Use of psychoactive substances by night-shift hospital healthcare workers during the first wave of the COVID-19 pandemic: a cross-sectional study based in Parisian public hospitals (ALADDIN)
| Autor: | Lorraine Cousin, Vincent Di Beo, Fabienne Marcellin, Sarah Coscas, Véronique Mahé, Isabelle Chavignaud, Olivia Rousset Torrente, Olivier Chassany, Martin Duracinsky, Maria Patrizia Carrieri |
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| Přispěvatelé: | Unité de recherche clinique en économie de la santé [Paris] (URC Eco), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Hôtel-Dieu [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Epidémiologie Clinique et Evaluation Economique Appliquées aux Populations Vulnérables (ECEVE (U1123 / UMR_S_1123)), Institut National de la Santé et de la Recherche Médicale (INSERM)-AP-HP Hôpital universitaire Robert-Debré [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Cité (UPCité), Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut des sciences de la santé publique [Marseille] (ISSPAM), Mission Fides - CME [Hôpital Paul-Brousse AP-HP] (MF), Hôpital Lariboisière-Fernand-Widal [APHP], Service de Médecine Interne - Immunologie Clinique [AP-HP Bicêtre], AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre) |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
MESH: Pandemics Health Personnel [SDV]Life Sciences [q-bio] occupational & industrial medicine risk management health & safety MESH: Cross-Sectional Studies MESH: Hospitals Public MESH: Alcoholism Humans MESH: COVID-19 MESH: SARS-CoV-2 Pandemics MESH: Humans Hospitals Public SARS-CoV-2 public health COVID-19 MESH: Quality of Life General Medicine MESH: Male Alcoholism Cross-Sectional Studies Quality of Life MESH: Health Personnel epidemiology |
| Zdroj: | BMJ Open BMJ Open, 2022, 12 (3), pp.e055699. ⟨10.1136/bmjopen-2021-055699⟩ |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2021-055699⟩ |
| Popis: | ObjectivesThis study aimed to estimate the prevalence of psychoactive substance (PAS) use in night-shift healthcare workers (NSHW) during France’s first COVID-19 wave (March–May 2020).DesignObservational cross-sectional online survey.Setting39 public hospitals in the Assitance Publique des Hôpitaux de Paris (AP-HP) network in the Parisian area.ParticipantsA total of 1238 nurses, assistant nurses, X-ray technicians, managers, lab technicians, midwives and childcare assistants working at night or alternating between days and nights answered the questionnaire.InterventionOnline survey.Outcome measuresPAS use prevalence after weighting data for sex, age and profession using calibration on margins, in order to be representative of all AP-HP NSHW. We used the Fagerström scale and the Alcohol Use Disorders Identification Test Concise to assess PAS use.ResultsThe weighted estimated prevalences of daily smoking, alcohol drinking and tranquilliser use in participating NSHW were 21.4, 1.3 and 2.4%, respectively. Twelve per cent (11.7%) of our study sample used opioids. During the first COVID-19 wave, PAS use remained stable except for tobacco use, with 8.6% of participants reporting an increase. Previous 3-month prevalences of tranquilliser and opioid use were significantly higher than in the general population.ConclusionDaily smoking (especially in younger men) and tranquilliser and opioid use were highly prevalent in NSHW in the AP-HP network during France’s first COVID-19 wave. Specific interventions for quitting smoking and addressing determinants of tranquilliser and opioid use in NSHW need to be developed and evaluated to improve quality of life in these essential, underdiagnosed and undertreated health personnel. |
| Databáze: | OpenAIRE |
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