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Recent illicit drug use among psychiatric patients in Brazil: a national representative study

OBJECTIVE: To estimate factors associated to illicit drug use among patients with mental illness in Brazil according to gender. METHODS: A cross-sectional representative sample of psychiatric patients (2,475 individuals) was randomly selected from 11 hospitals and 15 public mental health outpatient...

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Autores principales: Nahas, Miriam Almeida, Melo, Ana Paula Souto, Cournos, Francine, Mckinnon, Karen, Wainberg, Milton, Guimarães, Mark Drew Crosland
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5559216/
https://www.ncbi.nlm.nih.gov/pubmed/28832753
http://dx.doi.org/10.11606/S1518-8787.2017051006543
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author Nahas, Miriam Almeida
Melo, Ana Paula Souto
Cournos, Francine
Mckinnon, Karen
Wainberg, Milton
Guimarães, Mark Drew Crosland
author_facet Nahas, Miriam Almeida
Melo, Ana Paula Souto
Cournos, Francine
Mckinnon, Karen
Wainberg, Milton
Guimarães, Mark Drew Crosland
author_sort Nahas, Miriam Almeida
collection PubMed
description OBJECTIVE: To estimate factors associated to illicit drug use among patients with mental illness in Brazil according to gender. METHODS: A cross-sectional representative sample of psychiatric patients (2,475 individuals) was randomly selected from 11 hospitals and 15 public mental health outpatient clinics. Data on self-reported illicit drug use and sociodemographic, clinical and behavioral characteristics were obtained from face-to-face interviews. Logistic regression was used to estimate associations with recent illicit drug use. RESULTS: The prevalence of any recent illicit drug use was 11.4%. Men had higher prevalence than women for all substances (17.5% and 5.6%, respectively). Lower education, history of physical violence, and history of homelessness were associated with drug use among men only; not professing a religion was associated with drug use in women only. For both men and women, younger age, current hospitalization, alcohol and tobacco use, history of incarceration, younger age at sexual debut, and more than one sexual partner were statistically associated with illicit drug use. CONCLUSIONS: Recent illicit drug use among psychiatric patients is higher than among the general Brazilian population and it is associated with multiple factors including markers of psychiatric severity. Our data indicate the need for the development of gender-based drug-use interventions among psychiatric patients in Brazil. Integration of substance use treatment strategies with mental health treatment should be a priority.
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spelling pubmed-55592162017-08-21 Recent illicit drug use among psychiatric patients in Brazil: a national representative study Nahas, Miriam Almeida Melo, Ana Paula Souto Cournos, Francine Mckinnon, Karen Wainberg, Milton Guimarães, Mark Drew Crosland Rev Saude Publica Original Articles OBJECTIVE: To estimate factors associated to illicit drug use among patients with mental illness in Brazil according to gender. METHODS: A cross-sectional representative sample of psychiatric patients (2,475 individuals) was randomly selected from 11 hospitals and 15 public mental health outpatient clinics. Data on self-reported illicit drug use and sociodemographic, clinical and behavioral characteristics were obtained from face-to-face interviews. Logistic regression was used to estimate associations with recent illicit drug use. RESULTS: The prevalence of any recent illicit drug use was 11.4%. Men had higher prevalence than women for all substances (17.5% and 5.6%, respectively). Lower education, history of physical violence, and history of homelessness were associated with drug use among men only; not professing a religion was associated with drug use in women only. For both men and women, younger age, current hospitalization, alcohol and tobacco use, history of incarceration, younger age at sexual debut, and more than one sexual partner were statistically associated with illicit drug use. CONCLUSIONS: Recent illicit drug use among psychiatric patients is higher than among the general Brazilian population and it is associated with multiple factors including markers of psychiatric severity. Our data indicate the need for the development of gender-based drug-use interventions among psychiatric patients in Brazil. Integration of substance use treatment strategies with mental health treatment should be a priority. Faculdade de Saúde Pública da Universidade de São Paulo 2017-08-03 /pmc/articles/PMC5559216/ /pubmed/28832753 http://dx.doi.org/10.11606/S1518-8787.2017051006543 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Nahas, Miriam Almeida
Melo, Ana Paula Souto
Cournos, Francine
Mckinnon, Karen
Wainberg, Milton
Guimarães, Mark Drew Crosland
Recent illicit drug use among psychiatric patients in Brazil: a national representative study
title Recent illicit drug use among psychiatric patients in Brazil: a national representative study
title_full Recent illicit drug use among psychiatric patients in Brazil: a national representative study
title_fullStr Recent illicit drug use among psychiatric patients in Brazil: a national representative study
title_full_unstemmed Recent illicit drug use among psychiatric patients in Brazil: a national representative study
title_short Recent illicit drug use among psychiatric patients in Brazil: a national representative study
title_sort recent illicit drug use among psychiatric patients in brazil: a national representative study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5559216/
https://www.ncbi.nlm.nih.gov/pubmed/28832753
http://dx.doi.org/10.11606/S1518-8787.2017051006543
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