HRJ

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Open Access Research

Smoked cocaine in socially-depressed areas

Jordi Delas1,2,3*, Elena Adán1, Olga Díaz1, Margarita Aguas3, Montserrat Pons3 and Ricardo Fuertes1

Author Affiliations

1 SAPS Creu Roja. (Av. Drassanes 13-15), Barcelona 08001, Spain

2 Departamento de Medicina, Universitat de Barcelona. (Casanova, 143), Barcelona 08036, Spain

3 Hospital Universitari del Sagrat Cor. (Viladomat, 288), Barcelona 08029, Spain

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Harm Reduction Journal 2010, 7:27 doi:10.1186/1477-7517-7-27

Published: 9 November 2010

Abstract

Background

The main objectives of this study are to describe the smoked cocaine user's profile in socially-depressed areas and their needs from a harm-reduction perspective, to investigate their use of smoking crack and compare the acute effects between injecting and smoking consumption.

Methods

The study took place in SAPS, Barcelona, Spain. Two focus group sessions were undertaken with a total of 8 drug users. Secondly, the 8 participants answered a structured questionnaire and in the course of the sessions, as a snowball activity, were trained to survey 6 other crack smokers.

Results

We obtained 56 questionnaires. The majority of participants were from non-European Community countries (62.69%), 70.2% of participants referred to sharing the smoking equipment. The most frequent symptoms reported during smoked cocaine were mydriasis (83.33%)), perspiration (72.92%) and compulsive object search (70.83%) During the group sessions, participants said that smoked cocaine is much more addictive than injected cocaine and causes more anxiety. Participants also reported the difficulty of changing from injected use to smoked use, due to the larger amount of cocaine needed to reach the same effects as when having injected.

Conclusions

We can conclude that the research, focused on achieving greater knowledge of the smoked cocaine user's profile, their usage of smoking crack, consumption patterns and acute effects, should be incorporated into substance misuse interventions.