Titre : | Perceived stigma, substance use and self-medication in night-shift healthcare workers: a qualitative study (2022) |
Auteurs : | L. COUSIN ; G. ROUCOUX ; A. S. PETIT ; L. BAUMANN-COBLENTZ ; O. R. TORRENTE ; A. CANNAFARINA ; O. CHASSANY ; M. DURACINSKY ; P. CARRIERI |
Type de document : | Article : Périodique |
Dans : | BMC Health Services Research (Vol.22, n°1, 2022) |
Article en page(s) : | art. 698 |
Langues: | Anglais |
Discipline : | SHS (Sciences humaines et sociales / Humanities and social sciences) |
Mots-clés : |
Thésaurus géographique FRANCEThésaurus mots-clés ETUDE QUALITATIVE ; MILIEU PROFESSIONNEL ; HOPITAL ; ADDICTION ; AUTOMEDICATION ; MEDECINE DU TRAVAIL ; STIGMATISATION ; RYTHME CIRCADIEN ; STRESS ; ALCOOL ; TABAC ; CANNABIS ; PERSONNEL PARAMEDICAL ; SOMMEIL |
Résumé : |
BACKGROUND: Many risk factors related to altered circadian rhythms impact the health of night-shift hospital workers (NSHW), resulting in mental and somatic disorders. Easy access to psychoactive substances (PS) may facilitate addictive behaviors in NSHW. They are also exposed to a stressful work environment, which may further affect sleep quality. This study aimed to explore the link between sleep deprivation, work-related psychosocial stress and psychoactive substance use as a self-medication response in NSHW.
METHODS: Qualitative study to verify the plausibility of the self-medication theory applied to addictive behaviors. Semi-structured interviews (N = 18 NSHW) and thematic analysis, following consolidated criteria for reporting qualitative research recommendations. RESULTS: Stigma against NSHW was a primary element of a stressful work environment. The stressful and stigmatizing environment, together with night-shift work, further affected NSHW sleep and their mental and physical health. The use of PS appeared to be for self-medication, encouraged by social and professional environments, source(s) of stress, discrimination, and isolation. The work environment, through aggravated sleep disorders, led NSHW to use non-prescribed sleeping pills. Alcohol after work and smoking were used as a social break but also as a means to reduce stress. CONCLUSION: Anti-stigma interventions in the healthcare setting and screening of mental/somatic disorders in NSHW can help reduce harmful self-medication behaviors and improve hospital care in the COVID-19 era. |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 59 |
Affiliation : | Unité de Recherche Clinique en Economie de La Santé (URC-ECO), AP-HP, Hôpital Hôtel-Dieu, Paris, France |
Lien : | https://doi.org/10.1186/s12913-022-08018-x |
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