Gender differences in progression to crack-cocaine use and the role of sexual and physical violence
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/262965 |
Resumo: | Objective: This study aimed to evaluate whether progression from first drug use to crack-cocaine use differs according to gender, and whether the report of sexual or physical violence impacts the time of progression. Methods: We interviewed 896 crack-cocaine users (548 men; 348 women) from addiction treatment units. Cox regression models evaluated the time of progression from first drug use to crack use. We analyzed gender differences according to the absence or presence of sexual or physical violence, also considering whether violence, when present, had occurred before or after the onset of crack use. Results: Women presented a faster progression to crack use regardless of exposure to sexual or physical violence (p o 0.05). Compared to unexposed men, there was a similar progression for men exposed to sexual or physical violence before the first use of crack (p = 0.167 and p = 0.393, respectively). In both genders, we observed a faster progression among individuals exposed to these types of violence after the onset of crack use (p o 0.01). Conclusions: We found a faster progression to crack use among women and among individuals exposed to sexual and physical violence after the onset of crack use. These results encourage differentiated treatment strategies, focused on gender and individual characteristics. |
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Rebelatto, Fernando PezziniOrnell, FelipeRoglio, Vinícius SerafiniVieira, Breno SanvicenteGrassi-Oliveira, RodrigoPechansky, FlavioKessler, Felix Henrique PaimSchuch, Jaqueline BohrerDiemen, Lisia von2023-08-01T03:34:17Z20221516-4446http://hdl.handle.net/10183/262965001171314Objective: This study aimed to evaluate whether progression from first drug use to crack-cocaine use differs according to gender, and whether the report of sexual or physical violence impacts the time of progression. Methods: We interviewed 896 crack-cocaine users (548 men; 348 women) from addiction treatment units. Cox regression models evaluated the time of progression from first drug use to crack use. We analyzed gender differences according to the absence or presence of sexual or physical violence, also considering whether violence, when present, had occurred before or after the onset of crack use. Results: Women presented a faster progression to crack use regardless of exposure to sexual or physical violence (p o 0.05). Compared to unexposed men, there was a similar progression for men exposed to sexual or physical violence before the first use of crack (p = 0.167 and p = 0.393, respectively). In both genders, we observed a faster progression among individuals exposed to these types of violence after the onset of crack use (p o 0.01). Conclusions: We found a faster progression to crack use among women and among individuals exposed to sexual and physical violence after the onset of crack use. These results encourage differentiated treatment strategies, focused on gender and individual characteristics.application/pdfengRevista brasileira de psiquiatria (1999). São Paulo. Vol. 44, no. 5 (2022), p. 478-485.Fatores sexuaisDelitos sexuaisAbuso físicoEstuproTranstornos relacionados ao uso de cocaínaDrug addictionCrack cocaineGender differencesSexual violencePhysical violenceGender differences in progression to crack-cocaine use and the role of sexual and physical violenceinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001171314.pdf.txt001171314.pdf.txtExtracted Texttext/plain38989http://www.lume.ufrgs.br/bitstream/10183/262965/2/001171314.pdf.txt9f5ff607e03cf3c41b70b2c9b2dc5de1MD52ORIGINAL001171314.pdfTexto completo (inglês)application/pdf158816http://www.lume.ufrgs.br/bitstream/10183/262965/1/001171314.pdf812a17baaf9293804b485d0498cb2561MD5110183/2629652023-08-02 03:33:51.202691oai:www.lume.ufrgs.br:10183/262965Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-08-02T06:33:51Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Gender differences in progression to crack-cocaine use and the role of sexual and physical violence |
title |
Gender differences in progression to crack-cocaine use and the role of sexual and physical violence |
spellingShingle |
Gender differences in progression to crack-cocaine use and the role of sexual and physical violence Rebelatto, Fernando Pezzini Fatores sexuais Delitos sexuais Abuso físico Estupro Transtornos relacionados ao uso de cocaína Drug addiction Crack cocaine Gender differences Sexual violence Physical violence |
title_short |
Gender differences in progression to crack-cocaine use and the role of sexual and physical violence |
title_full |
Gender differences in progression to crack-cocaine use and the role of sexual and physical violence |
title_fullStr |
Gender differences in progression to crack-cocaine use and the role of sexual and physical violence |
title_full_unstemmed |
Gender differences in progression to crack-cocaine use and the role of sexual and physical violence |
title_sort |
Gender differences in progression to crack-cocaine use and the role of sexual and physical violence |
author |
Rebelatto, Fernando Pezzini |
author_facet |
Rebelatto, Fernando Pezzini Ornell, Felipe Roglio, Vinícius Serafini Vieira, Breno Sanvicente Grassi-Oliveira, Rodrigo Pechansky, Flavio Kessler, Felix Henrique Paim Schuch, Jaqueline Bohrer Diemen, Lisia von |
author_role |
author |
author2 |
Ornell, Felipe Roglio, Vinícius Serafini Vieira, Breno Sanvicente Grassi-Oliveira, Rodrigo Pechansky, Flavio Kessler, Felix Henrique Paim Schuch, Jaqueline Bohrer Diemen, Lisia von |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Rebelatto, Fernando Pezzini Ornell, Felipe Roglio, Vinícius Serafini Vieira, Breno Sanvicente Grassi-Oliveira, Rodrigo Pechansky, Flavio Kessler, Felix Henrique Paim Schuch, Jaqueline Bohrer Diemen, Lisia von |
dc.subject.por.fl_str_mv |
Fatores sexuais Delitos sexuais Abuso físico Estupro Transtornos relacionados ao uso de cocaína |
topic |
Fatores sexuais Delitos sexuais Abuso físico Estupro Transtornos relacionados ao uso de cocaína Drug addiction Crack cocaine Gender differences Sexual violence Physical violence |
dc.subject.eng.fl_str_mv |
Drug addiction Crack cocaine Gender differences Sexual violence Physical violence |
description |
Objective: This study aimed to evaluate whether progression from first drug use to crack-cocaine use differs according to gender, and whether the report of sexual or physical violence impacts the time of progression. Methods: We interviewed 896 crack-cocaine users (548 men; 348 women) from addiction treatment units. Cox regression models evaluated the time of progression from first drug use to crack use. We analyzed gender differences according to the absence or presence of sexual or physical violence, also considering whether violence, when present, had occurred before or after the onset of crack use. Results: Women presented a faster progression to crack use regardless of exposure to sexual or physical violence (p o 0.05). Compared to unexposed men, there was a similar progression for men exposed to sexual or physical violence before the first use of crack (p = 0.167 and p = 0.393, respectively). In both genders, we observed a faster progression among individuals exposed to these types of violence after the onset of crack use (p o 0.01). Conclusions: We found a faster progression to crack use among women and among individuals exposed to sexual and physical violence after the onset of crack use. These results encourage differentiated treatment strategies, focused on gender and individual characteristics. |
publishDate |
2022 |
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2022 |
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2023-08-01T03:34:17Z |
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1516-4446 |
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dc.relation.ispartof.pt_BR.fl_str_mv |
Revista brasileira de psiquiatria (1999). São Paulo. Vol. 44, no. 5 (2022), p. 478-485. |
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