Abortion and sex-related conditions in substance-dependent Brazilian patients
Data
2017
Autores
Diehl, Alessandra 
Laranjeira, Ronaldo
Tipo
Artigo
Título da Revista
ISSN da Revista
Título de Volume
Resumo
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 Sao 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.
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 Sao 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.
Descrição
Citação
Cadernos De Saude Publica. Rio De Janiero, v. 33, n. 11, p. -, 2017.