Historique
Périodique
L'alcool chez les adolescents. III. Place du médecin de famille dans la prévention des conduites d'alcoolisation chez les adolescents
(Alcohol and adolescents. III. The place of family physicians in prevention)
Auteur(s) :
PICARD, V. ;
GERBAUD, L. ;
PERTHUS I. ;
CLEMENT, G. ;
GLANDDIER, P. Y. ;
REYNAUD, M.
Année :
2002
Page(s) :
796-799
Langue(s) :
Français
Refs biblio. :
17
Domaine :
Alcool / Alcohol
Thésaurus mots-clés
ALCOOL
;
CONSOMMATION
;
ADOLESCENT
;
MEDECIN GENERALISTE
;
PREVALENCE
;
ENQUETE
;
TEST
;
DEPISTAGE
;
CRAFFT
Note générale :
Revue du Praticien (La). Médecine Générale, 2002, 16, (575), 796-799
Résumé :
FRANÇAIS :
Il semble important que tout médecin généraliste s'intéresse aux consommations d'alcool des adolescents et puisse les détecter facilement. Le test CRAFFT, expérimenté sur 103 adolescents en cabinet médical permet d'évaluer la prévalence de consommation, d'ivresses, l'âge de début de l'alcoolisation. C'est aussi un outil de sensibilisation des praticiens qui rencontrent encore des difficultés lors des consultations d'adolescents pour le repérage des usages de substances psychoactives. (A partir du résumé de la revue.)
ENGLISH :
Objective: Measuring the prevalence of alcohol abuse with an early screening test (CRAFFT) in adolescents requesting health care and evaluating the preventive role of family physicians.
Method: 13 family physicians (general practitioners) from Clermont-Ferrand and its vicinity investigated alcohol abuse in adolescents at the end of the year 2000.
Results:103 adolescents, 13 to 25 years old, attending school or not, were included in the study as they consulted their family physician. The mean age for first alcohol consumption and abuse was 13,4 and 15,7 years old respectively. 15,5 % of the youths investigated stated they had had at least 31 drinking bouts during the year preceding the study. 2 inebriations a year was the norm after the first bout and this abuse had remained undetected for 84% of this population.
Conclusion: This study evidenced the problems inherent to adolescent care in general practice and the fact that family physicians were not yet familiar with alcohol abuse in this youth group. As field professionals, these physicians know their young patients and the social environment they are evolving in quite well and must now be aware of this abuse. CRAFFT was a highly efficient screening tool and proved quite suitable for general practice usage within the framework of this study. Family physicians should be trained to easily screen their young patients for psychoactive substance abuse, identify those at risk (with suitable tools e.g. CRAFTT) at an early stage and suggest proper management.
Il semble important que tout médecin généraliste s'intéresse aux consommations d'alcool des adolescents et puisse les détecter facilement. Le test CRAFFT, expérimenté sur 103 adolescents en cabinet médical permet d'évaluer la prévalence de consommation, d'ivresses, l'âge de début de l'alcoolisation. C'est aussi un outil de sensibilisation des praticiens qui rencontrent encore des difficultés lors des consultations d'adolescents pour le repérage des usages de substances psychoactives. (A partir du résumé de la revue.)
ENGLISH :
Objective: Measuring the prevalence of alcohol abuse with an early screening test (CRAFFT) in adolescents requesting health care and evaluating the preventive role of family physicians.
Method: 13 family physicians (general practitioners) from Clermont-Ferrand and its vicinity investigated alcohol abuse in adolescents at the end of the year 2000.
Results:103 adolescents, 13 to 25 years old, attending school or not, were included in the study as they consulted their family physician. The mean age for first alcohol consumption and abuse was 13,4 and 15,7 years old respectively. 15,5 % of the youths investigated stated they had had at least 31 drinking bouts during the year preceding the study. 2 inebriations a year was the norm after the first bout and this abuse had remained undetected for 84% of this population.
Conclusion: This study evidenced the problems inherent to adolescent care in general practice and the fact that family physicians were not yet familiar with alcohol abuse in this youth group. As field professionals, these physicians know their young patients and the social environment they are evolving in quite well and must now be aware of this abuse. CRAFFT was a highly efficient screening tool and proved quite suitable for general practice usage within the framework of this study. Family physicians should be trained to easily screen their young patients for psychoactive substance abuse, identify those at risk (with suitable tools e.g. CRAFTT) at an early stage and suggest proper management.
Affiliation :
Unité Alcoologie, Ctr. Méd. Départ. F. Mercier, 03240 Tronget, France