米国医師の間で薬物使用の普及率
P H Hughes1, N Brandenburg, D C Baldwin
1Institute for Research in Psychiatry, University of South Florida, Tampa.
JAMA
|May 16, 1992
まとめ
医師は一般人よりも違法薬物の使用が少ないが,アルコールや処方薬を使用する可能性は高い. 主な懸念事項は,規制物質による自己治療であり,医師の薬物使用に関するガイドラインの必要性を強調しています.
科学分野:
- 医学研究 医学研究
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
背景:
- 医療従事者の間での薬物使用は,公衆衛生上の重大な懸念事項である.
- 医師の薬物使用パターンを理解することは,患者の安全と専門家の福祉にとって極めて重要です.
研究 の 目的:
- 米国内の医師の間で薬物使用の流行を決定する.
- 医師の薬物使用を一般の人々と比較するために.
主な方法:
- 全国の匿名の郵送調査で,9600人の医師の13種類の物質の使用を評価した.
- データは重み付けられ,全国的な罹患率の推定値を提供し,薬物乱用に関する国家世帯調査と比較した.
- 調査には,生涯,過去1年,過去1ヶ月の使用,使用理由,治療歴が含まれていました.
主要な成果:
- 医師は,過去1年間のタバコと違法薬物 (マリファナ,コカイン,ヘロイン) の使用量が,年齢と性別の同級生と比較して低いと報告しました.
- 医師は,アルコールと処方薬 (マイナーオピエイト,ベンゾジアゼピン) の使用率が高かったことを示しました.
- 処方薬による自己治療は一般的であったが,違法な薬物およびアルコールの使用は主にレクリエーション的であった.
結論:
- 医師は,一般の人々よりも,現在の違法薬物使用者の可能性が低い.
- アルコール摂取量の増加は,職業ではなく社会経済的な要因に関連している可能性があります.
- 医師がコントロールされた医薬品で自己治療の頻度が高いため,虐待や依存の危険性があり,国家ガイドラインが必要になります.
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