Le coût social des drogues licites et illicites en France

Kopp, Pierre-Alexandre

doi:10.1016/j.banm.2018.09.001

Cited by 19 publications

(15 citation statements)

References 5 publications

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“…Chronic diseases and poor lifestyles can also lower workers' productivity, and harm their employment prospects and wages. For example, in France the overall production losses related to alcohol use and smoking have been estimated at 9 and 8.6 billion Euros respectively (Kopp, 2015). In Germany, sickness absence and enforced early retirement due to smoking cost an estimated 4.9 and 3.5 billion Euros respectively (Welte et al 2000).…”

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confidence: 99%

Inclusive growth and health

James

Devaux

Sassi

2017

OECD Health Working Papers

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systems/health-working-papers.htm OECD Working Papers should not be reported as representing the official views of the OECD or of its member countries. The opinions expressed and arguments employed are those of the author(s). Working Papers describe preliminary results or research in progress by the author(s) and are published to stimulate discussion on a broad range of issues on which the OECD works. Comments on Working Papers are welcomed, and may be sent to health.contact@oecd.org. This series is designed to make available to a wider readership selected health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language-English or Frenchwith a summary in the other. This document and any map included herein are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area. The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.

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confidence: 99%

Inclusive growth and health

James

Devaux

Sassi

2017

OECD Health Working Papers

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“…L'alcool constitue la 1ere cause de mortalité prématurée et la deuxième cause de mortalité évitable avec 45.000 décès par an en France en 2015. On estime que 1,4 million de français souffriraient de pathologies attribuables à l'alcool [36]. Par leurs effets sur la vigilance et les perceptions, les alcoolisations ponctuelles sont une cause d'accidents et de passages à l'acte parfois mortellement hétéro agressifs.…”

Section: Les Complicationsunclassified

Conduites addictives : faits cliniques

Lucet

Olié

2020

Bulletin de l'Académie Nationale de Médecine

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Déclaration de liens d'intérêt : aucun *Étant donné le contexte sanitaire épidémique lié au Covid-19 du mois de mars 2020, la présentation orale de cette communication en séance à l'Académie a été reportée. MC : Médecine de l'addiction KW : Addiction Medicine RésuméMalgré les fréquentes comorbidités psychiatriques, le trouble de l'usage de substance doit être appréhendé comme une pathologie autonome par ses déterminants, sa sémiologie et ses modalités évolutives spontanées ou sous traitement. De multiples produits de synthèse sont désormais accessibles via internet : associé à la créativité des chimistes cela a participé à l'émergence de pratiques inédites allant du chemsex au purple drank.Les conduites addictives résultent d'un ensemble de facteurs individuels (vulnérabilités biologique et psychique) et contextuels (disponibilité et banalisation du toxique dans l'environnement). Les pathologies mentales autres sont des facteurs de vulnérabilité à la pathologie addictive, tout comme les conduites addictives peuvent révéler une pathologie émotionnelle ou psychotique.Le médecin se doit d'entendre l'impuissance du malade face au besoin irrépressible de consommer (craving) et proposer une thérapeutique qui peut être chimique (y compris traitement de substitution) et psychologique. Dans la majorité des cas un accompagnement social s'impose pour corriger les effets désocialisants du trouble de l'usage de substances ou des comportements addictifs. AbstractDespite the frequency of psychiatric comorbidities, substance use disorder must be understood as an autonomous pathology due to its own determinants, semiology and possibilities of evolution, either spontaneous or under treatment.The ease of access to multiple synthetic products via the Internet combined with the creativity of chemists are contributing to the emergence of novel practices ranging from chemsex to purple drank.

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“…AUD is an important socio-economic burden on the country, despite a slight decreasing trend in consumption in recent decades. The social cost -defined as the total monetary and nonmonetary cost because of alcohol use -was 120 billion euros in 2010 in France [7].…”

Section: Introductionmentioning

confidence: 99%

Screening and care for alcohol use disorder in France: expectations, barriers and levers using a mixed-methods approach

et al. 2020

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Background:The widespread under-screening and under-treatment of alcohol use disorder (AUD) contributes to its health and socioeconomic burden. We conducted a mixed-methods (qualitative and qualitative) study in people with alcohol use disorder (PWAUD) to explore their expectations, as well as barriers and levers to AUD care.Methods: Individuals with AUDIT > 15 (N = 179) were interviewed using computer-assisted interviews in several medical and non-medical sites (e.g., bars) (quantitative substudy). We also conducted semi-structured face-to-face interviews with 36 PWAUD (qualitative substudy). Using logistic regression, we explored factors associated with having previously received/sought care for AUD. Three major themes were identified in the qualitative textual analysis using a descending hierarchical classification. Results: Not socializing with heavy drinkers (AOR [95%CI]:3.84[1.66-8.85]), regular smoking (9.72[3.91-24.15]) and feeling discriminated against (2.35[1.10-5.05]) were independent levers to having sought/received care for AUD, while being aged < 50 and employment were independent barriers. The five predominant themes in PWAUD discourses emerging from the textual analysis were: drinking context, medical care, alcohol treatment, tobacco/ addiction and family. When triangulating results from the logistic regression and the textual analysis, two barriers (social drinking and difficulties with the medical care system), and two levers (family influence and tobacco addiction), emerged.Conclusion: These results underline the need for interventions targeting families and the social network to increase awareness about AUD and related care. Simplified and novel comprehensive care trajectories are urgently needed to reduce the clinical and public health burden of AUD.

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Le coût social des drogues licites et illicites en France

Cited by 19 publications

References 5 publications

Inclusive growth and health

Inclusive growth and health

Conduites addictives : faits cliniques

Screening and care for alcohol use disorder in France: expectations, barriers and levers using a mixed-methods approach

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