{"id":1178,"date":"2024-10-09T19:57:26","date_gmt":"2024-10-09T17:57:26","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/larret-du-tabac-peut-reduire-les-prescriptions-dopioides-etude\/"},"modified":"2024-10-09T19:57:29","modified_gmt":"2024-10-09T17:57:29","slug":"larret-du-tabac-peut-reduire-les-prescriptions-dopioides-etude","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/larret-du-tabac-peut-reduire-les-prescriptions-dopioides-etude\/","title":{"rendered":"L’arr\u00eat du tabac peut r\u00e9duire les prescriptions d’opio\u00efdes : \u00e9tude"},"content":{"rendered":"
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Le tabagisme est reconnu comme l\u2019une des principales causes d\u2019invalidit\u00e9 et de d\u00e9c\u00e8s \u00e9vitables. De nouvelles recherches montrent qu\u2019\u00e0 mesure que les fumeurs augmentent leur nombre quotidien de cigarettes, ils signalent des taux plus \u00e9lev\u00e9s de douleur chronique, une consommation accrue d\u2019opio\u00efdes sur ordonnance, de graves limitations au travail dues \u00e0 la douleur et une mauvaise sant\u00e9 mentale.<\/p>\n

Une \u00e9tude in\u00e9dite dans le Journal am\u00e9ricain de m\u00e9decine pr\u00e9ventive<\/i> d\u00e9taille les r\u00e9sultats d’une analyse de donn\u00e9es repr\u00e9sentatives \u00e0 l’\u00e9chelle nationale de l’enqu\u00eate MEPS (Medical Expenditure Panel Survey) de l’Agence am\u00e9ricaine pour la recherche et la qualit\u00e9 des soins de sant\u00e9, r\u00e9v\u00e9lant un lien \u00e9troit entre le tabagisme et la consommation d’opio\u00efdes et soulignant la n\u00e9cessit\u00e9 de programmes de traitement int\u00e9gr\u00e9s.<\/p>\n

R\u00e9sumant les principales conclusions, les auteurs de l’\u00e9tude, William Encinosa, Ph.D., Didem Bernard, Ph.D., et R. Burciaga Valdez, Ph.D., MHSA, Division de recherche et de mod\u00e9lisation, Centre pour le financement, l’acc\u00e8s et les co\u00fbts. Trends, Agency for Healthcare Research and Quality et la McCourt School of Public Policy de l’Universit\u00e9 de Georgetown d\u00e9clarent : \u00ab Nos recherches montrent que les adultes qui fument 11 \u00e0 20 cigarettes par jour consomment cinq fois plus d’opio\u00efdes sur ordonnance que les adultes qui n’ont jamais fum\u00e9. Je fume plus d’un paquet de cigarettes par jour et j’utilise presque trois fois plus d’opio\u00efdes que les adultes qui fument 11 \u00e0 20 cigarettes par jour. Ainsi, int\u00e9grer des programmes d’abandon du tabac dans les traitements contre la toxicomanie serait un moyen prudent de r\u00e9duire la consommation d’opio\u00efdes sur ordonnance.<\/p>\n

L’\u00e9quipe de chercheurs a analys\u00e9 les donn\u00e9es de 2013 \u00e0 2021 du MEPS et de l’enqu\u00eate nationale par entretien sur la sant\u00e9 des Centers for Disease Control and Prevention. Les r\u00e9sultats montrent que m\u00eame si seulement 37 % de la population a d\u00e9j\u00e0 fum\u00e9, les fumeurs repr\u00e9sentent 69 % de la consommation annuelle d\u2019opio\u00efdes sur ordonnance. Les gros fumeurs, soit seulement 12 % de la population, consomment autant d\u2019opio\u00efdes que les 63 % qui n\u2019ont jamais fum\u00e9. Les fumeurs signalent \u00e9galement des taux plus \u00e9lev\u00e9s de douleur chronique, de graves limitations au travail dues \u00e0 la douleur et une mauvaise sant\u00e9 mentale.<\/p>\n

Cet article rapporte les premi\u00e8res estimations repr\u00e9sentatives \u00e0 l\u2019\u00e9chelle nationale de l\u2019association entre le tabagisme, la douleur et la consommation d\u2019opio\u00efdes et comment elle a persist\u00e9 depuis le pic de consommation d\u2019opio\u00efdes sur ordonnance en 2013 jusqu\u2019au r\u00e9cent creux de 2021.<\/p>\n

Les taux de d\u00e9livrance d’opio\u00efdes ont diminu\u00e9, passant de 81,3 ordonnances pour 100 personnes en 2012 \u00e0 43,3 pour 100 personnes en 2020. De nombreux facteurs politiques ont conduit \u00e0 cette baisse des prescriptions d’opio\u00efdes, tels que les lois sur les usines de pilules, les plafonds impos\u00e9s par les \u00c9tats sur le nombre d’ordonnances par patient, les syst\u00e8mes de surveillance des m\u00e9dicaments sur ordonnance et les lignes directrices des Centers for Disease Control and Prevention pour le traitement de la douleur chronique, r\u00e9pondant \u00e0 la pr\u00e9occupation selon laquelle des doses \u00e9lev\u00e9es et l’utilisation \u00e0 long terme d’opio\u00efdes pour la douleur chronique peuvent conduire \u00e0 un trouble li\u00e9 \u00e0 l’usage d’opio\u00efdes et \u00e0 ses effets n\u00e9fastes sur la sant\u00e9. Malgr\u00e9 ce d\u00e9clin, il existe encore des points chauds pour les opio\u00efdes sur ordonnance aux \u00c9tats-Unis.<\/p>\n

Les chercheurs concluent : \u00ab Combiner l’arr\u00eat du tabac avec le traitement de la toxicomanie pourrait \u00eatre crucial pour lutter contre l’\u00e9pid\u00e9mie d’opio\u00efdes. De nombreux \u00c9tats et localit\u00e9s tentent d’interdire divers types de cigarettes. Nos recherches montrent que tout arr\u00eat du tabac r\u00e9sultant de ces interdictions peut \u00e9galement contribuer \u00e0 att\u00e9nuer la crise des opio\u00efdes.<\/p>\n

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Le tabagisme est reconnu comme l\u2019une des principales causes d\u2019invalidit\u00e9 et de d\u00e9c\u00e8s \u00e9vitables. 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