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Abortion and sex-related conditions in substance-dependent Brazilian patients

Diehl, Alessandra ; Pillon, Sandra Cristina ; Santos, Manoel Antonio Dos ; Laranjeira, Ronaldo

Cadernos de saúde pública, 2017-11, Vol.33 (11), p.e00143416-e00143416 [Periódico revisado por pares]

Brazil: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz

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Título:
Abortion and sex-related conditions in substance-dependent Brazilian patients
Autor: Diehl, Alessandra ; Pillon, Sandra Cristina ; Santos, Manoel Antonio Dos ; Laranjeira, Ronaldo
Assuntos: Abortion, Induced - statistics & numerical data ; Aborto ; Adolescent ; Aged ; Alcoholism - diagnosis ; Brazil ; Cross-Sectional Studies ; Drug Users ; Female ; Humans ; Male ; Middle Aged ; Políticas Públicas ; Pregnancy ; Pregnancy, Unplanned ; PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH ; Risk Factors ; Saúde Sexual e Reprodutiva ; Severity of Illness Index ; Sexual Behavior ; Sexual Partners ; Socioeconomic Factors ; Substance-Related Disorders - diagnosis ; Transtornos Relacionados ao Uso de Substâncias ; Usuários de Drogas ; Young Adult
É parte de: Cadernos de saúde pública, 2017-11, Vol.33 (11), p.e00143416-e00143416
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Abortion is a very sensitive issue with relevance to public health; however few clinical or population-based studies have examined induced abortion among drug users. The study aims to evaluate the prevalence of induced abortion and sex-related conditions in an inpatient drug user sample. A cross-sectional design study was conducted in an inpatient addiction treatment unit in São Paulo, Brazil, with a sample of 616 patients, aged 18-75. Sociodemographic data, sexual behavior, and dependence severity were evaluated in relation to induced abortion. Approximately 27% of patients reported having a history of abortion (themselves in the case of women or partners in the case of men). The mean age was 34.6±10.9 years old, 34.9% diagnosed with severe alcohol dependence, 33% were diagnosed with severe levels of dependence on other drugs, 69.6% were diagnosed cocaine users (inhaled and smoked), and alcohol was the drug of choice for 30.4%. Chances of having a history of abortion is greater for women than for men with a odds ratio (OR = 2.9; 95%CI: 1.75-4.76), (OR = 1.7; 95%CI: 1.09-2.75) of no condom use; (OR = 2.0; 95%CI: 1.35-3.23) of history of STI and (OR = 3.2; 95%CI: 1.29-5.73) use of morning-after pill. Drug- and alcohol-dependent patients have high-risk behaviours of sporadic use or no-condom use which contribute to unplanned pregnancy and induced abortion, making this vulnerable population a group which deserves special attention in sexual health prevention programmes and health promotion efforts for the reduction of induced abortion.
Editor: Brazil: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Idioma: Inglês;Português

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Abortion and sex-related conditions in substance-dependent Brazilian patients

Diehl, Alessandra ; Pillon, Sandra Cristina ; Santos, Manoel Antonio Dos ; Laranjeira, Ronaldo

Brazil: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz

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