Abortion and sex-related conditions in substance-dependent Brazilian patients

Bibliographic Data

ID5168522
AuthorsAlessandra Diehl (0000-0002-9252-3284, Universidade Federal de São Paulo), Sandra Cristina Pillon (0000-0001-8902-7549, Universidade de São Paulo), Manoel Antônio Dos Santos (0000-0001-8214-7767, Universidade de São Paulo), Ronaldo Laranjeira (0000-0003-3009-1778, Universidade Federal de São Paulo)
Year2017
Volume33
Issue11
Pagese00143416-e00143416
Publication date2017-11-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00143416
PMID29166482
OpenAlexW2769462806
SCIELO_PIDS0102-311X2017001105010
LanguageEN
Citations received3
References cited45

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 São 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

Abortion · Condom · Cross-sectional study · Environmental health · Family medicine · Obstetrics · Odds ratio · Pill · Population · Pregnancy · Adolescent Sexual and Reproductive Health · Demography · Internal Medicine · Medicine · Prenatal Substance Exposure Effects · Reproductive Health and Contraception