Psychoactive drug use by medical students
a review of the national and international literature
Keywords:
Drugs, medical students, dependency, prevention and medical educationAbstract
Non-medical drug use among medical students is a major concern among researchers and policy makers in several countries, not only because of the personal harmful consequences that may arise from this behavior, but also for the social consequences. This article aims to evaluate national and international data available on non-medical drug-use among medical students and risk factors associated with these problems, as well as social and institutional implications. Prevalence rates, in Brazilian and international samples, of alcohol and drug use, abuse and dependence, reasons for onset, methodological issues, and the role of medical education are presented, compared and discussed. The authors suggest some issues that should be a addressed in order to deal with this complex situation.
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Baldwin Jr DC, Hughes PH, Conard SE, Storr CL, Sheehan DV. Substance use among senior medical students: a survey of 23 medical schools. JAMA 1991;265(16):2074-8.
Hays Lr, Metzler DW. Survey of medical student substance use and parental alcohol use. Sub Abuse 1993;1.4(1):72-8.
Helwick SA. Substance abuse education in medical school: Past, present and future. J Med Ed 1985;60:707-11.
Kory WP, Crandall LA. Nonmedical drug use patterns among medical students. Intl J Add 1984;19:871-84.
McAuliffe WE, Rohman M, Santangelo S, Feldman B, Magnuson, E, Sobol A, Weissmann J. Psychoactive drug use among practicing physicians and medical students. N Engl J Med 1986;315(13):805-10.
Menendez RG, Calabuch ID. El consumo de substancias psicoativas en estudiantes de quinto año de medicina. Rev Hosp Psiquiat Habana 1990;31(2):233-40.
Roche AM. Drug and alcohol medical education: evaluation of a national programme. B J Add 1992;87:1041-8.
Silva AMA, Souza CB, Marini D, Borges LH, Rahmé ML, Mesquita ME. Prevalência do uso de álcool, cigarro e maconha nos alunos da Faculdade de Medicina da Universidade de São Paulo. Arquivo da Coordenação de Saúde Mental 1985;XLV:134-45.
Clark DC, Eckenfels EJ, Daugherty, SR, Fawcett J. Alcohol-use pattern through medical school. JAMA 1987;257:2921-6.
Clark DC, Daugherty, SR, Baldwin Jr DC, Hughes PH, Storr CL,Hedeker D. Assessment of drug involvement: Applications to a sample-of physicians in training. B J Add 1992;87:1649,62.
Fuchs FD. O médico e a questão dos medicamentos: Uma análise crítica sobre os fundamentos da prescrição de fármacos. Ciência e Cultura 1988;40(7):652-5.
Maddux JF, Hoppe SK, Costello RM.(1986). Psychoactive substance use among medical students. A J Psych 1986;143(2):187-91.
Andrade AG, Bassit AZ, Mesquita AM, Fukushima JT, Gonçalves EL. Prevalência do uso de drogas entre alunos da Faculdade de Medicina da Universidade de São Paulo (1991-1993). Rev ABP-APAL 1995;17(2):41-6.
Andrade AG. Álcool e Drogas: Pesquisa sobre atitudes e uso em estudantes de medicina do Estado de São Paulo. Relatório enviado a FAPESP.1995.
Mesquita AM, Bucaretchi HA, Castel S, Andrade AG. Estudantes da faculdade de medicina da Universidade de São Paulo: Uso de substâncias psicoativas em 1991. Rev ABPAPAL 1995;17(2):47-54.
Brenes LFV, Hammes MF, Solé MTV, Hein R, Ramil KAA. Drogas Ilícitas entre Universitários. Rev Assc Méd Rio Grande Sul 1986;30(2):140-43.
Carvalho FV. Drug use among university students in the state of São Paulo, Brazil. Bulletin on Narcotics (United Nations Publication) 1986;XXXVIII(1,2):37-40.
D'Assumpção EA. Um perfil do uso de drogas entre estudantes universitários. A Folha Médica 1988;97(5):309-12.
Gorenstein C, Delucia R, Gentil V. Uso de psicoestimulantes e energizantes por universitários. Rev Assc Méd Bras1983;29(3,4):45-6.
Magalhães MP, Barros RS, Silva MTA. Uso de drogas entre universitários: A experiência com maconha como fator delimitante. Rev ABP-APAL 1991;13(3):97-104.
Murad JE. Drug abuse among students in the state of Minas Gerais, Brazil. Bulletin on Narcotics 1979;31(1):49-58.
Plotnik R, Azmus Ad, Tannhauser M, Tannhauser SL. Utilização de psicotrópicos por estudantes universitários. Rev Pesquisa Médica 1986;20(2):109-13.
Zanini AC, Moraes E.C.F, Akerman B, Aizenstein M, Salgado PET. Concept and use of psychoactive drugs among university students in the São Paulo area. Drug Forum 1977;6(2):85-99.
Almeida-Filho N, Santana VS, Pinto IM, Carvalho-Neto JA. Is there an epidemic of drug misuse in Brazil? a review of the epidemiologic evidence (1977-1988). Intl J Add 199126(3):355-369.
Smart RG, Hughes PH, Johnston LD, Anumonye A, Khant U, Mora MEM, Navaratnam Vposhyachinda V, Varmav K, Wadudk A. A methodology for student drug-use surveys. WHO Offset Publication 50,1980.
Schwartz RH, Lewis DC, Hoffman NG, Kyriazi N. Cocaine and marijuana use by medical students before and during medical school. Arch Intern Med 1990;150:883-6.
Crofton JW, Fréour PP, Tessier JF. Medical education on tobacco: Implications of a worldwide survey. Med Ed 1994;28:187-96.
Bertschy G. Le Programme "Prévention et perfectionnement des médecins dans le domaine de la toxicomanie" (Programme PPMT). Revue Méd Suisse Romande 1993;113:391-392.
Fenton GW. Medical education and substance abuse. J Royal Soc Med 1992;85:435-6.
Masur J, Zwicker AP. Concepções do estudante de medicina sobre a etiologia do alcoolismo. influências regionais. Ciência e Cultura 1979;31(4):382-8.
Paton A. Alcohol misuse and the hospital doctor. B J Hosp Med 1989;42:394-400.
Spickard Jr A, Johnson NP, Burger C. Learning through experience: Interviewing real patients?. Alcohol Health Res World 1989;13(1).
Brown ME Denton SL, BCSW Vargas IC. A needs assessment of health and wellness services for medical students, residents and faculty. Sub Abuse 1994;15(1):29-32.
Jorge MR, Masur J. An attempt to improve the identification of alcohol dependent patients in a teaching general hospital. Drug Al Dep 1985;16:67-73.
Negrete JC,The role of medical schools in the prevention of alcohol-related problems. Can Med Assc J 1990;143(10):1048-53.
Vaillant GE, Sobowale NC, McArthur C. Some psychological vulnerabilities of physicians. N Engl J Med 1972;287:372-5.
Martins, LAN. Residência Médica: um estudo prospectivo sobre dificuldades na tarefa assistencial e fontes de estresse. Tese de Doutorado, Escola Paulista de Medicina. 1994.
McCue JD. The effects of stress on physicians and their medical practice. N Engl J Med 1982:306:458-63.
Burger MC, Spickard WA. Integrating substance abuse education in the medical student curriculum. A J Med Sci 1991;302(1):181-4.
Chappel JN, Veach TL, Krug RS. The substance abuse attitude survey: An instrument for measuring attitudes. J Stud Alcohol 1985;46(1):48-52.
Coggan PG, Davis AK, Hadac R. Alcoholism curriculum development: An examination of the process. J Fam Prac 1984;19(4.):527-32.
Goldsmith RJ. Effective education can change attitudes with psychiatric residents. Sub Abuse 1994;15(3):139-45.
Mueller TI, Lewis DC. The short story in substance abuse education. Sub Abuse 1994;15(1):47-53.
Nocks JJ. Instructing medical students in alcoholism: What to teach with limited time. J Med Ed 1980;55:858-64.
Adger JR H. Multidisciplinary approaches to medical education in substance Abuse. Sub Abuse 1993;14(1):3-4.
Huguenin M. Du Plaisir a s'occuper de Toxicomanes? Revue Méd Suisse Romande 1993;113:373-8.
Korkoc M. How can we teach students about alcoholism? Can Assc J 1984;130:305-8.
Aronson SM. Alcoholism and the medical curriculum. Rhode Island Med J 1980;63:11-12.
