Titre : | Cannabis use in the community (1996) |
Auteurs : | J. R. ROBERTSON ; P. MILLER ; R. ANDERSON |
Type de document : | Article : Périodique |
Dans : | British Journal of General Practice (Vol.46, n°412, November 1996) |
Article en page(s) : | 671-674 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus mots-clés CANNABIS ; CONSOMMATION ; ENQUETE ; MEDECIN GENERALISTE ; COHORTE ; EPIDEMIOLOGIE ; EVALUATION ; EFFET SECONDAIRE ; SANTE |
Résumé : |
FRANÇAIS :
Résultats d'une enquête par questionnaire menée en 1995 auprès des patients des médecins généralistes britanniques, sur la prévalence de leur usage de cannabis (actuellement ou dans le passé) et les problèmes de santé liés à cet usage. Une importante proportion (61%) des patients participant à l'enquête dit consommer ou avoir consommé du cannabis et peut être répartis de façon générale en 3 catégories : les expérimentateurs, les usagers réguliers et les usagers "lourds". Les problèmes médicaux concernaient également ceux liés à l'usage associé de tabac ou d'autres drogues illicites et les problèmes psychologiques. Bien que les bronchites et les problèmes d'anxiété soient fréquents, l'enquête indique quelques effets nocifs sérieux liés à l'usage de cannabis. Les effets nocifs de l'usage associé de tabac et d'autres drogues et les problèmes avec la justice ou autour de la loi dominent et éclipsent la compréhension scientifique des effets et réactions secondaires du cannabis. ENGLISH : BACKGROUND: The illegal use of cannabis has been increasing in many Western countries for the past two decades. Recently, some interest has been shown in modifying legislation and control. The need for general practitioners to be aware of the short- and long-term consequences of cannabis use is increasing, and more information is required about its effects on behaviour, psychological states and the respiratory and cardiovascular systems. The use of general practice populations to study the prevalence of cannabis use and its damaging effects is less represented in the literature than it should be, considering the extent of cannabis consumption. AIM: A study was carried out in 1995 to determine the prevalence of cannabis use in a general practice population and any associated health problems. As a pilot study, samples of cannabis were obtained for forensic analysis. METHOD AND PATIENTS: Two questionnaires were used. One very short enquiry about the use, if any, of the drug, and a longer one about the effects of its use. Data concerning medical effects were included from patients' case notes. Samples of cannabis were obtained for forensic examination. RESULTS: A very high proportion (61%) of patients surveyed indicated some cannabis use (past or present). Thirty-seven per cent had used it in the previous 12 months. Users could be broadly divided into transitory experimenters, regular users and heavy users. Medical problems included those attributed to associated tobacco smoking, other illegal drug use and psychological problems. Benefits perceived by patients recording use were many. Polydrug use and legislation issues were difficult to separate from the effects of cannabis itself. Chest infections, anxiety and depression, and drug dependence were common diagnoses, and 13 of the 32 females in the study group had evidence of cervical smear abnormalities. CONCLUSIONS: Few serious damaging effects from cannabis use itself were identified, although chest infections and anxiety problems were common. Tobacco damage, associated drug use and criminal or legal issues dominated and obscured the important perceived benefits and the scientific understanding of the effects and side effects of the drug. More research into several identified areas is required. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 10 |
Affiliation : | Alcohol Research Group, Edinburgh University, UK |
Numéro Toxibase : | 402335 |
Centre Emetteur : | 04 CIRDD-51 |
Lien : | http://bjgp.org/content/46/412/671.abstract |
Accueil