Pregnant crack addicts in a psychiatric unit

Jornal Brasileiro de Psiquiatria

Gabriela De Moraes Costa²  Mauro Soibelman¹  Daniel Luís Zanchet¹  Patricia De Moraes Costa¹  Carlos Alberto Iglesias Salgado² 

[1] ,Universidade Federal de Ciências da Saúde de Porto Alegre Hospital Materno Infantil Presidente Vargas Programa de Residência Médica em Psiquiatria

关键词: Substance-related disorders;    crack cocaine;    pregnancy;    sexually transmitted diseases;    Transtorno por uso de substâncias;    crack;    gestação;    doenças sexualmente transmissíveis;   

DOI  :  10.1590/S0047-20852012000100003

来源: SciELO

【 摘 要 】

OBJECTIVE: In this study we aim to characterize a sample of 85 pregnant crack addicts admitted for detoxification in a psychiatric inpatient unit. METHOD: Cross-sectional study. Sociodemographic, clinical, obstetric and lifestyle information were evaluated. RESULTS: Age of onset for crack use varied from 11 to 35 years (median = 21). Approximately 25% of the patients smoked more than 20 crack rocks in a typical day of use (median = 10; min-max = 1-100). Tobacco (89.4%), alcohol (63.5%) and marijuana (51.8%) were the drugs other than crack most currently used. Robbery was reported by 32 patients (41.2%), imprisonment experience by 21 (24.7%), trade of sex for money/drugs by 38 (44.7%), home desertion by 33 (38.8%); 15.3% were positive for HIV, 5.9% for HCV, 1.2% for HBV and 8.2% for syphilis. After discharge from the psychiatric unit, only 25% of the sample followed the proposed treatment in the chemical dependency outpatient service. CONCLUSION: Greater risky behaviors for STD, as well as high rates of maternal HIV and Syphilis were found. Moreover, the high rates of concurrent use of other drugs and involvement in illegal activities contribute to show their chaotic lifestyles. Prevention and intervention programs need to be developed to address the multifactorial nature of this problem.

【 授权许可】

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