Estudo prospectivo de usuários de crack atendidos em hospital psiquiátrico público em Maceió, Alagoas

• Autor(a) principal: Santos , Layse Veloso de Amorim
• Data de Publicação: 2018
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal de Alagoas (UFAL)
• Texto Completo: http://www.repositorio.ufal.br/handle/riufal/4768
• topic: Crack (Droga); Epidemiologia; Homicídio; Crack (Drug); Epidemiology; Homicide; CNPQ::CIENCIAS DA SAUDE

Introduction: The abusive use of crack is a serious public health problem with important social repercussions constituting a phenomenon of difficult management, mainly in marginalized populations. From a cross - sectional study in 2010-2011, a profile of a sample of 200 crack users hospitalized for detoxification was obtained in a public psychiatric hospital in Maceió, Alagoas. In continuation of this study, a reevaluation was carried out 5 years later. The hypothesis was that users with early onset crack use (before 19 years) would have worse outcomes after Five years Objective: To verify in a sample of hospitalized crack users for detoxification, the importance of the age of onset of substance use in terms of outcomes 5 years later. Methods: This was a prospective longitudinal study in which a cohort of 200 crack users was followed five years after an episode of hospitalization for detoxification. For the initial evaluation (2010-2011) the Addiction Severity Index (ASI-6) was used. A specific questionnaire was used to collect information on the selected outcomes (abstinence, prison and death) and possible intervenient factors (employment status, marital status, and sociodemographic factors) for the reevaluation (2014-2016) of the period elapsed. The descriptive analysis was performed for the sample, and the analysis was performed through the use of logistic regression. Results: We obtained information from 150 (75%) users. The percentage of responses obtained was different for each variable investigated. Of the 80 users who reported on current crack use, 35 (43,2%) were abstinent 12 months or older. It was detected that 11 users were arrested and 23 had died, 20 (80,7%) were homicide. Regarding the outcomes assessed through adjustment with logistic regression, it was observed that users who started using crack up to 18 years of age were more likely to have violent death than others (OR = 5;13; CI 95%: 1 , 29-19.88). Regarding treatment, singles were more likely to be treated (OR = 0,23; CI 95%: 0.09 - 0.59). In relation to presenting legal problems, users with lower levels of schooling presented greater risk (OR = 4,36, CI95%: 1.67-11.34). Finally referring to the outcome being abstinent there was association with being in stable union (OR = 4.69, CI 95%: 01.16 - 18.97). Conclusions: In the evaluation of the sample as a whole, it was confirmed the hypothesis that the beginning of crack use was associated to the homicide outcome during the 5 years of follow-up