Perceived stigma, substance use and self-medication in night-shift healthcare workers: a qualitative study

Cousin, Lorraine; Roucoux, Guillaume; Petit, Anne Sophie; Baumann-Coblentz, Laurence; Torrente, Olivia Rousset; Cannafarina, Adriano; Chassany, Olivier; Duracinský, Martin; Carrieri, Patrizia

doi:10.1186/s12913-022-08018-x

Cited by 13 publications

(11 citation statements)

References 51 publications

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“…It is well established that the stigma associated with AUD, is one of the most prominent barriers to treatment-seeking [ 17 – 20 ]. Previous studies have mainly focused on barriers to treatment and there is therefore a need to also investigate what individuals would potentially do if they developed AUD, i.e.…”

Section: Introductionmentioning

confidence: 99%

Public stigma and treatment preferences for alcohol use disorders

Finn

Mejldal

Nielsen

2023

BMC Health Serv Res

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Background Alcohol use disorders (AUD) are among the most highly stigmatized medical conditions. Only a minority of individuals with AUD seek treatment, and stigma is one of the most prominent barriers to treatment-seeking. However, there is a lack of knowledge about the associations between stigma and preferences for help-seeking, and the associations between stigma and preferences for treatment seeking. Aim to investigate the associations between stigma and preferences for where to seek help and treatment for AUD. As sub-analyses, associations between stigma, level of alcohol use and preferences for help-seeking and treatment preferences will be analyzed. Method Cross-sectional design, including n = 3037 participants aged 30 – 65 years, living in Denmark. Data: In 2020, an online questionnaire was administered by a market research company. The questionnaire covered demographics, preferences for help-seeking and treatment for AUD, stigma measured with the Difference, Disdain & Blame Scales for Public Stigma, and alcohol use measured with the Alcohol Use Disorder Test (AUDIT). Analyses: restricted cubic spline models were applied to model outcomes. Odds ratios were calculated. Results A lower level of stigma was associated with a higher probability of preferring formal and informal help-seeking for AUD. Both high and low levels of stigma were associated with a higher probability of preferring to consult general practitioners. Stigma was not associated with other preferences for treatment-seeking, nor trying to change oneself or a passive strategy. The sub-analyses, grouped by level of alcohol use, showed similar results. Conclusion Stigma is associated with lower preferences for formal and informal help-seeking, however not type of treatment preferred. Future studies should address stigma in relation to other factors of the treatment-seeking process.

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Section: Introductionmentioning

confidence: 99%

Public stigma and treatment preferences for alcohol use disorders

Finn

Mejldal

Nielsen

2023

BMC Health Serv Res

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“…Nurses use or abuse different types of substances, like non-prescribed medications, alcohol, khat or cigarette to alleviate the stress associated with shift work [ 22 , 41 ]. Shiftwork by itself was associated with nurses’ use/abuse of substances [ 42 ].…”

Section: Introductionmentioning

confidence: 99%

Shiftwork sleep disorder and associated factors among nurses working at public hospitals in Harari Regional state and Dire Dawa Administration, Eastern Ethiopia: a cross-sectional study

et al. 2023

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Background Shiftwork sleep disorder is one of the most common health-related effects of Shiftwork, particularly among healthcare workers. It is a chronic condition that is directly related to a person’s work schedule. In Ethiopia, although a mental health strategy is in place, little attention is given to studies that focus on shiftwork sleep disorders among nurses. This study aimed to determine the magnitude of shiftwork sleep disorder and associated factors among nurses working at public hospitals in Harari Regional State and the Dire Dawa Administration. Methods Institutional based cross-sectional study was conducted from June 1–30, 2021 among 392 nurses selected by a simple random sampling technique. A structured interviewer-guided self-administered questionnaire was used for data collection. The International Classification of Sleep Disorders 3rd edition (ICSD-3), Bargen Insomnia Scale (BIS) and Epworth Sleepiness Scale were used to assess shift-work sleep disorder. The data were entered into EpiData and exported to SPSS for analysis. Bivariable logistic regression was used to see the association between the outcome and the explanatory variables. Bivariate and Multivariate analyses were performed, and AOR with 95% CI was used to measure the strength of the association. Those variables with a p-values of < 0.05 were considered as statistically significant. Results In this study, the magnitude of shiftwork sleep disorder among nurses was 30.4% (95% CI: 25.4–34.5). Being female (AOR = 2.4, 95% CI: 1.3, 4.2), working an average number of nights > 11 per month in the last 12 months (AOR = 2.5, 95% CI: 1.3, 3.8), and khat use in the last 12 months (AOR = 4.9, 95% CI: 2.9, 8.7) were significantly associated with the shiftwork sleep disorder. Conclusions The study revealed that about one-third of the nurses had a shiftwork sleep disorder implying a high burden of the problem among nurses in the study setting, which endangers nurses, patients, and the healthcare system. Being female, working an average number of nights > 11 per month in the last 12 months, and khat use showed statistically significantly associated with the shiftwork sleep disorder. Early detection of shiftwork sleep disorder, having a policy on khat use and considering rest/recovery while scheduling work time should be addressed to prevent shiftwork sleep disorder.

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“…This could be because of sleep disorders experienced by healthcare workers caused by night shift work. 24 Many studies have demonstrated a strong association between night shift work and sleep disorders. These disorders are related to the alteration of circadian rhythms and have been identified as a potential cause of certain addictive behaviors and psychological distress.…”

Section: Discussionmentioning

confidence: 99%

Addressing substance abuse among healthcare professionals in a tertiary healthcare facility in Nigeria: a case study of Nnamdi Azikiwe university teaching hospital

Anagwu,

Edeh,

Ekwebene

et al. 2024

Int J Res Med Sci

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Background: The use of psychoactive substances is prevalent worldwide, including among healthcare workers whose well-being, productivity, and effectiveness in addressing substance addiction in patients and the wider community can be significantly impacted. However, the extent of substance misuse among healthcare professionals in Nigeria, with its substantial social and public health implications, remains poorly understood. This research focused on the prevalence, attitudes, substances used, and influencing factors regarding substance misuse among staff at Nnamdi Azikiwe university teaching hospital (NAUTH) in Nnewi. Methods: A descriptive cross-sectional study was conducted involving 194 healthcare workers, using a multi-stage sampling method. Data were collected via a semi-structured self-administered questionnaire and analyzed with SPSS version 20. Results were presented in tables, considering p values less than 0.05 as significant. Results: Of the 197 respondents, 63.5% were female and 36.5% male, spanning various professions including doctors, nurses, and other healthcare specialists. Notably, 66% of participants had used substances in their lifetime. Alcohol was the most commonly abused substance, with significant percentages of moderate and high-risk users. Socialization and peer pressure were identified as the predominant factors influencing substance use, with significant statistical associations found between substance use and variables such as profession, sex, and duration of practice. Conclusions: The study highlighted a considerable prevalence of alcohol use among healthcare workers, who generally held a moderate view towards substance misuse and identified socialization and peer pressure as key factors. These findings underscore the pressing need for targeted training and intervention strategies for substance addiction among healthcare workers in Nigeria.

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Perceived stigma, substance use and self-medication in night-shift healthcare workers: a qualitative study

Cited by 13 publications

References 51 publications

Public stigma and treatment preferences for alcohol use disorders

Public stigma and treatment preferences for alcohol use disorders

Shiftwork sleep disorder and associated factors among nurses working at public hospitals in Harari Regional state and Dire Dawa Administration, Eastern Ethiopia: a cross-sectional study

Addressing substance abuse among healthcare professionals in a tertiary healthcare facility in Nigeria: a case study of Nnamdi Azikiwe university teaching hospital

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