title: Prevalence of cannabis and cocaine consumption in French fishermen in South Atlantic region in 2012-2013 and its policy consequences.
abstract: BACKGROUND
  The aim of the study was to evaluate the use of cannabis and cocaine among fishermen followed in occupational medicine in the ports of Aquitaine and Charente-Maritime (Direction interrégionale de la mer Sud-Atlantique [DIRM-SA]).
  
  
  METHODS
  Thousand fishermen could be recruited during medical regulatory examination by the occupational physicians and nurses of Occupational Health Department for Seamen.
  
  
  RESULTS
  About 20% of fishermen were former smokers. A third of the fishermen are at risk for excessive drinking according to the AUDIT-C. The prevalence of cannabis experimentation was estimated at 58%. The prevalence of positive urine test for cannabis was 28%. The prevalence of experimentation with cocaine was about 16%. The prevalence of positive urine test for cocaine was 4.5%.
  
  
  CONCLUSIONS
  In accordance with its objectives, this study allows objectifying cannabis and cocaine consumption among fishermen. The national rules for fitness at sea have to be modified by introducing the use of urinary tests by occupational physician.
authors.affiliation: Univ Lyon, Université Claude Bernard Lyon 1, Ifsttar, UMRESTTE UMR T-9405, F- 69373, Lyon, France. emmanuel.fort@univ-lyon1.fr.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Fort
authors.forename: Thierry
authors.initials: T
authors.lastname: Lassiège
authors.forename: Alain
authors.initials: A
authors.lastname: Bergeret
mesh_terms: D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000453:epidemiology; D001266:Atlantic Islands; D019970:Cocaine-Related Disorders / Q000453:epidemiology*; D005260:Female; D005398:Fisheries; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D002189:Marijuana Abuse / Q000453:epidemiology*; D008875:Middle Aged; D009326:Naval Medicine; D009787:Occupational Medicine / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D015995:Prevalence; D057566:Self Report
keywords: alcohol consumption prevalence; drug consumption prevalence; fishermen; urine test