Juntunen J, Asp S, Olkinuora M, Aärimaa M, Strid L, Kauttu K
Institute of Occupational Health, Helsinki, Finland.
BMJ. 1988 Oct 15;297(6654):951-4. doi: 10.1136/bmj.297.6654.951.
Alcohol consumption and drinking habits among Finnish doctors were studied as part of a survey of stress and burnout. A questionnaire containing 99 questions or groups of questions was sent to all 3496 practising doctors aged under 66 randomly selected from the registry of the Finnish Medical Association. Altogether 2671 doctors (76%) responded; this sample was representative of the Finnish medical profession. The average weekly consumption of alcohol during the past year and various aspects of drinking behaviour were assessed, and the presence or absence of symptoms and diseases often encountered among heavy drinkers and addicts was determined. The data were analysed separately for men and women, for those aged less than or equal to 40 and greater than 40, and for the men with high and low alcohol consumption and with high and low scores on the index of drinking habits. Selected variables related to work, stress, and coping were correlated with alcohol consumption and drinking behaviour. The median consumption of alcohol among male doctors was 4876 g (6.2 litres) and among female doctors 2226 g (2.8 litres) of absolute alcohol per person per year and was higher in those aged over 40. Beer was most commonly drunk by men and wine by women. Increased alcohol consumption was associated with older age, disappointment with career, heavy smoking, use of benzodiazepines, stress and burnout symptoms, suicidal thoughts, general dissatisfaction, and diseases related to alcohol. Drinking habits were heavier among doctors working in community health centres, those taking long sick leaves, younger doctors disappointed with their careers or the atmosphere at work, and older doctors immersed in their work. Alcohol consumption among doctors seems to be higher than that of the general population in Finland, and heavy drinking seems to be associated with stress and burnout.
作为压力与职业倦怠调查的一部分,对芬兰医生的饮酒情况和饮酒习惯进行了研究。一份包含99个问题或问题组的问卷被发送给从芬兰医学协会登记册中随机抽取的3496名年龄在66岁以下的执业医生。共有2671名医生(76%)做出了回应;这个样本代表了芬兰医学专业。评估了过去一年中酒精的平均每周消费量以及饮酒行为的各个方面,并确定了酗酒者和成瘾者中常见症状和疾病的有无。数据按性别、年龄小于或等于40岁和大于40岁、酒精消费量高和低以及饮酒习惯指数得分高和低的男性分别进行分析。选择与工作、压力和应对相关的变量与酒精消费和饮酒行为进行相关性分析。男性医生的酒精消费量中位数为每人每年4876克(6.2升)纯酒精,女性医生为2226克(2.8升),40岁以上者更高。男性最常饮用啤酒,女性最常饮用葡萄酒。酒精消费量增加与年龄较大、对职业失望、大量吸烟、使用苯二氮䓬类药物、压力和职业倦怠症状、自杀念头、总体不满以及与酒精相关的疾病有关。在社区卫生中心工作的医生、休长假的医生、对职业或工作氛围失望的年轻医生以及埋头工作的年长医生饮酒习惯更严重。芬兰医生的酒精消费量似乎高于普通人群,酗酒似乎与压力和职业倦怠有关。