Drug-Related Disorders and the Criminal and Clinical Background of the Prison Population of São Paulo State, Brazil

Drug-Related Disorders and the Criminal and Clinical Background of the Prison Population of São Paulo State, Brazil

Author Santos, Maira Mendes dos Autor UNIFESP Google Scholar
Quintana, Maria Ines Autor UNIFESP Google Scholar
Moreira, Fernanda Goncalves Autor UNIFESP Google Scholar
Vernet Taborda, Jose Geraldo Google Scholar
Mari, Jair de Jesus Autor UNIFESP Google Scholar
Andreoli, Sergio Baxter Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Univ Catolica Santos
Univ Fed Rio Grande do Sul
Abstract Objective: To analyze the association between drug (DAD) and alcohol (AAD) abuse and dependency and criminal and clinical background by gender of prisoners in São Paulo, Brazil.Method: Cross-sectional study, random sample stratified by administrative district, from which prisons and prisoners were selected via random, multistage sampling. Psychiatric diagnoses were made with the CIDI 2.1. Lifetime prevalence and 95% CI were calculated and adjusted via analysis of complex samples. Multinomial logistic regression analysis was carried out with four categories of dependent variables: presence AAD; presence DAD; presence of another mental disorder; no mental disorders. for female alcohol and drug abuse and dependency (ADAD) were combined into a single category.Results: the sample was composed by 1809 interviewed prisoners (1192 men and 617 women). Prevalence of DAD and AAD was 25.2% and 15.6%, respectively, among female prisoners, and 26.5% and 18.5% among males. Male prisoners with DAD were more likely to have a criminal record as an adolescent (OR 2.17), to be a repeat offender (OR 2.85), and to have committed a property crime (OR 2.18). Prisoners with AAD were repeat offenders (OR 2.18). Among female prisoners, ADAD was associated with repeat offenses (OR 3.39), a criminal record as an adolescent (OR 9.24), a clinical or infectious condition (OR 5.09), another health problem (OR 3.04), and violent crime (OR 2.5).Conclusion: the study confirmed an association between drug-use disorders and the criminal and clinical background in the study population. Prisoners with such disorders were more likely to be repeat offenders and to have a criminal record as adolescents. Among female prisoners disorders were also associated with violent crime and health problems, while among males they were associated with property crime. These patterns in clinical and criminal backgrounds illustrate the need for social rehabilitation programs and specific medical treatment for prison populations.
Language English
Sponsor Brazil's Ministry of Health
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
São Paulo State Secretariat for Prison Administration (SAP) via its Health Division
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Grant number CNPq: 554553/20058
CNPq: 07/2005
FAPESP: 2011/04466-9
Date 2014-11-19
Published in Plos One. San Francisco: Public Library Science, v. 9, n. 11, 8 p., 2014.
ISSN 1932-6203 (Sherpa/Romeo, impact factor)
Publisher Public Library Science
Extent 8
Origin http://dx.doi.org/10.1371/journal.pone.0113066
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000345533200063
URI http://repositorio.unifesp.br/handle/11600/38463

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