Abortion and sex-related conditions in substance-dependent Brazilian patients
Diehl, Alessandra [UNIFESP]
Pillon, Sandra Cristina
dos Santos, Manoel Antonio
Laranjeira, Ronaldo [UNIFESP]
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Abortion is a very sensitive issue with relevance to public healthhowever 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 = 2.995% CI: 1.75-4.76), (OR = 1.795% CI: 1.09-2.75) of no condom use(OR = 2.095% CI: 1.35-3.23) of history of STI and (OR = 3.295% 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.
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