Sociodemographic and clinical profile of crack cocaine treatment-seeking individuals living in “Crackland”, Brazil

Q4 Medicine

Jornal Brasileiro de Psiquiatria Pub Date : 2022-02-21 DOI:10.1590/0047-2085000000362

André Q. C. Miguel, Viviane Simões, Rodolfo Yamauchi, Clarice S. Madruga, Claudio J. da Silva, R. Laranjeira, J. Roll, C. Smith, S. McPherson, J. Mari

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引用次数: 0

Abstract

ABSTRACT Objective: São Paulo‘s Crackland is the biggest and oldest open drug use scene in Brazil, yet little is known about the profile of crack cocaine treatment-seeking individuals living in this region. The aim of this crossectional study was to describe the demographics and clinical characteristics of treatment-seeking crack users living in the Crackland region. Methods: A sample of nighty eight individuals were screened for DSM-V substance use disorders, including substance use, impulsiveness, and psychiatric symptoms. Recent crack cocaine use was also tested using biologic specimens. Results: Results indicated severe social vulnerability, as participants experienced high rates of homelessness (46.9%), unstable housing (50%), unemployment (60.4%) and early school drop-out (27.5%). The average age of crack use onset was 20 years (SD = 6.9) and the mean duration of continuous crack use was 15 years (SD = 9.7). Most participants presented with concomitant mental health disorders, particularly alcohol use disorder (87.8%), as well high rates of psychiatric symptomatology and impulsiveness. More than half of the sample reported at least one previous inpatient (73.5%) and outpatient (65.3%) addiction treatment attempt. Conclusion: This population profile should inform mental healthcare services, promoting the provision of tailored assistance by targeting specific demands at all levels of treatment.

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巴西快客地区快客可卡因治疗寻求者的社会人口学和临床特征

摘要目的：圣保罗的Crackland是巴西最大、历史最悠久的公开吸毒场所，但人们对该地区寻求快克可卡因治疗的人的情况知之甚少。这项交叉研究的目的是描述居住在Crackland地区寻求治疗的快克使用者的人口统计和临床特征。方法：对8名夜间患者进行DSM-V物质使用障碍筛查，包括物质使用、冲动和精神症状。最近快克可卡因的使用也使用生物样本进行了测试。结果：研究结果表明，参与者的社会脆弱性很高，无家可归率（46.9%）、住房不稳定率（50%）、失业率（60.4%）和提前辍学率（27.5%，尤其是酒精使用障碍（87.8%），以及高发病率的精神症状和冲动。超过一半的样本报告至少有一次住院（73.5%）和门诊（65.3%）成瘾治疗尝试。结论：这一人口状况应为心理健康服务提供信息，通过针对各级治疗的具体需求，促进提供量身定制的援助。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal Brasileiro de Psiquiatria Medicine-Psychiatry and Mental Health

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： O Jornal Brasileiro de Psiquiatria se insere em programas de educação continuada e atualização e tem como missão divulgar trabalhos de pesquisa (realizados em instituições brasileiras e estrangeiras) cujos resultados tenham potencial para a investigação e prática clínica no campo da Psiquiatria. Criado em 1938, foi publicado até 1950, sob o título “Anais do Instituto de Psiquiatria”, sem periodicidade regular.