Abstracts
Résumé
Certains groupes sociaux afficheraient une plus forte prévalence de consommation de substances psychoactives que la population générale, comme c’est le cas pour les personnes ayant subi une blessure à la moelle épinière. Le premier objectif de cet article est d’évaluer la prévalence d’usage d’alcool, de drogues illicites et de médicaments psychotropes chez les personnes lésées médullaires en fonction du type de consommateurs. Le second objectif est d’évaluer l’évolution de l’usage selon les périodes précédant la lésion, de réadaptation fonctionnelle et de retour à domicile. Un échantillon de 85 adultes avec une lésion à la moelle épinière présentement au retour à domicile a été interviewé entre 2007 et 2008 à l’aide de la grille de dépistage/évaluation du besoin d’aide-Alcool et Drogues. Les résultats montrent que le nombre de consommateurs à haut risque d’alcool diminue de manière significative de la période précédant la lésion médullaire à celle du retour à domicile. Les résultats ne se sont pas avérés significatifs pour la consommation de drogues et de médicaments sédatifs. Les résultats sur la consommation réduite de SPA durant la période de réadaptation fonctionnelle soulèvent la nécessité de motiver les institutions à rester vigilantes sur la consommation de leurs bénéficiaires LM et les médecins sur leurs prescriptions de médicaments.
Mots-clés :
- Lésion médullaire,
- troubles liés à l’utilisation d’une substance (TUS),
- prévalences,
- trajectoires de consommation
Abstract
Some social groups have a higher prevalence of psychoactive substance use than general population like persons with spinal cord injury. The first objective is to evaluate the prevalence of alcohol, illicit drugs and psychotropic drugs use in persons with spinal cord injury (SCI) according to types of consumers. The second objective is to evaluate the evolution of the use according to the periods before injury, active rehabilitation and return home. A sample of 85 adults with spinal cord injury currently at home were interviewed between 2007 and 2008 using the Assessment and Screening of Assistance Needs- Alcohol and Drugs. The results show that. the number of high-risk consumers of alcohol significantly decreases when period of return home was compare to before injury. The results were not significant for the consumption of illicits drugs and sedative drugs. The results in reduced consumption of SPA in active rehabilitation period raises the need to motivate institutions to remain vigilant in regards with the consumption of SCI persons and physicians on their psychotropic drugs prescriptions.
Keywords:
- Spinal Cord Injury,
- Substance use disorders,
- Prevalence,
- Consumer Trajectories
Resumen
Ciertos grupos sociales presentarían una prevalencia mas fuerte de consumo de sustancias psicoactivas que la población en general, como es el caso de las personas que han sufrido una lesión en la médula espinal. El primer objetivo de este artículo es el de evaluar la prevalencia del uso de alcohol, de drogas ilícitas y de medicamentos psicotrópicos entre las personas con lesiones medulares en función de los tipos de consumidores. El segundo objetivo es el de evaluar la evolución del uso según los períodos precedentes a la lesión, de readaptación funcional y de regreso al domicilio. Entre 2007 y 2008 se entrevistó a una muestra de 85 adultos con lesiones en la médula espinal actualmente de regreso en su domicilio, mediante una grilla de detección y evaluación de la necesidad de ayuda-Alcohol y Drogas. Los resultados muestran que la cantidad de consumidores que presentan alto riesgo por el alcohol disminuye de manera significativa entre el período precedente a la lesión medular y el regreso al domicilio. Los resultados no fueron significativos en lo que respecta al consumo de drogas y de medicamentos sedantes. Los resultados sobre el consumo reducido de sustancias psicoactivas durante el período de readaptación funcional sugieren la necesidad de motivar a las instituciones a permanecer vigilantes con respecto al consumo de sus beneficiarios con lesiones medulares y a los médicos con sus prescripciones de medicamentos.
Palabras clave:
- lesión medular,
- problemas ligados al uso de una sustancia,
- prevalencias,
- trayectorias de consumo
Appendices
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