Open Drug Scenes Survey in Brazilian cities: main findings from São Paulo, Fortaleza, and Brasília
Clarice Sandi Madruga, Kátia Isicawa de Sousa Barreto, Danilo Seabra, André Constantino Miguel, Cláudio Jerônimo da Silva, Gleuda Simone Apolinário, Guilherme Godoy, Lidiane Nogueira Rebouças, Natália Alexandre Ferreira, Quirino Cordeiro, Rogério Adriano Bosso

TL;DR
This survey studied drug users in three Brazilian cities, finding high social vulnerability and health risks, with differences in access to health services and unprotected sex rates.
Contribution
The study provides new data on drug scene attendees in Brazilian cities, highlighting regional differences in health access and vulnerability.
Findings
No significant differences in sociodemographic indicators among attendees in the three cities.
Fortaleza had lower homelessness and limited health access, while Brasília had higher emergency service use and better health access.
Unprotected sex was prevalent, and less than half of attendees were tested for tuberculosis and STIs.
Abstract
The latest edition of the Open Drug Scenes Survey in Brazilian Cities (LECUCA) investigated social vulnerability, health, and the use of the Psychosocial Care Network by attendees of open drug scenes (ODSs) involving crack cocaine in São Paulo, Fortaleza, and Brasília between 2021/2022. Since 2016, LECUCA has used Time-Location Sampling (TLS) to select probabilistic samples representative of the population of ODS attendees. We interviewed 579 participants in São Paulo, Fortaleza, and Brasília, obtaining a response rate of 75%. We found no difference in ODS attendees regarding the prevalence of sociodemographic indicators and time living in the ODS. The prevalence values of attendees who had never been homeless before living in the ODS and those living in their homes were equally high in the three capitals. Fortaleza stood out for having lower rates of homelessness and limited access…
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Taxonomy
TopicsHIV, Drug Use, Sexual Risk · Youth, Drugs, and Violence · Opioid Use Disorder Treatment
