Zilberman M L, Hochgraf P B, Brasiliano S, Milharcic S I
Women Drug Dependent Treatment Center (PROMUD), Institute of Psychiatry, Hospital das Clínicas, Medical School, University of São Paulo, Brazil.
Subst Use Misuse. 2001 Jun;36(8):1111-27. doi: 10.1081/ja-100104492.
This study compared baseline demographics, clinical characteristics and patterns of substance use of 99 substance misusing women seeking treatment in a Brazilian hospital who had been diagnosed with drug dependence (alcohol dependence, if present, was not the most important) against 162 women diagnosed with alcohol dependence. Most of the drug-dependent women in this study were dependent on cocaine (73.7%). It was found that drug-dependent women, at entry, were younger, with a higher educational level, single or lived alone, and had a job outside home more often than alcoholics; they also had less alcohol-use related problems in the family and more relatives with problems with other drugs. They sought treatment mainly by self-initiative and reported more past suicide attempts than their alcoholic counterparts. In addition, they began drug use at the same age but increased drug use, as well as seeking treatment, significantly earlier. Alcoholics had more psychiatric comorbidity. The findings point out heterogeneity among chemically-dependent Brazilian women.
本研究比较了99名在巴西一家医院寻求治疗、被诊断为药物依赖（若存在酒精依赖，则酒精依赖并非最主要问题）的药物滥用女性与162名被诊断为酒精依赖的女性的基线人口统计学特征、临床特征及物质使用模式。本研究中大多数药物依赖女性对可卡因依赖（73.7%）。研究发现，药物依赖女性在入院时更年轻，受教育程度更高，单身或独居，且比酗酒者更常在外工作；她们在家庭中与酒精使用相关的问题也更少，有更多亲属存在其他药物问题。她们主要通过自我主动寻求治疗，且报告的过去自杀未遂次数比酗酒女性更多。此外，她们开始使用药物的年龄相同，但药物使用增加以及寻求治疗的时间明显更早。酗酒者有更多的精神共病。研究结果指出了巴西化学物质依赖女性之间的异质性。
