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Master Thesis

Quel rôle jouent les médecins généralistes dans le repérage et la prise en charge des patients consommateurs de cannabis ? Étude menée sur l'île de La Réunion entre décembre 2013 et mars 2014

Abstract : Background: The past decade, cannabis use increased in France. The use of cannabis became the first product use as a recreational drug. It spreads among a younger population that tends to use more concentrated products. Reunion Island’s population is younger than the metropolitan, and hazardous uses are more frequent. The existence of many serious complications makes prevention and screening necessary for public health. Objective: Describe screening and support given by Reunion's GP to their cannabis users patients. We wanted to determine the users profile and to know which complications concerned practitioners. Methods: In this transversal study, a sample of 60 general practitioners (7,65% of Reunion's GP) randomly selected from the phonebook , was screened from december 2013 to march 2014. They were asked about their practices through an anonymized on line survey. Results: 81% of participants declared tracking cannabis use among 15-35 years old "sometimes" or "never". Road danger and pneumological risks were approached by physicians up to the rate of 8% for road danger and 2% for respiratory exploration. In case of intensive user, 8% of them were looking for ancient psychologic trauma. A stress factor was reported in case of intensive use, "always" and "often" by 14% and 67% of participants. An autotherapeutic rate of use was estimated from 0 to 9% by half of participants. A former psychological trauma was systematically sought by 8% of participants. Discussion: We have highlighted that tracking of the use of cannabis is not sufficiently practiced by GP on Reunion Island. We show required improvements and propose ways to achieve this. Participants expressed a desire for training in support of consumers. Those local datas had never been measured previously. We propose using of screening tests like CAST or ADOSPA, and complementary education to improve general physician's practices.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01126669
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Friday, March 6, 2015 - 3:12:12 PM
Last modification on : Friday, October 23, 2020 - 5:02:47 PM
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Christophe Quentin. Quel rôle jouent les médecins généralistes dans le repérage et la prise en charge des patients consommateurs de cannabis ? Étude menée sur l'île de La Réunion entre décembre 2013 et mars 2014. Médecine humaine et pathologie. 2014. ⟨dumas-01126669⟩

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