ArticleBMC public health2015
Factors that lead to the use of crack cocaine in combination with marijuana in Brazil: a qualitative study.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cannabinoid exposure across substance use disorders: Short-term symptom benefits without sustained therapeutic gains in a tier-weighted systematic review.European psychiatry : the journal of the Association of European Psychiatrists · 2026Pooled it
- Comparison of the Treatments in Crack Use Disorder: A Systematic Review.European addiction research · 2026Pooled it
- Cannabis donation as a harm reduction strategy: a case study.Harm reduction journal · 2024Article
- Article
- Use of Cannabis as a Harm Reduction Strategy Among People Who Use Drugs: A Cohort Study.Cannabis and cannabinoid research · 2023Article
- Polysubstance Use Patterns among Outpatients Undergoing Substance Use Disorder Treatment: A Latent Class Analysis.International journal of environmental research and public health · 2022Article
- Co-exposure of cannabinoids with amphetamines and biological, behavioural and health outcomes: a scoping review of animal and human studies.Psychopharmacology · 2022Article
- Frequent Cannabis Use Is Negatively Associated with Frequency of Injection Drug Use Among People Who Inject Drugs in a Canadian Setting.Cannabis and cannabinoid research · 2021Article
- Anhydroecgonine methyl ester, a cocaine pyrolysis product, contributes to cocaine-induced rat primary hippocampal neuronal death in a synergistic and time-dependent manner.Archives of toxicology · 2021Article
- Use of Cannabis for Harm Reduction Among People at High Risk for Overdose in Vancouver, Canada (2016-2018).American journal of public health · 2021Article
- 'Resurgent', 'twin' or 'silent' epidemic? A select data overview and observations on increasing psycho-stimulant use and harms in North America.Substance abuse treatment, prevention, and policy · 2021Article
- From an Alternative Medicine to a New Treatment for Refractory Epilepsies: Can Cannabidiol Follow the Same Path to Treat Neuropsychiatric Disorders?Frontiers in psychiatry · 2021Review
- Association between alcohol and crack: Prevalence, effects, associated factors and experiences of combined use.PloS one · 2021Article
- Frequent Cannabis Use and Cessation of Injection of Opioids, Vancouver, Canada, 2005-2018.American journal of public health · 2020Article
- The emergence of innovative cannabis distribution projects in the downtown eastside of Vancouver, Canada.The International journal on drug policy · 2020Article
- Characterizing motivations for cannabis use in a cohort of people who use illicit drugs: A latent class analysis.PloS one · 2020Article
- A latent class analysis of the past-30-day substance use patterns among lifetime cocaine users: Findings from a community sample in North Central Florida.Addictive behaviors reports · 2019Article
- Gender differences in patterns of drug use and sexual risky behaviour among crack cocaine users in Central Brazil.BMC psychiatry · 2017Article
- Intentional cannabis use to reduce crack cocaine use in a Canadian setting: A longitudinal analysis.Addictive behaviors · 2017Observational
- Introducing the evidence-based population health tool of the Lower-Risk Cannabis Use Guidelines to Brazil.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Brazil, crack cocaine use remains a healthcare challenge due to the rapid onset of its pleasurable effects, its ability to induce craving and addiction, and the fact that it is easily accessible. Delayed action on the part of the Brazilian Government in addressing the drug problem has led users to develop their own strategies for surviving the effects of crack cocaine use, particularly the drug craving and psychosis. In this context, users have sought the benefits of combining crack cocaine with marijuana. Our aim was to identify the reasons why users combine crack cocaine with marijuana and the health implications of doing so.
methodsThe present study is a qualitative study, using in-depth interviews and criteria-based sampling, following 27 crack cocaine users who combined its use with marijuana. Participants were recruited using the snowball sampling technique, and the point of theoretical saturation was used to define the sample size. Data were analyzed using the content analysis technique.
resultsThe interviewees reported that the combination of crack cocaine use with marijuana provided "protection" (reduced undesirable effects, improved sleep and appetite, reduced craving for crack cocaine, and allowed the patients to recover some quality of life).
conclusionsCombined use of cannabis as a strategy to reduce the effects of crack exhibited several significant advantages, particularly an improved quality of life, which "protected" users from the violence typical of the crack culture. Crack use is considered a serious public health problem in Brazil, and there are few solution strategies. Within that limited context, the combination of cannabis and crack deserves more thorough clinical investigation to assess its potential use as a strategy to reduce the damage associated with crack use.
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