| Author | Bertoni, Neilane | |
| Author | Burnett, Chantal | |
| Author | Cruz, Marcelo Santos | |
| Author | Andrade, Tarcisio Matos de | |
| Author | Bastos, Francisco Inácio Pinkusfeld Monteiro | |
| Author | Leal, Erotildes | |
| Author | Fischer, Benedikt | |
| Access date | 2014-12-10T11:48:51Z | pt_BR |
| Access date | 2015-01-05T15:49:44Z | |
| Available date | 2015-01-05T15:49:44Z | |
| Document date | 2014 | |
| Citation | 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. | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/9307 | |
| Language | eng | en_US |
| Rights | open access | en_US |
| Title | Exploring sex differences in drug use, health and service use characteristics among young urban crack users in Brazil | en_US |
| Type | Article | en_US |
| Abstract | 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. | en_US |
| Affilliation | Simon Fraser University. Faculty of Health Sciences. Centre for Applied Research in Mental Health and Addiction. Vancouver, Canada. | en_US |
| Affilliation | 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. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Universidade Federal da Bahia. Departamento de Saúde da Família e Comunidade. Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, RJ, Brasil. | en_US |
| Subject | Crack use | en_US |
| Subject | Gender | en_US |
| Subject | Health | en_US |
| Subject | Interventions | en_US |
| Subject | Brazil | en_US |
| Subject | Marginalized populations | en_US |
| DeCS | Ciências da Saúde | en_US |
| xmlui.metadata.dc.subject.ods | 05 Igualdade de gênero | |
