Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil

Detalhes bibliográficos
Autor(a) principal: Cruz, Marcelo
Data de Publicação: 2014
Outros Autores: Bertoni, Neilane, Bastos, Francisco Inácio Pinkusfeld Monteiro, Burnett, Chantal, Gooch, Jenna, Fischer, Benedikt
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/8646
Resumo: Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, RJ, Brasil
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spelling Cruz, MarceloBertoni, NeilaneBastos, Francisco Inácio Pinkusfeld MonteiroBurnett, ChantalGooch, JennaFischer, Benedikt2014-10-21T17:40:14Z2014-10-21T17:40:14Z20141747-597Xhttps://www.arca.fiocruz.br/handle/icict/8646doi: 10.1186/1747-597X-9-2.1747-597XengBioMed CentralComparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, BrasilSimon Fraser University. Faculty of Health Sciences.Centre for Applied Research in Mental Health and Addiction. Vancouver, CanadaSimon Fraser University. Faculty of Health Sciences.Centre for Applied Research in Mental Health and Addiction. Vancouver, CanadaSimon Fraser University. Faculty of Health Sciences. Centre for Applied Research in Mental Health and Addiction. Social & Epidemiological Research/ University of Toronto. Department of Psychiatry. Toronto, CanadaBACKGROUND: Crack use is prevalent among street drug users in Brazilian cities, yet despite recent help system reforms and investments, treatment utilization is low. Other studies have identified a variety of - often inconsistent - factors associated with treatment status among crack or other drug users. This study compared socio-economic, drug use, health and service use characteristics between samples of young adult crack users in- and out-of-treatment in Rio de Janeiro, Brazil. FINDINGS: Street-involved crack users (n = 81) were recruited by community-based methods, and privately assessed by way of an anonymous interviewer-administered questionnaire as well as biological methods, following informed consent. In-treatment users (n = 30) were recruited from a public service in-patient treatment facility and assessed based on the same protocol. Key indicators of interest were statistically cross-compared. Not-in-treatment users were less likely to: be white, educated, stably housed, to be involved in drug dealing, to report lifetime marijuana and current alcohol use, to report low mental health status and general health or addiction/mental health care; they were more likely to: be involved in begging and utilize social services, compared to the in-treatment sample (statistical significance for differences set at p < .05). CONCLUSIONS: In-treatment and not-in-treatment crack users differed on several key characteristics. Overall, in-treatment users appeared to be more socio-economically integrated and connected to the health system, yet not acutely needier in terms of health or drug problems. Given overall low treatment utilization but high need, efforts are required to facilitate improved treatment access and use for marginalized crack users in BrazilCrack useHealth CharacteristicsTreatment AccessService UtilizationCocaína CrackMarginalização SocialCentros de Tratamento de Abuso de Substâncias/utilizaçãoAcesso aos Serviços de Saúdeinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/8646/1/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD51ORIGINALComparing key characteristics of young adult.pdfComparing key characteristics of young adult.pdfapplication/pdf169085https://www.arca.fiocruz.br/bitstream/icict/8646/2/Comparing%20key%20characteristics%20of%20young%20adult.pdf71e7d4fcb09535b36128c8cde48f2bd9MD52TEXTComparing key characteristics of young adult.pdf.txtComparing key characteristics of young adult.pdf.txtExtracted texttext/plain28510https://www.arca.fiocruz.br/bitstream/icict/8646/3/Comparing%20key%20characteristics%20of%20young%20adult.pdf.txt90ab2c9369f0225e862c1338f080e683MD53icict/86462023-08-23 15:29:26.208oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-23T18:29:26Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil
title Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil
spellingShingle Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil
Cruz, Marcelo
Crack use
Health Characteristics
Treatment Access
Service Utilization
Cocaína Crack
Marginalização Social
Centros de Tratamento de Abuso de Substâncias/utilização
Acesso aos Serviços de Saúde
title_short Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil
title_full Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil
title_fullStr Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil
title_full_unstemmed Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil
title_sort Comparing key characteristics of young adult crack users in and out-of-treatment in Rio de Janeiro, Brazil
author Cruz, Marcelo
author_facet Cruz, Marcelo
Bertoni, Neilane
Bastos, Francisco Inácio Pinkusfeld Monteiro
Burnett, Chantal
Gooch, Jenna
Fischer, Benedikt
author_role author
author2 Bertoni, Neilane
Bastos, Francisco Inácio Pinkusfeld Monteiro
Burnett, Chantal
Gooch, Jenna
Fischer, Benedikt
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Cruz, Marcelo
Bertoni, Neilane
Bastos, Francisco Inácio Pinkusfeld Monteiro
Burnett, Chantal
Gooch, Jenna
Fischer, Benedikt
dc.subject.en.pt_BR.fl_str_mv Crack use
Health Characteristics
Treatment Access
Service Utilization
topic Crack use
Health Characteristics
Treatment Access
Service Utilization
Cocaína Crack
Marginalização Social
Centros de Tratamento de Abuso de Substâncias/utilização
Acesso aos Serviços de Saúde
dc.subject.decs.pt_BR.fl_str_mv Cocaína Crack
Marginalização Social
Centros de Tratamento de Abuso de Substâncias/utilização
Acesso aos Serviços de Saúde
description Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, RJ, Brasil
publishDate 2014
dc.date.accessioned.fl_str_mv 2014-10-21T17:40:14Z
dc.date.available.fl_str_mv 2014-10-21T17:40:14Z
dc.date.issued.fl_str_mv 2014
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.issn.none.fl_str_mv 1747-597X
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dc.identifier.eissn.none.fl_str_mv 1747-597X
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