医生使用大麻:系统性审查和元分析
Pierre-Louis Naillon1, Valentin Flaudias2, Georges Brousse3
1Université Clermont Auvergne, CNRS, LaPSCo, CHU Clermont-Ferrand, WittyFit, F-63000 Clermont-Ferrand, France.
Medicines (Basel, Switzerland)
|May 26, 2023
概括
医生使用大麻很普遍,超过三分之一的医生和学生报告一生使用大麻. 医学学生使用率较高,自2005年以来使用率反弹凸显了早期干预策略的必要性.
科学领域:
- 医学伦理 医学伦理
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 医生大麻的消费对医疗保健提供者和患者护理都有风险.
- 了解大麻在医生 (MD) 和学生中的使用率对于解决潜在影响至关重要.
研究的目的:
- 系统地审查和元分析大麻使用在医生和学生中的普遍性.
- 确定影响大麻使用模式的因素,包括专业,教育水平,大陆和时间段.
主要方法:
- 进行了对医学博士/学生大麻使用研究的系统审查和元分析.
- 搜索了主要的数据库 (PubMed,Cochrane,Embase,PsycInfo,ScienceDirect) 进行了搜索.
- 按使用频率分层分析 (一生,过去一年,过去一个月,每天) 并使用元回归进行比较.
主要成果:
- 包括54项研究,共有42,936名参与者 (医生,医学学生,住院医生).
- 大麻使用的总体终身流行率为37%,每千人中有1.1人 () 报告每天使用.
- 与医学博士相比,医学学生的使用寿命 (38%对35%),去年 (24%对5%) 和过去一个月 (10%对2%) 的使用率更高.
结论:
- 超过三分之一的医生/学生曾使用过大麻,每日使用量低但存在.
- 医学学生是大麻使用者的最大群体.
- 随着时间的推移,大麻使用呈现出U形的趋势,自2005年以来出现了显著的反弹,强调了医疗教育中早期公共卫生干预的必要性.
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