Patterns, determinants and barriers of health and social service utilization among young urban crack users in Brazil

Detalhes bibliográficos
Autor(a) principal: Cruz, Marcelo Santos
Data de Publicação: 2013
Outros Autores: Andrade, Tarcísio Matos de, Bastos, Francisco Inácio, Leal, Erotildes, Bertoni, Neilane, Lipman, Lara, Chantal, Burnett, Fischer, Benedikt
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/14804
Resumo: p. 1-12
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spelling Cruz, Marcelo SantosAndrade, Tarcísio Matos deBastos, Francisco InácioLeal, ErotildesBertoni, NeilaneLipman, LaraChantal, BurnettFischer, Benedikt2014-04-09T13:09:37Z2014-04-09T13:09:37Z20131472-6963http://repositorio.ufba.br/ri/handle/ri/14804v. 13p. 1-12Background: Crack use is prevalent across the Americas, and specifically among marginalized urban street drug users in Brazil. Crack users commonly feature multiple physical and mental health problems, while low rates of and distinct barriers to help service use have been observed in these populations. This study examined profiles and determinants of social and health service utilization, and unmet service needs, in a two-city sample of young (18–24 years), marginalized crack users in Brazil. Methods: N = 160 study participants were recruited by community-based methods from impoverished neighborhoods in the cities of Rio de Janeiro (n = 81) and Salvador (n = 79). A mixed methods protocol was used. Participants’ drug use, health, and social and health service utilization characteristics were assessed by an anonymous interviewer-administered questionnaire completed in a community setting; descriptive statistics on variables of interest were computed. Service needs and barriers were further assessed by way of several focus groups with the study population; narrative data were qualitatively analyzed. The study protocol was approved by institutional ethics review boards; data were collected between November 2010 and June 2011. Results: The majority of the sample was male, without stable housing, and used other drugs (e.g., alcohol, marijuana). About half the sample reported physical and mental health problems, yet most had not received medical attention for these problems. Only small minorities had utilized locally available social or health services; utilization appeared to be influenced by sex, race and housing characteristics in both sites. Participants cited limited service resources, lack of needs-specific professional skills, bureaucratic barriers and stigma as obstacles to better service access. However, most respondents stated strong interest and need for general social, health and treatment services designed for the study population, for which various key features were emphasized as important. Conclusions: The study contributes substantive evidence to current discussions about the development and utilization of health and treatment interventions for crack use in Brazil. Based on our data, crack users’ social, service needs are largely unmet; these gaps appear to partly root in systemic barriers of access to existing services, while improved targeted service offers for the target population seem to be needed also.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2014-03-18T12:46:27Z No. of bitstreams: 1 1472-6963-13-536.pdf: 424964 bytes, checksum: 479bec2ecb63fcc376a6e65cbdc11af3 (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2014-04-09T13:09:37Z (GMT) No. of bitstreams: 1 1472-6963-13-536.pdf: 424964 bytes, checksum: 479bec2ecb63fcc376a6e65cbdc11af3 (MD5)Made available in DSpace on 2014-04-09T13:09:37Z (GMT). No. of bitstreams: 1 1472-6963-13-536.pdf: 424964 bytes, checksum: 479bec2ecb63fcc376a6e65cbdc11af3 (MD5) Previous issue date: 2013http://dx.doi.org/10.1186/1472-6963-13-536reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBACrack useHealth servicesTreatmentBarriersBrazilMarginalized populationsPatterns, determinants and barriers of health and social service utilization among young urban crack users in BrazilBMC Health Services Researchinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessengLICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/14804/2/license.txt0d4b811ef71182510d2015daa7c8a900MD52ORIGINAL1472-6963-13-536.pdf1472-6963-13-536.pdfapplication/pdf424964https://repositorio.ufba.br/bitstream/ri/14804/1/1472-6963-13-536.pdf479bec2ecb63fcc376a6e65cbdc11af3MD51TEXT1472-6963-13-536.pdf.txt1472-6963-13-536.pdf.txtExtracted texttext/plain64837https://repositorio.ufba.br/bitstream/ri/14804/3/1472-6963-13-536.pdf.txt4255134aa261aa62bf29408d908fae3aMD53ri/148042022-07-01 10:46:39.431oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-01T13:46:39Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Patterns, determinants and barriers of health and social service utilization among young urban crack users in Brazil
dc.title.alternative.pt_BR.fl_str_mv BMC Health Services Research
title Patterns, determinants and barriers of health and social service utilization among young urban crack users in Brazil
spellingShingle Patterns, determinants and barriers of health and social service utilization among young urban crack users in Brazil
Cruz, Marcelo Santos
Crack use
Health services
Treatment
Barriers
Brazil
Marginalized populations
title_short Patterns, determinants and barriers of health and social service utilization among young urban crack users in Brazil
title_full Patterns, determinants and barriers of health and social service utilization among young urban crack users in Brazil
title_fullStr Patterns, determinants and barriers of health and social service utilization among young urban crack users in Brazil
title_full_unstemmed Patterns, determinants and barriers of health and social service utilization among young urban crack users in Brazil
title_sort Patterns, determinants and barriers of health and social service utilization among young urban crack users in Brazil
author Cruz, Marcelo Santos
author_facet Cruz, Marcelo Santos
Andrade, Tarcísio Matos de
Bastos, Francisco Inácio
Leal, Erotildes
Bertoni, Neilane
Lipman, Lara
Chantal, Burnett
Fischer, Benedikt
author_role author
author2 Andrade, Tarcísio Matos de
Bastos, Francisco Inácio
Leal, Erotildes
Bertoni, Neilane
Lipman, Lara
Chantal, Burnett
Fischer, Benedikt
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Cruz, Marcelo Santos
Andrade, Tarcísio Matos de
Bastos, Francisco Inácio
Leal, Erotildes
Bertoni, Neilane
Lipman, Lara
Chantal, Burnett
Fischer, Benedikt
dc.subject.por.fl_str_mv Crack use
Health services
Treatment
Barriers
Brazil
Marginalized populations
topic Crack use
Health services
Treatment
Barriers
Brazil
Marginalized populations
description p. 1-12
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2014-04-09T13:09:37Z
dc.date.available.fl_str_mv 2014-04-09T13:09:37Z
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.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/14804
dc.identifier.issn.none.fl_str_mv 1472-6963
dc.identifier.number.pt_BR.fl_str_mv v. 13
identifier_str_mv 1472-6963
v. 13
url http://repositorio.ufba.br/ri/handle/ri/14804
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.pt_BR.fl_str_mv http://dx.doi.org/10.1186/1472-6963-13-536
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