Chapter 5 Illegal substance use
7.4 Treatment in life
Graph 7.4.1 presents the substances in which treatment was more frequently seek.
One should note, however, that the same person may have received treatment for different substance.
Graph 7.4.1 – Lifetime prevalence of substance use treatment in the set of persons that reported lifetime use of some substance - Brazil, 2015
Estimates by type of service
Graph 7.4.1 shows the type of service where individuals reported treatment for tobacco, alcohol, or other substance use (lifetime). The most frequently cited places were therapeutic communities/farms, shelters, and Centers for Psychosocial Care in Addiction (CAPS AD). The same individual may have received treatment at more than one service.
0.57 0.19
0.24 0.31
0.61
0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9
Tobacco Marijuana, hashish, or skank Crack, Merla, Oxi and freebase Powder cocaine Alcoholic beverages
Graph 7.4.2 – Prevalence of type of service where individuals received treatment (lifetime) for tobacco, alcohol, or other substance use in the set of persons that
reported use of some substance (lifetime) - Brazil, 2015
0.03 0.00
0.61 0.00
0.31 0.24 0.04
0.02 0.03
0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9
Hospital emergency department Admission to general or psychiatric hospital Admission to therapeutic community/farm CAPS general outpatient clinic Shelter/CAT/hostel/Casa Viva CAPS AD Street clinic Private office or clinic Self‐help group
Estimates by gender
Compared to women, men showed higher prevalence of having received treatment for tobacco, alcohol, or other substance use, lifetime (1.8% vs. 1.1%, respectively), although the difference was not statistically significant (Table 7.4.1).
Table 7.4.1 – Number of persons 12 to 65 years of age that had received treatment for tobacco, alcohol, or other substance use and prevalence of treatment for the set of persons that reported lifetime use of some substance, according to gender - Brazil,
2015
Source: ICICT, Fiocruz. 3rd National Survey on Drug Use by the Brazilian Population.
Note: Prevalence rates (%) pertain to the total survey population and 95%CI is the 95% confidence interval (LL - lower limit and UL - upper limit).
Estimates by age bracket
Lifetime prevalence of treatment for tobacco, alcohol, or other substance use was higher in individuals 45 to 65 years of age, although the difference was only statistically significant in the comparison with individuals 12 to 24 years of age (Table 7.4.2). This difference may have been due to “exposure time”, that is, older individuals had accumulated more time to seek and obtain treatment.
LL UL
Total 1,602 1.4 1.2 1.7
Men 1,019 1.8 1.3 2.2
Women 584 1.1 0.8 1.4
Gender
Persons that received treatment (1,000)
(1.000)
Users of tobacco, alcohol, or other substances
% 95%IC
Table 7.4.2 – Number of persons 12 to 65 years of age that had received treatment for tobacco, alcohol, or other substance use and prevalence of treatment for the set of persons that reported lifetime use of some substance, according to age bracket -
Brazil, 2015
Source: ICICT, Fiocruz. 3rd National Survey on Drug Use by the Brazilian Population.
Note: Prevalence rates (%) pertain to the total survey population and 95%CI is the 95% confidence interval (LL - lower limit and UL - upper limit).
Estimates by level of schooling
Considering only individuals 18 years or older, lifetime history of treatment for tobacco, alcohol, or substance use was more frequent in persons with less schooling, although the differences were not statistically significant.
LL UL
Total 1,602 1.4 1.2 1.7
12 to 17 years 17 0.2 0.0 0.7
18 to 24 years 81 0.5 0.0 1.0
25 to 34 years 302 1.2 0.7 1.7
35 to 44 years 354 1.5 0.9 2.1
45 to 54 years 482 2.3 1.4 3.1
55 to 65 years 366 2.2 1.4 2.9
Age bracket
Persons that received treatment (1,000)
Users of tobacco, alcohol, or other substances
% 95%IC
Table 7.4.3 – Number of persons 18 to 65 years of age that had received treatment for tobacco, alcohol, or other substance use and prevalence of treatment in the set of persons with lifetime history of some substance use, according to level of schooling -
Brazil, 2015
Source: ICICT, Fiocruz. 3rd National Survey on Drug Use by the Brazilian Population.
Note: Prevalence rates (%) pertain to the total survey population and 95%CI is the 95% confidence interval (LL - lower limit and UL - upper limit).
Estimates for the sample’s geographic domains
Finally, in relation to geographic domains for which the sample for the 3rd Survey was designed, lifetime prevalence of treatment for tobacco, alcohol, or other substance use was higher in urban Brazil (compared to rural) and in large municipalities (compared to small ones). However, the differences were not statistically significant in either these comparisons or in the other estimation domains (Table 7.4.4).
LL UL
Total 1,585 1.3 1.0 1.5
None or incomplete elementary 703 1.7 1.2 2.2
Complete elementary or incomplete
middle 251 1.0 0.5 1.4
Complete middle or incomplete
university 464 1.0 0.7 1.4
Complete university or more 167 1.1 0.6 1.7
Schooling
Persons that had received treatment (1,000)
Users of tobacco, alcohol, or other substance
% 95%IC
Table 7.4.4 – Number of persons 12 to 65 years of age that had received treatment for tobacco, alcohol, or other substance use and prevalence of treatment in the set of
persons that reported lifetime history of some substance use, according to the sample’s geographic domains - Brazil, 2015
Source: ICICT, Fiocruz. 3rd National Survey on Drug Use by the Brazilian Population.
Note: As Prevalence rates (%) pertain to the total survey population and 95%CI is the 95% confidence interval (LL - lower limit and UL - upper limit).
1 Includes urban areas as defined by the municipal legislation at the time of the 2010 Census.
2 Includes the Metropolitan Areas of Belém, Fortaleza, Recife, Salvador, Belo Horizonte, Rio de Janeiro, São Paulo, Curitiba, and Porto Alegre, in addition to the RIDE of the Federal District.
3 Large municipalities are those with a population greater than 200 thousand inhabitants in the 2000 Census (those in the sample of the 2nd Survey), and small municipalities are those with a population less than or equal to 11 thousand inhabitants in the 2010 Census.
4 The border strip includes all the municipalities with at least part of their territory within 150 km of Brazil’s international border, as per Law no. 6.634 of May 2, 1979, regulated by Decree no. 85.064 of August 26, 1980.
The list of these municipalities was provided by IBGE.
LL UL
Total 1,602 1602.4 1.4 1.2
North 99 99.2 1.2 0.5
Northeast 328 327.7 1.1 0.6
Southeast 801 800.9 1.7 1.2
Southeast 260 259.7 1.6 1.0
Central-west 115 114.9 1.3 0.6
Urban Brazil 1 1,416 1416.4 1.5 1.3
Rural Brazil 186 186.0 1.0 0.3
Metropolitan Brazil 2 501 501.5 1.4 1.0
Non-Metropolitan Brazil 1,101 1100.9 1.5 1.1
Set of state capitals 316 316.1 1.2 0.8
Brazil, except state capitals 1,286 1286.3 1.5 1.2
Large municipalities 3 796 796.0 1.6 1.2
Medium-sized municipalities 3 704 703.7 1.4 0.9
Small municipalities 3 103 102.7 1.0 0.3
Border strip 4 96 96.4 1.7 0.6
Brazil, except border 1,506 1506.0 1.4 1.2
Sample’s geographic domains
Persons that had received treatment (1,000)
Users of tobacco, alcohol, or other substances
% 95%IC
References
APA. Manual diagnóstico e estatístico de trasntornos mentais. 4 ed-Revista (DSM-IV-TR). Porto Alegre: ARTMED, 2002.
Substance Abuse and Mental Health Services Administration, Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Rockville, MD:
Substance Abuse and Mental Health Services Administration, 2014.
Chapter 8
Consequences of alcohol and illegal substance use
This chapter presents findings on the harms resulting directly from consumption, i.e., problems that occurred when individuals were under the effect of alcohol or illegal substances in the 12 months prior to the interview. For didactic and analytical purposes, these problems were separated into 1) consequences from traffic accidents; 2) violence perpetrated by the interviewee, including damage to property, insults and slander, and aggression; and 3) accidental injuries or with the interviewee as the victim. The questions and multiple-choice answers are listed in sections D10 and H2 of the questionnaire (Attachment B). More detailed questions on violence were included in the questionnaire in the 3rd Survey (Section J) but will not be presented in this Chapter.