COVID-19 pandemic's impact on French Health Students' consumption of substances - a mixed analysis of their substance use.

Autor:	Rolland F; National Institute of Health and Medical Research (Inserm) U1018, Center for research in epidemiology and population health (CESP), Paris-Saclay University, Villejuif, France; MGEN action sanitaire et sociale - groupe VYV, établissement de santé mentale de Rueil-Malmaison, 2, rue du Lac, 92500 Rueil-Malmaison, France. Electronic address: frolland1@mgen.fr., Frajerman A; Inserm, MOODS Team, CESP, faculté de médecine Paris-Saclay, université Paris-Saclay, Le Kremlin-Bicêtre, France; Service hospitalo-universitaire de psychiatrie de Bicêtre, Mood Center Paris Saclay, hôpitaux universitaires Paris-Saclay, hôpital de Bicêtre, AP-HP, Le Kremlin-Bicêtre, France., Falissard B; National Institute of Health and Medical Research (Inserm) U1018, Center for research in epidemiology and population health (CESP), Paris-Saclay University, Villejuif, France., Benyamina A; National Institute of Health and Medical Research (Inserm) U1018, Center for research in epidemiology and population health (CESP), Paris-Saclay University, Villejuif, France., Diquet B; Laboratoire de pharmacologie-toxicologie, institut de biologie en santé, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex, France., Vinchon F; LaPEA, université Paris Cité, université Gustave-Eiffel, 92100 Boulogne-Billancourt, France., Bertschy G; Department of Psychiatry, Mental Health and Addictology, Strasbourg University Hospital, 67000 Strasbourg, France; Inserm U1114, 67000 Strasbourg, France; Translational Medicine Federation, University of Strasbourg, 67000 Strasbourg, France., Marra D; Médecine de santé au travail, hopices civils de Lyon, Lyon, France.
Jazyk:	angličtina
Zdroj:	L'Encephale [Encephale] 2024 Nov 23. Date of Electronic Publication: 2024 Nov 23.
DOI:	10.1016/j.encep.2024.10.003
Abstrakt:	Objectives: The COVID-19 pandemic had a huge impact on global mental health. Health care students, both as young people and regarding their student condition, were a more at-risk population. During the first and the third waves, two national surveys already found high levels of psychological distress (21 to 83% of severe psychological distress). This nationwide study focused on health care student changes in substance or treatment use during the pandemic. Methods: We did an online national cross-sectional study addressing all health care students in France from April 4 to May 11, 2021. The questionnaire included sociodemographic and work conditions questions, Kessler 6 scale, and simple questions about psychotropic treatments or substance use. Results: We obtained 16,937 answers, including 54% nurses and 16% medical students. Increased psychoactive substance use (alcohol, tobacco and cannabis) was associated with males, older students, those having financial difficulties and using more psychotropic treatments. Nursing students were more at risk than others. Increased psychotropic treatment use (anxiolytics, hypnotics) was associated with being a woman, older, having financial difficulties, having high psychological distress, and using more psychoactive substances. Medical, pharmacy, dental and midwife students were more at risk than others. The response rate was low (5,6%), and nursing students represented more than half of the respondents. Conclusions: Compared to our first national survey, substance use (21% versus 13%) and psychotropic treatment use (18% versus 7.3%) increased hugely. These results highlight the need to identify the specific causes of substance use by health care students to better support them. As future health professionals, this is a major public health issue. (Copyright © 2024 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.)
Databáze:	MEDLINE
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