在美国医生中使用物质的流行率
P H Hughes1, N Brandenburg, D C Baldwin
1Institute for Research in Psychiatry, University of South Florida, Tampa.
JAMA
|May 16, 1992
概括
医生使用的非法药物比普通人少,但更有可能使用酒精和处方药. 一个关键的问题是使用受控物质进行自我治疗,这凸显了医生使用物质的指导方针的必要性.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 医疗保健专业人员的物质使用是严重的公共卫生问题.
- 了解医生物质使用模式对于患者安全和专业福祉至关重要.
研究的目的:
- 为了确定美国医生中药物使用的流行程度.
- 为了比较医生物质使用与一般人群.
主要方法:
- 一项全国性匿名邮件调查评估了9600名医生中13种物质的使用情况.
- 数据被加权以提供国家流行率估计,并与全国家庭药物滥用调查进行了比较.
- 该调查包括终身,过去一年和过去一个月的使用,使用原因和治疗史.
主要成果:
- 与年龄和性别相比,医生报告去年吸烟和非法药物 (大麻,可卡因,海洛因) 的使用率较低.
- 医生显示,酒精和处方药的使用率更高 (小片,类药物).
- 用处方药自我治疗是常见的,而非法药物和酒精的使用主要是娱乐性的.
结论:
- 医生比一般人群更不太可能是目前的非法药物使用者.
- 较高的酒精使用可能与社会经济因素有关,而不是职业.
- 医生使用受控药物的高自我治疗率构成滥用和依赖的风险,需要制定国家指南.
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