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

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dc.contributor.author Santos, Maira Mendes dos [UNIFESP]
dc.contributor.author Quintana, Maria Ines [UNIFESP]
dc.contributor.author Moreira, Fernanda Goncalves [UNIFESP]
dc.contributor.author Vernet Taborda, Jose Geraldo
dc.contributor.author Mari, Jair de Jesus [UNIFESP]
dc.contributor.author Andreoli, Sergio Baxter [UNIFESP]
dc.date.accessioned 2016-01-24T14:38:11Z
dc.date.available 2016-01-24T14:38:11Z
dc.date.issued 2014-11-19
dc.identifier http://dx.doi.org/10.1371/journal.pone.0113066
dc.identifier.citation Plos One. San Francisco: Public Library Science, v. 9, n. 11, 8 p., 2014.
dc.identifier.issn 1932-6203
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/38463
dc.description.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. en
dc.description.sponsorship Brazil's Ministry of Health
dc.description.sponsorship Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorship São Paulo State Secretariat for Prison Administration (SAP) via its Health Division
dc.description.sponsorship Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.format.extent 8
dc.language.iso eng
dc.publisher Public Library Science
dc.relation.ispartof Plos One
dc.rights Acesso aberto
dc.title Drug-Related Disorders and the Criminal and Clinical Background of the Prison Population of São Paulo State, Brazil en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Univ Catolica Santos
dc.contributor.institution Univ Fed Rio Grande do Sul
dc.description.affiliation Universidade Federal de São Paulo, Dept Psychiat, São Paulo, Brazil
dc.description.affiliation Univ Catolica Santos, Program Publ Hlth, São Paulo, Brazil
dc.description.affiliation Univ Fed Rio Grande do Sul, Dept Clin Med, Porto Alegre, RS, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Dept Psychiat, São Paulo, Brazil
dc.description.sponsorshipID CNPq: 554553/20058
dc.description.sponsorshipID CNPq: 07/2005
dc.description.sponsorshipID FAPESP: 2011/04466-9
dc.identifier.file WOS000345533200063.pdf
dc.identifier.doi 10.1371/journal.pone.0113066
dc.description.source Web of Science
dc.identifier.wos WOS:000345533200063



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