Perfil das internações por uso de crack em um hospital do Sistema Único de Saúde de Fortaleza-CE em 2011

Abstract

The use of psychoactive substance at the present time is characterized as a major public health challenge, its breadth and comprehensiveness are perceived in the media, in the linked statistics in the area of health, education, public safety; in forums, discussions with social participation, among others. Currently, we have encountered a number of measures, efforts, warning templates, policies that aims to change this scenario well settled in Brazil, causing great impact on outpatient services specialized for addiction treatment from early 1990. The study in question was conducted by a research at the Santa Casa de Misericórdia de Fortaleza in which the target audience was the drug addicts who used/use the crack. Such research was conducted through the records, to a sample of 102 (one hundred and two) individuals. With a Bayesian approach, the study seeks to define the users ' profile, in which the outcome chosen was the type of hospitalization (voluntary or involuntary). To outlining such a profile was used logistic regression for categorical data. For terms that 98% of individuals were admitted voluntarily, it is infeasible to use logistic regression by means of classical statistics. To model such data was necessary to use the Bayesian statistics, which uses a priori information to obtain the desired results. The information needed for the modeling of the data were taken from the logistic regression model adjusted to users of crack of Santa Casa de Misericordia de Sobral, 2010. Of the patients seen at Santa Casa de Misericórdia de Fortaleza, 80.4% are male, in which 39.2% have between 25 and 34 years. Most of the patients have at least the basic level of education, 70.6%. The diagnosis that predominated among patients was the mental and behavioural disorder by abuse of multiple drugs, 76.5%, in which even with such diagnosis 71.6% of patients attended the Service Unit alone. Only 54.9% completed treatment and detoxification only 18.6% were referred to the CAPS of its proper regional/district. The study shows that men, young adults with little education are determining factors of users of crack, and the diagnosis of mental and behavioral disorder by drug abuse.