Julia de Ternay, Ludivine Nohales, Emmanuel Fort, Sophie Pelloux, Clio Coste, Pierre Leblanc, Martine Wallon, Jean-Baptiste Fassier, Benjamin Rolland
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Participants reported their age, sex, residency specialty, and living conditions and completed the French Job Content Questionnaire, the Alcohol Use Disorder Identification Test - consumption, and questions exploring their current tobacco, alcohol, and illicit drug use. We constructed directed acyclic graphs to model the effect of working conditions on substance misuse and used them to perform multivariable logistic regressions.</p><p><strong>Results: </strong>Among the 1,936 residents of the Lyon subdivision, 904 (46.7%) completed the survey. Among these, 54.0% exhibited alcohol misuse, 23.7% reported tobacco misuse, and 34.5% reported illicit drug misuse. Working more than 48 h per week was not associated with any substance misuse. Low social support at work predicted the use of illicit drugs (aOR: 1.49, 95% CI: [1.04; 2.13]). Compared with general medicine residents, psychiatric residents had greater odds of reporting tobacco misuse (aOR: 2.28, 95% CI: [1.14; 4.58]) and illicit drug misuse (aOR: 2.51, 95% CI: [1.33; 4.74]). Pediatric and pharmacy residents had lower odds of reporting alcohol misuse (aOR: 0.42, 95% CI: [0.21; 0.84] and OR: 0.53, 95% CI: [0.28; 0.98], respectively).</p><p><strong>Conclusions: </strong>Social support at work significantly impacts the risk of substance misuse among healthcare residents, as do other factors, such as residents' health specialty. 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引用次数: 0
摘要
药物滥用严重损害心理社会功能，并与许多环境因素相关，包括工作条件。我们调查了工作条件和其他决定因素对药物滥用风险的影响，城市名称保留审查，法国的医疗保健居民。方法：于2022年5月30日至2022年7月15日，对留名城市的医学、牙科和药学居民进行在线调查。参与者报告了他们的年龄、性别、居住专业和生活条件，并完成了法国工作内容问卷、酒精使用障碍识别测试-消费，以及探索他们目前使用烟草、酒精和非法药物的问题。我们构建了有向无环图来模拟工作条件对药物滥用的影响，并使用它们进行多变量逻辑回归。结果：留待审查分区的1936名城市居民中，904人（46.7%）完成了调查。其中，54.0%的人酗酒，23.7%的人吸烟，34.5%的人吸毒。每周工作超过48小时与药物滥用无关。低工作社会支持预测非法药物的使用(aOR: 1.49, 95% CI [1.04；2.13])。与普通内科住院医师相比，精神科住院医师报告烟草滥用的几率更高(aOR: 2.28, 95% CI [1.14；4.58])和非法药物滥用(aOR: 2.51, 95% CI [1.33；4.74])。儿科和药房住院医师报告酒精滥用的几率较低(aOR: 0.42, 95% CI [0.21；0.84] OR: 0.53, 95% CI [0.28；分别为0.98])。结论：工作中的社会支持对医疗保健住院医师药物滥用风险有显著影响，其他因素如住院医师的健康专业也有显著影响。这些发现有助于制定适当的制度政策和支持计划，以改善医疗保健居民的福祉。
Impact of Working Conditions and Other Determinants on the Risk of Substance Misuse among Healthcare Residents: Results of a Cross-Sectional Study.
Introduction: Substance misuse significantly impairs psychosocial functioning and correlates with many environmental factors, including working conditions. We investigated the influence of working conditions and other determinants on the risk of substance misuse among healthcare residents of Lyon, France.
Methods: We conducted an online survey among medicine, dentistry and pharmacy residents of Lyon from May 30, 2022, to July 15, 2022. Participants reported their age, sex, residency specialty, and living conditions and completed the French Job Content Questionnaire, the Alcohol Use Disorder Identification Test - consumption, and questions exploring their current tobacco, alcohol, and illicit drug use. We constructed directed acyclic graphs to model the effect of working conditions on substance misuse and used them to perform multivariable logistic regressions.
Results: Among the 1,936 residents of the Lyon subdivision, 904 (46.7%) completed the survey. Among these, 54.0% exhibited alcohol misuse, 23.7% reported tobacco misuse, and 34.5% reported illicit drug misuse. Working more than 48 h per week was not associated with any substance misuse. Low social support at work predicted the use of illicit drugs (aOR: 1.49, 95% CI: [1.04; 2.13]). Compared with general medicine residents, psychiatric residents had greater odds of reporting tobacco misuse (aOR: 2.28, 95% CI: [1.14; 4.58]) and illicit drug misuse (aOR: 2.51, 95% CI: [1.33; 4.74]). Pediatric and pharmacy residents had lower odds of reporting alcohol misuse (aOR: 0.42, 95% CI: [0.21; 0.84] and OR: 0.53, 95% CI: [0.28; 0.98], respectively).
Conclusions: Social support at work significantly impacts the risk of substance misuse among healthcare residents, as do other factors, such as residents' health specialty. These findings contribute to the development of appropriate institutional policies and support programs to improve the well-being of healthcare residents.
期刊介绍：
''European Addiction Research'' is a unique international scientific journal for the rapid publication of innovative research covering all aspects of addiction and related disorders. Representing an interdisciplinary forum for the exchange of recent data and expert opinion, it reflects the importance of a comprehensive approach to resolve the problems of substance abuse and addiction in Europe. Coverage ranges from clinical and research advances in the fields of psychiatry, biology, pharmacology and epidemiology to social, and legal implications of policy decisions. The goal is to facilitate open discussion among those interested in the scientific and clinical aspects of prevention, diagnosis and therapy as well as dealing with legal issues. An excellent range of original papers makes ‘European Addiction Research’ the forum of choice for all.
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