[Prevalence and risk factors for substance abuse and dependence among anaesthetists: a national survey]

Ann Fr Anesth Reanim. 2005 May;24(5):471-9. doi: 10.1016/j.annfar.2005.02.023. Epub 2005 Apr 12.
[Article in French]

Abstract

Objective: Addiction behaviours in the anaesthetist population have been recognized as a significant health-related issue and its scope is a matter of concern.

Methods: A national survey conducted among French anaesthetists consisted of a questionnaire designed to elicit information related to demographics, and work conditions, as well as substance consumption status. The study investigated the following: tobacco, alcohol, tranquillizers-hypnotics, and other agents such as cannabis, cocaine, opiates and anaesthetic agents. Respondents were classified in two categories: (no use and use)-(abuse and dependence). An univariate and multivariate analysis were performed to determine risk factors associated with drug abuse and dependence.

Results: 3,476 physicians responded to the questionnaire (38.0% response rate); 22.7% were daily tobacco smokers; 10.9% were abuser or dependent to one or more substances other than tobacco i.e. alcohol (59.0%), tranquillizers and hypnotics (41.0%), cannabis (6.3%), opiates (5.5%), and stimulants (1.9%). Sleep disturbances and negative perception of work environment were more frequently reported among addicted anaesthetists.

Conclusion: In French anaesthetists, addiction is mainly related to alcohol consumption but includes a broad spectrum of substances. Addicted subjects report issues around work environment that may have contributed to the development of their pathology.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Alcoholism / epidemiology
  • Anesthesiology / statistics & numerical data*
  • Attitude of Health Personnel
  • Central Nervous System Stimulants / adverse effects
  • Cocaine-Related Disorders / epidemiology
  • Female
  • Health Surveys
  • Humans
  • Hypnotics and Sedatives / adverse effects
  • Male
  • Marijuana Abuse / epidemiology
  • Middle Aged
  • Occupational Diseases / epidemiology*
  • Occupational Diseases / psychology
  • Opioid-Related Disorders / epidemiology
  • Prevalence
  • Risk Factors
  • Sleep Wake Disorders / epidemiology
  • Stress, Psychological / epidemiology
  • Substance-Related Disorders / epidemiology*
  • Surveys and Questionnaires
  • Tobacco Use Disorder / epidemiology
  • Tranquilizing Agents / adverse effects
  • Workload

Substances

  • Central Nervous System Stimulants
  • Hypnotics and Sedatives
  • Tranquilizing Agents