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


CONCLUSIONS
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.
Beaujouan
L
L
Mission de santé publique, AP-HP, 1 place du Parvis-Notre-dame, 75181 Paris cedex 04, France.
Czernichow
S
S
Pourriat
J-L
JL
Bonnet
F
F
D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000453:epidemiology; D000776:Anesthesiology / Q000706:statistics & numerical data*; D001291:Attitude of Health Personnel; D000697:Central Nervous System Stimulants / Q000009:adverse effects; D019970:Cocaine-Related Disorders / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects; D008297:Male; D002189:Marijuana Abuse / Q000453:epidemiology; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology* / Q000523:psychology; D009293:Opioid-Related Disorders / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000453:epidemiology; D013315:Stress, Psychological / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000453:epidemiology; D014149:Tranquilizing Agents / Q000009:adverse effects; D016526:Workload
D000697:Central Nervous System Stimulants; D006993:Hypnotics and Sedatives; D014149:Tranquilizing Agents