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Master Thesis

Attitudes des patients suivis en médecine générale vis-à-vis des risques alcool et tabac‎ : travail de thèse réalisé à partir des données françaises de l'étude EUROPREVIEW

Abstract : Tobacco and alcohol abuse are public health priorities that would benefit from preventative action on the part of general practitioners (GPs). We evaluated the alcohol and tobacco usage of 327 (out of an expected 400) French patients through the EUROPREVIEW survey. Alcohol consumers were divided into 2 groups: not at risk (DETA1) and at risk (DETA2). Among these 327 patients, 88 (26.9%) smoked; 96 (29.4%) were abstinent from alcohol, 208 (63.6%) were DETA1, 23 (7.0%) were DETA2. The need for risk reduction was higher for smokers than for DETA1+2 (p < 0.0001), for DETA2 than DETA1 (p < 0.0001) and for smokers than DETA2 (p < 0.01). The stage in readiness to change consumption was further for smokers than for DETA1+2 (p < 0.0001), for DETA2 than DETA1 (p < 0.0001) and similar between smokers and DETA2 (p = 0. 13). Feelings of personal efficiency were stronger for smokers than for DETA1+2 (p < 0.005), not significantly different between DETA1 and 2 (p = 0. 06) and DETA2 and smokers (p = 0. 87). The request for GP support was higher for smokers than for DETA1+2 (p < 0.0001), for DETA2 than DETA1 (p < 0.001), identical between DETA2 and smokers (p = 0. 09). Patients preferred individual counseling. GPs gave information to smokers more than to DETA1+2 (p < 0.0001), to DETA2 more than to DETA1 (p < 0.01), and DETA2 and smokers were equally informed (p = 0. 08). Unlike the risk associated with tobacco consumption, alcohol abuse is poorly identified by both patients and physicians. GPs must be made aware of this risk and have to overcome their own resistances in order to provide patients with the necessary and scientifically valid preventative action.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00619186
Contributor : Jean-Hugues Morneau <>
Submitted on : Monday, September 5, 2011 - 5:01:14 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Tuesday, December 6, 2011 - 2:26:56 AM

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  • HAL Id : dumas-00619186, version 1

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M. Charpentier. Attitudes des patients suivis en médecine générale vis-à-vis des risques alcool et tabac‎ : travail de thèse réalisé à partir des données françaises de l'étude EUROPREVIEW. Médecine humaine et pathologie. 2011. ⟨dumas-00619186⟩

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