Halpern Silvia Chwartzmann, Scherer Juliana Nichterwitz, Roglio Vinicius, Faller Sibele, Sordi Anne, Ornell Felipe, Dalbosco Carla, Pechansky Flavio, Kessler Félix, Diemen Lísia von
Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.
Cad Saude Publica. 2017 Jul 3;33(6):e00037517. doi: 10.1590/0102-311X00037517.
The study had the goal to evaluate psychoactive substance use severity, violence, physical and emotional health of crack users who seeks specialized treatment in Psychosocial Care Centers for Alcohol and Drugs (CAPSad) concerning housing status. This is a multicenter cross-sectional study in six Brazilian capitals with 564 crack users categorized into two groups (1) users who have been homeless sometime in life (n = 266) and (2) individuals who have never lived on streets (n = 298). To assess the substance use severity and the characteristics of the individuals, the Addiction Severity Index, 6th version (ASI-6) was used. Group 1 users showed worse indicators regarding alcohol, medical and psychiatric problems, employment and family support subscales, as well as greater involvement with legal problems, violence, sexual abuse, suicide risk and health related problems such as HIV/AIDS, hepatitis and tuberculosis. In addition they have lower income to pay for basic needs. After analysis and control for possible confounders, not having enough income to pay for basic needs, showing depression symptoms, and having been arrested for theft remained statistically significant. This study evaluated more deeply drug use severity and housing status of crack users. Interventions developed in outpatient treatment should be designed and tailored to specific profiles and demands of drug users, especially homeless individuals.
该研究旨在评估在酒精和毒品社会心理关怀中心（CAPSad）寻求专门治疗的快克使用者在住房状况方面的精神活性物质使用严重程度、暴力行为、身心健康状况。这是一项在巴西六个首都进行的多中心横断面研究，564名快克使用者被分为两组：（1）一生中曾有过无家可归经历的使用者（n = 266）和（2）从未在街头生活过的个体（n = 298）。为评估物质使用严重程度和个体特征，使用了第六版成瘾严重程度指数（ASI - 6）。第一组使用者在酒精、医疗和精神问题、就业及家庭支持分量表方面显示出更差的指标，以及在法律问题、暴力行为、性虐待、自杀风险和与健康相关问题（如艾滋病毒/艾滋病、肝炎和结核病）上有更大的涉入。此外，他们用于支付基本需求的收入较低。在对可能的混杂因素进行分析和控制后，没有足够收入支付基本需求、表现出抑郁症状以及因盗窃被捕在统计学上仍具有显著性。这项研究更深入地评估了快克使用者的药物使用严重程度和住房状况。门诊治疗中开展的干预措施应根据吸毒者，尤其是无家可归者的特定特征和需求进行设计和调整。
