Vaysse Benoît, Gignon Maxime, Zerkly Salah, Ganry Olivier
Sante Publique. 2014 Sep-Oct;26(5):613-20.
Excessive alcohol consumption and illicit drug use among students have negative repercussions on their health, education and society in general. Medical students are no exception.
The objective of this study was to evaluate the consumption of alcohol, tobacco and cannabis as well as levels of anxiety and depression of students admitted to the second year of medical studies based on anonymous self-administered questionnaires containing the following tests: AUDIT, Fagerstrom, CAST and HAD.
198 of the 207 students involved agreed to participate. Excessive alcohol consumption was higher among women than among men (35% versus 22%), but fewer women were alcohol-dependent (2% versus 8%) (p < 0.05). 16% of students were tobacco smokers, with no signs of dependence in 80% of cases. 15% of students smoked cannabis and 52% of them presented problem use. 21% of women had a suspected anxiety disorder and 23% had a proven anxiety disorder, versus 17% and 6% of men, respectively (p = 0.002). 3% had a suspected depressive disorder and 0.5% had a proven depressive disorder. High-risk alcohol consumption was significantly correlated with high-risk cannabis use. No correlation was demonstrated between anxiety or depression and these consumptions.
Doctors appear to be particularly affected by psychological disorders or addictions and medical students are paradoxically less likely than the general population to receive appropriate care. Universities must provide monitoring and support for students in order to improve their health, but also to enable them to provide care and appropriate educational messages to their patients.
学生过度饮酒和使用非法药物会对他们的健康、教育以及整个社会产生负面影响。医学生也不例外。
本研究的目的是基于匿名自填问卷，评估医学专业二年级学生的酒精、烟草和大麻消费情况以及焦虑和抑郁水平，问卷包含以下测试：酒精使用障碍识别测试（AUDIT）、法格斯特龙测试（Fagerstrom）、大麻使用情况简短筛查工具（CAST）和医院焦虑抑郁量表（HAD）。
参与研究的207名学生中有198名同意参与。女性过度饮酒的比例高于男性（35%对22%），但酒精依赖的女性较少（2%对8%）（p<0.05）。16%的学生吸烟，其中80%没有依赖迹象。15%的学生吸食大麻，其中52%存在问题使用情况。21%的女性有疑似焦虑症，23%被证实患有焦虑症，而男性分别为17%和6%（p = 0.002）。3%有疑似抑郁症，0.5%被证实患有抑郁症。高风险酒精消费与高风险大麻使用显著相关。焦虑或抑郁与这些消费之间未显示出相关性。
医生似乎特别容易受到心理障碍或成瘾问题的影响，而矛盾的是，医学生比普通人群获得适当护理的可能性更小。大学必须为学生提供监测和支持，以改善他们的健康状况，同时也使他们能够为患者提供护理和适当的教育信息。
