effects
MH  - Cross-Sectional Studies
MH  - Female
MH  - Health Status
MH  - Homeless Persons/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Mental Disorders/epidemiology/psychology
MH  - Socioeconomic Factors
MH  - Violence/*statistics & numerical data
MH  - Vulnerable Populations
EDAT- 2017/07/06 06:00
MHDA- 2017/07/27 06:00
CRDT- 2017/07/06 06:00
PHST- 2017/03/04 [received]
PHST- 2017/06/06 [accepted]
AID - S0102-311X2017000605002 [pii]
AID - 10.1590/0102-311X00037517 [doi]
PST - epublish
SO  - Cad Saude Publica. 2017 Jul 3;33(6):e00037517. doi: 10.1590/0102-311X00037517.