Abstract

Background The increase of crack use has been a challenge for public health in Brazil. In this context, few studies focus on difference in abuse of this substance between women and men. Aims To compare socioeconomic, family relationship and service use characteristics crack users in both sexes in out-treatment patients in Brazil. Methods A multicentric cross-sectional study was conduct in 6 Brazilian cities. A total of 900 crack users were selected. A Addiction Severity Index – 6 (ASI-6) questionnaire was applied. It was made a Chi 2 test to identify differences in frequency. Results The most areas of ASI showed difference. The women have poor safety conditions than men: unemployment (69.2%×49.0%); no money for housing or clothing (74.64%×57.56%); without income (66.89%×40.56%); most illiterate (23.27%×13.55%); live with their children (31.21%×14.33%); difficulty of dealing with their children (18.25%×5.09%); are investigated by Council of Guardianship (33.33%×7.45%); sexual abuse (33.97%×8.71%). Conclusion The woman crack user is more vulnerable than man. These difficulties could decrease the success rate of rehab. The knowledge about this vulnerable situation in woman user could help the health professional to offer support in this fields.

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