{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:50:41Z","timestamp":1791298241810,"version":"4.1.0"},"reference-count":42,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>Resumo: O estudo teve como objetivo avaliar a gravidade do uso de subst\u00e2ncias psicoativas, situa\u00e7\u00f5es de viol\u00eancia, sa\u00fade f\u00edsica e emocional de usu\u00e1rios de crack que buscam atendimento em Centros de Aten\u00e7\u00e3o Psicossocial para \u00c1lcool e Drogas (CAPSad), em rela\u00e7\u00e3o ao status de moradia. Trata-se de um estudo multic\u00eantrico em seis capitais brasileiras, com 564 usu\u00e1rios de crack categorizados em dois grupos: (1) usu\u00e1rios que estiveram em situa\u00e7\u00e3o de rua (n = 266) e (2) nunca estiveram em situa\u00e7\u00e3o de rua (n = 298). Para avaliar a gravidade do uso de subst\u00e2ncias e as caracter\u00edsticas dos indiv\u00edduos utilizou-se o Addiction Severity Index, 6\u00aa vers\u00e3o (ASI-6). Os usu\u00e1rios do grupo 1 demonstraram piores indicadores em rela\u00e7\u00e3o \u00e0s subescalas \u00e1lcool, problemas m\u00e9dicos, psiqui\u00e1tricos, trabalho e suporte familiar, al\u00e9m de maior envolvimento com problemas legais, viol\u00eancia, abuso sexual, risco de suic\u00eddio e problemas de sa\u00fade como HIV\/AIDS, hepatite e tuberculose, al\u00e9m de possu\u00edrem menos renda para pagar necessidades b\u00e1sicas. Ap\u00f3s an\u00e1lises multivariadas ajustadas para poss\u00edveis confundidores, n\u00e3o possuir renda suficiente para pagar necessidades b\u00e1sicas, apresentar sintomas depressivos e ter sido preso por roubo permaneceram significativos. Este trabalho avaliou de forma mais abrangente a gravidade do uso de drogas e a situa\u00e7\u00e3o de moradia de usu\u00e1rios de crack. Abordagens desenvolvidas nos dispositivos de tratamento extra-hospitalares devem ser projetadas e adequadas de acordo com perfis e demandas espec\u00edficos dos usu\u00e1rios, em especial aqueles em situa\u00e7\u00e3o de rua.<\/jats:p>","DOI":"10.1590\/0102-311x00037517","type":"journal-article","created":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T01:28:08Z","timestamp":1499131688000},"source":"Crossref","is-referenced-by-count":31,"title":["Vulnerabilidades cl\u00ednicas e sociais em usu\u00e1rios de crack de acordo com a situa\u00e7\u00e3o de moradia: um estudo multic\u00eantrico de seis capitais brasileiras"],"prefix":"10.1590","volume":"33","author":[{"given":"Silvia Chwartzmann","family":"Halpern","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana Nichterwitz","family":"Scherer","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinicius","family":"Roglio","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibele","family":"Faller","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Sordi","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe","family":"Ornell","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Dalbosco","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavio","family":"Pechansky","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e9lix","family":"Kessler","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00edsia von","family":"Diemen","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1590\/S1807-59322009000900006","article-title":"Crack cocaine use and its relationship with violence and HIV","volume":"64","author":"Carvalho HB","year":"2009","journal-title":"Clinics"},{"key":"ref2","series-title":"Pesquisa nacional sobre o uso de crack: quem s\u00e3o os usu\u00e1rios de crack e\/ou similares do Brasil? 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