Social vulnerability in families living with long-term addictive behavior

A cross-sectional study conducted with relatives of 29 drug users hospitalized with physical trauma associated with drug intoxication from April to September 2014. The Vulnerability Index of Paraná Families was used. It has the following dimensions: adequacy of residence; profile and composition of family; access to work and income; and schooling conditions. Data were analyzed by tendency measures.

Results

Users had a mean age of 40.1 years and an average addictive behavior of 20.8 years. Only three families were not in social vulnerability. The greatest vulnerability was related to access to work and income (79.3%) and schooling (82.6%), with proportional relation between these dimensions.

Conclusion

There was worsening of vulnerability in long-term indicators, proportional to the years coping with drugs.

Keywords
Substance-related disorders; Family relations; Family health; Social vulnerability; Public health nursing

Dimension		n(%)
IVFPR^* * Vulnerability Index of Paraná Families;
	0.4000 to 0.4673	3(10.3)
	0.3000 to 0.3999	5(17.2)
	0.2000 to 0.2999	8(27.6)
	0.1000 to 0.1999	5(17.2)
	0.0001 to 0.0999	5(17.2)
	0.0000	3(10.3)
IV1^† † Adequacy of residence;
	0.4167	5(17.2)
	0.3333	1(3.4)
	0.2500	1(3.4)
	0.1667	5(17.2)
	0.0000	17(58.6)
IV2^‡ ‡ Profile and composition of the family;
	0.3500	1(3.4)
	0.3000	6(20.7)
	0.2000	6(20.7)
	0.1000	11(37.9)
	0.0000	5(17.2)
IV3^§ § Access to work and income;
	0.7692	3(10.3)
	0.6154	1(3.4)
	0.5385	4(13.8)
	0.3846	3(10.3)
	0.3077	4(13.8)
	0.2308	2(6.9)
	0.1538	6(20.7)
	0.0000	6(20.7)
IV4^‖ ‖ Schooling conditions
	0.7500	1(3.4)
	0.5000	2(6.9)
	0.2500	21(72.4)
	0.0000	5(17.2)
Total families		29(100)

Statistics			Indices
Statistics	IV1^† † Adequacy of residence;	IV2^‡ ‡ Profile and composition of the family;	IV3^§ § Access to work and income;	IV4^‖ ‖ Schooling conditions	IVFPR^* * Vulnerability Index of Paraná Families;
Mean	0.1207	0.1534	0.3050	0.2414	0.2051
Median	0.0000	0.1000	0.3077	0.2500	0.2087
Maximum	0.4167	0.3500	0.7692	0.7500	0.4673
Minimum	0.0000	0.0000	0.0000	0.0000	0.0000
25th percentile	0.0000	0.1000	0.1538	0.2500	0.0885
75th percentile	0.1667	0.2000	0.5385	0.2500	0.2926
95th percentile	0.4167	0.3000	0.7692	0.5000	0.4015
Standard deviation	0.1645	0.1085	0.2454	0.1564	0.1283
Pearson’s coefficient of variation (CV)	136.2900	70.7300	80.4600	64.7900	62.5500

Indices	IV1^† † Adequacy of residence;	IV2^‡ ‡ Profile and composition of the family;	IV3^§ § Access to work and income;	IV4^‖ ‖ Schooling conditions;	IVFPR^* * Vulnerability Index of Paraná Families;
IV1^† † Adequacy of residence;	1	0.131	0.292	0.372	0.695^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;
IV2^‡ ‡ Profile and composition of the family;	0.131	1	0.537^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;	0.186	0.562^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;
IV3^§ § Access to work and income;	0.292	0.537^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;	1	0.465^ Statistically significant p-value < 0.05 in two-tailed test	0.831^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;
IV4^‖ ‖ Schooling conditions;	0.372	0.186	0.465^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;	1	0.704^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;
IVFPR^* * Vulnerability Index of Paraná Families;	0.695^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;	0.562^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;	0.831 ^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;	0.704^¥ ¥ Statistically significant p-value < 0.01 in two-tailed test;	1

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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[1] Corresponding author Lúcia Margarete dos Reis, Avenida Borsari Neto, 1000, 87113-300, Maringá, PR, Brazil. luciamargarete@gmail.com