Comportamientos sexuales de riesgo en pacientes brasileños dependientes de drogas no inyectables Sexual risk behaviors in non-injecting substance-dependent Brazilian patients

Autores/as

  • Alessandra Diehl Federal University of São Paulo (UNIFESP), National Institute of Alcohol and Drugs Policy (INPAD)
  • Denise Leite Vieira Federal University of São Paulo (UNIFESP), National Institute of Alcohol and Drugs Policy (INPAD)
  • G. Hussein Rassool Sakina Counselling Institute
  • Sandra Cristina Pillon University of São Paulo (USP). Faculty of Nursing at Ribeirão Preto
  • Ronaldo Laranjeira Federal University of São Paulo (UNIFESP). National Institute of Alcohol and Drugs Policy (INPAD)

DOI:

https://doi.org/10.20882/adicciones.2

Palabras clave:

Sexual behavior, substance-related disorders, condoms, sexual partners, crack/cocaine

Resumen

Este estudio pretende evaluar los comportamientos sexuales de riesgo en pacientes dependientes de sustancias no inyectables admitidos en hospitalización especializada brasileña. Se realizó un estudio transversal con información sociodemográfica, información sobre el comportamiento sexual, droga de elección y se les aplicó el Short Alcohol Dependence Data, Drug Abuse Screening, Test for Nicotine Dependence. La muestra fueron 299 sujetos con distintos niveles de vulnerabilidad sexual medida combinando el número de parejas sexuales  con la frecuencia de uso del condón en sus relaciones sexuales durante el último año. Los resultados muestran que entre  los sujetos del grupo de alto riesgo aproximadamente un 39%  tuvieron también una mayor prevalencia de otros comportamientos sexuales de riesgo, como sexo con prostitutas (RR1.96), experiencias homosexuales y experiencias homosexuales a cambio de drogas, historia de infecciones de transmisión sexual (RR1.39), realización de la prueba del VIH,  uso de la píldora del día después (RR1.78) y aborto inducido. La probabilidad de que los usuarios de alcohol o cocaína tuvieran un comportamiento sexual de alto riesgo fue 2.47 y 1.66 veces respectivamente más alta que los consumidores de crack. Además, los usuarios con niveles sustanciales o graves de problemas de drogas tenían 3.64 veces mayor probabilidad de comportamiento sexual de alto riesgo. Identificar, prevenir y gestionar las conductas  sexuales relacionadas con el consumo de alcohol y otras de drogas es una excelente oportunidad para fortalecer su tratamiento.
This study seeks to evaluate sexual risk behaviors in non-injecting substance-dependent patients admitted for specialized inpatient Brazilian care. A cross-sectional study using socio-demographic and sexual behavior information, drug of choice, Short Alcohol Dependence Data, Drug Abuse Screening, and Test for Nicotine Dependence was used in 299 subjects with different levels of sexual vulnerability as measured by the number of sexual partners in the last year and the frequency of condom use with intercourse/penetration. The findings showed  that approximately 39% the subjects of the high risk sexual behavior group  exhibited a higher prevalence of others sexual risk behaviors, including having sex with sex workers (RP=1.96), homosexual experiences, and homosexual experiences in exchange for drugs, history of STIs (RP=1.39), HIV testing, use of the morning–after pill (RP=1.78) and induced abortion. The probability of alcohol and cocaine snorted user having high risk sexual behaviors is 2.47 and 1.66 timesrespectively higher than crack users. In addition, users with substantial or severe levels of problems with drugs had a probability of 3.64 times greater of high risk sexual behaviors. Identifying, preventing, and managing these high risk sexual behaviors related to alcohol and other drugs are an excellent opportunity to bolster their treatment.

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Publicado

2014-10-15

Número

Vol. 26 Núm. 3 (2014)

Sección

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