Profile of Help-seeking Crack Cocaine Users in Brazil: A Comparison of 2 Cross-sectional Studies From 1997 and 2013

Perrenoud, Luciane Ogata; Trevizol, Alisson Paulino; Oliveira, Ana Carolina Schmidt de; Williams, Anna; Cordeiro, Quirino; Duailibi, Sérgio; Laranjeira, Ronaldo; Ribeiro, Marcelo

doi:10.1097/adt.0000000000000173

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2021

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Cited by 2 publications

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“…Destacando que a idade de início de progressão da cocaína para o crack diminuiu para 21,5 anos, a escolaridade não era mais um fator de proteção, uma diminuição no tempo de uso, assim como pedido de tratamento, o envolvimento em atividades ilegais aumentou, e uma maior resiliência social em relação a emprego (PERRENOUD et al,2019).…”

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Impulsividade, fissura e comportamentos sexuais de risco em usuários de cocaína

Bassoli

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Section: Introductionunclassified

Impulsividade, fissura e comportamentos sexuais de risco em usuários de cocaína

Bassoli

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Factors associated with crack-cocaine early initiation: a Brazilian multicenter study

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Background Crack-cocaine dependence is a serious public health issue, related to several psychiatric and psychosocial problems. Crack-cocaine users are usually embedded in a context of great social vulnerability, often associated with violence, poverty, family conflict and easy and early access to alcohol, tobacco and other drugs. Methods This cross-sectional study enrolled a consecutive sample of 577 patients admitted to 20 therapeutic communities located in Southern Brazil, between September 2012 and September 2013. A structured interview assessed life-time exposure to risk and protective factors for drug use, such as parental monitoring in childhood, deviant behaviors and peer pressure. Results Presence of family conflict (p = 0.002), maltreatment (p = 0.016), and deviant behavior prior to age 15 in a bivariate analysis predicted an earlier age of crack-cocaine initiation, whereas adolescents experiencing parental monitoring during adolescence started use later (p < 0.001). In the multivariate model, perceptions related to ease of access of illicit drugs (marijuana: p = 0.028, 95% CI = − 3.81, − 0.22; crack-cocaine: p < 0.001, 95% CI = − 7.40, − 4.90), and deviant behavior (threatening someone with a gun: p = 0.028, 95% CI = − 2.57, − 0.14) remained independent predictors of early age of crack-cocaine initiation. Conclusions Early onset of crack-cocaine use seems to be associated with exposure to family conflict, easy access to drugs and deviant behavior. Treatment and preventive programs should take these factors into account when designing and implementing community interventions.

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Profile of Help-seeking Crack Cocaine Users in Brazil: A Comparison of 2 Cross-sectional Studies From 1997 and 2013

Cited by 2 publications

References 26 publications

Impulsividade, fissura e comportamentos sexuais de risco em usuários de cocaína

Impulsividade, fissura e comportamentos sexuais de risco em usuários de cocaína

Factors associated with crack-cocaine early initiation: a Brazilian multicenter study

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