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Substance use among Indian Physicians: A narrative review
Yesh Chandra Singh1, Roshan Bhad2, Arun Kandaswamy3
1Department of Psychiatry, Subharti Medical College, Meerut, Uttar Pradesh, India.
Indian Journal of Psychiatry
|July 14, 2025
Summary
Physicians in India face higher rates of substance use disorders (SUDs), particularly with tobacco and alcohol. This review examines prevalence and addresses management challenges for this at-risk group.
Area of Science:
- Medical Ethics
- Public Health
- Addiction Medicine
Background:
- Substance use disorders (SUDs) pose a significant global health challenge.
- Physicians, especially in developing nations like India, are at elevated risk due to demanding work conditions and stress.
- Factors contributing to physician SUDs include long hours, financial pressures, and poor work-life balance.
Purpose of the Study:
- To conduct a narrative review on the prevalence and patterns of substance use among Indian physicians.
- To explore the unique management and ethical considerations for substance use among physicians in India.
Main Methods:
- A narrative review of existing literature was performed.
- Studies published since 2000 focusing on Indian physicians and substance use were analyzed.
Main Results:
- Tobacco and alcohol are the most prevalent substances used by Indian physicians, exceeding general population rates.
- Recent data indicate increasing concerns regarding prescription drug misuse among this demographic.
- Physicians face complex ethical dilemmas related to patient care, medical fitness, and societal stigma.
Conclusions:
- Substance use among Indian physicians is a critical issue requiring targeted attention.
- Addressing SUDs in physicians necessitates a nuanced approach considering ethical and professional standards.
- Recommendations for management strategies and future research in the Indian context are discussed.
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