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    Certified Registered Nurse Anesthetists (CRNAs) face moderate risks for tobacco and alcohol use disorders, with predictors including demographics and mental health. This suggests a potential shift in substance use patterns within the profession.

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    Area of Science:

    • Nursing
    • Anesthesiology
    • Public Health

    Background:

    • Certified Registered Nurse Anesthetists (CRNAs) are exposed to addictive substances and high-stress environments, increasing their risk for substance use disorders (SUDs).
    • Prior research indicated a preference for opioids and propofol among CRNAs with SUDs, but data remain scarce.
    • This study aimed to identify predictors of SUD risk in CRNAs using a validated screening tool.

    Purpose of the Study:

    • To investigate the prevalence of substance use disorder risk among CRNAs.
    • To identify demographic, psychological, and professional factors predicting SUD risk in this population.
    • To assess the utility of the World Health Organization Alcohol, Smoking and Substance Involvement Screening Test (WHO-ASSIST) in CRNAs.

    Main Methods:

    • An online survey was distributed to 3,000 CRNAs via the American Association of Nurse Anesthesiology Research Survey Service.
    • Data were collected from approximately 225 respondents between June and July 2020.
    • The World Health Organization Alcohol, Smoking and Substance Involvement Screening Test (WHO-ASSIST) was used to assess SUD risk.

    Main Results:

    • CRNAs demonstrated moderate risk for SUDs: 10.27% for tobacco, 23.56% for alcohol, and 6.28% for cannabis.
    • Regression analyses revealed significant predictors for tobacco, alcohol, and cannabis use disorders.
    • Key predictors included demographic variables, religiosity, anxiety, depression, substance use history, engagement with peer assistance programs, and organizational support.

    Conclusions:

    • Over 10% of CRNAs are at risk for tobacco use disorder, and nearly a quarter are at moderate risk for alcohol use disorder.
    • These findings raise concerns about potential shifts in substance use preferences among CRNAs, moving from controlled substances towards alcohol.
    • Understanding these predictors is crucial for developing targeted prevention and intervention strategies for SUDs in CRNAs.