ABSTRACT OBJECTIVE: To verify the use of licit and illicit drugs and the reasons for their use in the academic environment of the Universities of São Paulo. METHODS: This is an observational, analytical, cross-sectional, comparative and contemporary study. University students from the State of São Paulo were included, by convenience sampling. It was used data collection instrument via Google Forms with informed consent, prepared by the authors themselves, addressing the relationship between drug use and college students. RESULTS: It was observed a majority of young females (67%) with a history of pre-university drug use and with encouragement from this environment to maintain or increase drug use mainly for recreational reasons. CONCLUSION: There was the presence of protective factors such as work and living with family members.

ABSTRACT OBJECTIVE: Race disparity touches several spheres of society, such as medicine, making studies on labor pain necessary. The purpose of this review was to understand the disparities in the indication of anesthesia in the delivery of black women compared to white women. METHODS: A systematic review was conducted in PubMed and VHL databases from March 1, 2022 to March 1, 2023 with the terms "anesthesia" AND "delivery" AND "racial" AND "disparities." No publication date filters were used, however articles in Portuguese, English, and Spanish were selected. Two reviewers screened the articles, and when there was disagreement, a third reviewer did the analysis using the exclusion and inclusion criteria. RESULTS: Fifty-nine articles were identified, and after eliminating duplicates, 38 had their titles and/or abstracts analyzed. Of these, 22 were excluded by the inclusion criteria and 16 were selected for full examination, 5 of which were eliminated by the exclusion criteria. Finally, 11 articles were selected for qualitative analysis. The main themes addressed were: Biased behaviors; Belief that black women feel less pain; Low racial diversity of health care professionals; Distrust in the health care system and in accepting anesthesia; Socioeconomic and cultural divergences; and Lack of information and understanding of the benefits and risks of anesthesia. CONCLUSION: It was observed that there is a discrepancy about the use of anesthesia in black women during labor. This fact shows the importance of studying the factors involving these women and their history in society, reducing the damage caused to them.