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The use of crack in Brazil is not exclusive to young adults; however, this assumption permeates the prevailing discourse. Crack use among adolescents has been the subject of numerous evaluations 3,16. In general, in the last two decades, the average age of onset of use has decreased while the prevalence of lifetime use has increased. Estimates of lifetime use among adolescents range from 19.9% 1 to 36.2% 2, 16,17, compared to the estimates of lifetime use among adults which range from 19.6% 1 to 57.9% 2. In this study, we chose to focus on young adults as they are considered a most vulnerable group, as well as the group most likely to be affected by this drug. The use of this drug in Brazil has been a topic of concern for more than 20 years. However, in the mid-2000s, many of these concerns were silenced, perhaps due to a change of government 18. This study is intended to shed light on the subject of crack use in young adults in Brazil. To this end, the prevalence of lifetime use of crack among young adults is compared to the prevalence of lifetime use of other illicit drugs (amphetamines, cocaine, heroin, marijuana, ecstasy, sexual performance drugs, LSD, hallucinogens and inhalants and alcohol) with a view to highlighting the relative implications of different drugs. We used data from the 13th Brazilian Survey of Risk and Protective Factors for HIV/AIDS (VIGITEL -- *Vigilância de Situação de Risco e Proteção para HIV/AIDS*). We compared the prevalence of lifetime use of each drug in the population aged 16 to 29 years, to the prevalence of lifetime use of crack, in order to attempt to answer the following research question: what is the prevalence of lifetime use of crack among young adults in Brazil?
In conclusion, we must stress that the epidemiological parameters and the characteristics of crack itself are not sufficient for the definition of an epidemic of crack use in Brazil. The media, however, has played a significant role in the creation of the so-called epidemic by informing the public of the drug use crisis in Brazil. In the event of a crack epidemic, the media and political rhetoric may shift the focus of public policy from prevention to treatment. Therefore, it is essential that health managers understand the definition of an epidemic and the implications that this issue may have for policy and public opinion.
The government of Brazil adopted Law 9.472/94, which established the crack penalties regime in Brazil, within the same year that the government adopted the Plano de Enfrentamento ao Crack e Outras Drogas (Plan to Confront Crack and Other Drugs - Federal Government Decree no. 7179/2010). This was the first specific measure to combat crack in the country and aimed to meet the challenges of the crack epidemic in the country. The Federal Government Decree changed the penalties for crack possession in Brazil from 3 to 6 years imprisonment and established a new minimum penalty for the sale of crack from 2 to 5 years imprisonment and a maximum of 15 years. 827ec27edc