Exploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazil

Detalhes bibliográficos
Autor(a) principal: Bertoni, Neilane
Data de Publicação: 2014
Outros Autores: Burnett, Chantal, Cruz, Marcelo Santos, Andrade, Tarcisio Matos de, Bastos, Francisco Inácio Pinkusfeld Monteiro, Leal, Erotildes, 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/9307
Resumo: Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
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spelling Bertoni, NeilaneBurnett, ChantalCruz, Marcelo SantosAndrade, Tarcisio Matos deBastos, Francisco Inácio Pinkusfeld MonteiroLeal, ErotildesFischer, Benedikt2014-12-10T11:48:51Z2015-01-05T15:49:44Z2014-12-10T11:48:51Z2015-01-05T15:49:44Z2014BERTONI, N.; et al. Exploring sex differences in drug use, health and service use characteristics among young urban crack users in brazil. International Journal for Equity in Health (Online), v.13, p. 70,2014.14759276https://www.arca.fiocruz.br/handle/icict/9307engExploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, RJ, Brasil.Universidade Federal da Bahia. Departamento de Saúde da Família e Comunidade. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, RJ, Brasil.Simon Fraser University. Faculty of Health Sciences. Centre for Applied Research in Mental Health and Addiction. Vancouver, Canada.Simon Fraser University. Faculty of Health Sciences. Centre for Applied Research in Mental Health and Addiction. Vancouver, Canada / Centre for Addiction and Mental Health. Social & Epidemiological Research. Toronto, Canada.Introduction: Studies have shown important gender differences among drug (including crack) users related to: drug use patterns; health risks and consequences; criminal involvement; and service needs/use. Crack use is prevalent in Brazil; however, few comparative data by sex exist. We examined and compared by sex key drug use, health, socio-economic indicators and service use in a bi-city sample of young (18–24 years), regular and marginalized crack users in Brazil. Methods: Study participants (total n = 159; n = 124 males and n = 35 females) were recruited by community-based methods from impoverished neighborhoods in Rio de Janeiro and Salvador. Assessments occurred by an anonymous interviewer-administered questionnaire and serum collection for blood-borne virus testing between November 2010 and June 2011. Descriptive statistics and differences for key variables by sex were computed; in addition, a ‘chi-squared automatic interaction detector’ (‘CHAID’) analysis explored potential primary factors differentiating male and female participants. Results: Most participants were non-white, and had low education and multiple income sources. More women had unstable housing and income from sex work and/or panhandling/begging, whereas more men were employed. Both groups indicated multi-year histories of and frequent daily crack use, but virtually no drug injection histories. Men reported more co-use of other drugs. More women were: involved in sex-for-drug exchanges; Blood-Borne Virus (BBV) tested and HIV+. Both groups reported similar physical and mental health patterns; however women more commonly utilized social or health services. The CHAID analysis identified sex work; paid work; begging/panhandling; as well as physical and mental health status (all at p < 0.05) as primary differentiating factors by sex. Conclusions: Crack users in our study showed notable differences by sex, including socio-economic indicators, drug co-use patterns, sex risks/work, BBV testing and status, and service utilization. Results emphasize the need for targeted special interventions and services for males and female crack users in Brazil.Crack useGenderHealthInterventionsBrazilMarginalized populationsCiências da Saúdeinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALBERTONI_ETAL_ICICT_2014.pdfapplication/pdf634011https://www.arca.fiocruz.br/bitstream/icict/9307/1/BERTONI_ETAL_ICICT_2014.pdf6e343ae0c89d243f9e49a99878095461MD51LICENSElicense.txttext/plain1914https://www.arca.fiocruz.br/bitstream/icict/9307/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTBERTONI_ETAL_ICICT_2014.pdf.txtBERTONI_ETAL_ICICT_2014.pdf.txtExtracted texttext/plain60134https://www.arca.fiocruz.br/bitstream/icict/9307/3/BERTONI_ETAL_ICICT_2014.pdf.txt717b8bea380db1b492c387ce3c100f2bMD53icict/93072023-08-23 13:25:32.82oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-23T16:25:32Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Exploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazil
title Exploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazil
spellingShingle Exploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazil
Bertoni, Neilane
Crack use
Gender
Health
Interventions
Brazil
Marginalized populations
Ciências da Saúde
title_short Exploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazil
title_full Exploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazil
title_fullStr Exploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazil
title_full_unstemmed Exploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazil
title_sort Exploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazil
author Bertoni, Neilane
author_facet Bertoni, Neilane
Burnett, Chantal
Cruz, Marcelo Santos
Andrade, Tarcisio Matos de
Bastos, Francisco Inácio Pinkusfeld Monteiro
Leal, Erotildes
Fischer, Benedikt
author_role author
author2 Burnett, Chantal
Cruz, Marcelo Santos
Andrade, Tarcisio Matos de
Bastos, Francisco Inácio Pinkusfeld Monteiro
Leal, Erotildes
Fischer, Benedikt
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Bertoni, Neilane
Burnett, Chantal
Cruz, Marcelo Santos
Andrade, Tarcisio Matos de
Bastos, Francisco Inácio Pinkusfeld Monteiro
Leal, Erotildes
Fischer, Benedikt
dc.subject.en.en.fl_str_mv Crack use
Gender
Health
Interventions
Brazil
Marginalized populations
topic Crack use
Gender
Health
Interventions
Brazil
Marginalized populations
Ciências da Saúde
dc.subject.decs.pt_BR.fl_str_mv Ciências da Saúde
description Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
publishDate 2014
dc.date.accessioned.fl_str_mv 2014-12-10T11:48:51Z
2015-01-05T15:49:44Z
dc.date.available.fl_str_mv 2014-12-10T11:48:51Z
2015-01-05T15:49:44Z
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
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv BERTONI, N.; et al. Exploring sex differences in drug use, health and service use characteristics among young urban crack users in brazil. International Journal for Equity in Health (Online), v.13, p. 70,2014.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/9307
dc.identifier.issn.pt_BR.fl_str_mv 14759276
identifier_str_mv BERTONI, N.; et al. Exploring sex differences in drug use, health and service use characteristics among young urban crack users in brazil. International Journal for Equity in Health (Online), v.13, p. 70,2014.
14759276
url https://www.arca.fiocruz.br/handle/icict/9307
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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