McAuliffe W E, Rohman M, Santangelo S, Feldman B, Magnuson E, Sobol A, Weissman J
N Engl J Med. 1986 Sep 25;315(13):805-10. doi: 10.1056/NEJM198609253151305.
We surveyed random samples of 500 practicing physicians and 504 medical students in a New England state during 1984-1985; 70 percent of the physicians and 79 percent of the students responded. Fifty-nine percent of the physicians and 78 percent of the students reported that they had used psychoactive drugs at some time in their lives. In both groups, recreational use most often involved marijuana and cocaine, and self-treatment most often involved tranquilizers and opiates. In the previous year, 25 percent of the physicians had treated themselves with a psychoactive drug, and 10 percent had used one recreationally. Although most of the use was experimental or infrequent, 10 percent of the physicians reported current regular drug use (once a month or more often) and 3 percent had histories of drug dependence. More physicians and medical students had used psychoactive drugs at some time than had comparable samples of pharmacists and pharmacy students. The results suggest a need for renewed professional education about the risks of drug misuse.
1984年至1985年期间，我们对新英格兰一个州的500名执业医师和504名医科学生进行了随机抽样调查；70%的医师和79%的学生做出了回应。59%的医师和78%的学生报告称，他们在人生的某个阶段使用过精神活性药物。在这两组中，娱乐性使用最常涉及大麻和可卡因，自我治疗最常涉及镇静剂和阿片类药物。在前一年，25%的医师曾使用精神活性药物进行自我治疗，10%的医师曾出于娱乐目的使用过此类药物。尽管大多数使用是尝试性的或不频繁的，但10%的医师报告目前有规律地使用药物（每月一次或更频繁），3%有药物依赖史。与药剂师和药学专业学生的类似样本相比，更多的医师和医科学生在人生的某个阶段使用过精神活性药物。结果表明有必要重新开展关于药物滥用风险的专业教育。
