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Santé des étudiants, un état des lieux

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Santé des étudiants, un état des lieux

  1. 1. SEMEPIC La Santé des Etudiants en MEdecine de PICardie Dr. Maxime GIGNON & les étudiants de l’optionnel Santé publique pratique
  2. 2. Contexte • 2010-2011 – Optionnel « Santé publique pratique » • Objectifs – Construire une démarche de santé publique • Biblio, méthodologie, recueil, analyse, actions/propositions, communication
  3. 3. Contexte • 2010 – Des soirées étudiantes qui vont trop loin • Thématique : la santé des étudiants • Population : étudiants en médecine d’Amiens (P2-D4)
  4. 4. Les étudiants porteurs • • • • • • • • ANTIDE Simon RAKOTONDRANTOANINA Cédric DESBONNETS Camille POUPART Anne-Claire DELAHAYE Charles WERNER Chloé GEORGES Typhaine ASTAR Karim • • • • • • • • • DECAIGNY Pauline CHARTIER Rodolphe BOULENGER Juliette DIDAUX Amédée GAUDIERE Mario ABIR Yannis EL BOUZEGAOUI Nacera BAUDRY Valérie CARPENTIER Elodie
  5. 5. Nos objectifs • Connaître l’état de santé des étudiants • Analyser la perception de leur santé • Proposer des actions de prévention
  6. 6. Méthodologie • Enquête transversale (fev-mars 2011) • Par auto-questionnaire – Adapté d’une enquête comparable de 2007 • • • • • Logement / Revenu Santé perçue / recours aux soins / santé mentale Consommation Alcool / tabac / cannabis / autres drogues Vie affective et sexuelle Alimentation / activités extra-universitaire • Tirage au sort : 253 étudiants (P2-D4)
  7. 7. Résultats … mais avant
  8. 8. ALCOOL
  9. 9. ALCOOL
  10. 10. TABAC
  11. 11. CANNABIS
  12. 12. Résultats
  13. 13. L’alcool • Expérimentation : 97%
  14. 14. L’alcool Table 4 : Results to questions from the AUDIT scores by gender. Question Women Men n (%) n (%) Once a month or less How often do you consume beverages containing alcohol? Replies 31 (34%) 22 (31%) 2-4 times a month 49 (53%) 2 to 3 times a week or more 12 (13%) 25 (35%) 24 (34%) p values p<0.05
  15. 15. L’alcool Table 4 : Results to questions from the AUDIT scores by gender. Question Women Men 1 or 2 33 (36%) 18 (25%) 3 or 4 How many drinks do you consume a typical day you drink? Replies 30 (33%) 17 (24%) 5 or 6 19 (21%) 11 (16%) 7 or 9 8 (9%) 15 (21%) 10 or more 2 (2%) 10 (14%) p<0.01
  16. 16. L’alcool Table 4 : Results to questions from the AUDIT scores by gender. Question Women Men No During the past year, alcohol consumption did she stop to do what was normally expected of you? Replies 66 (71%) 42 (59%) Yes 27 (29%) 29 (41%) NS
  17. 17. L’alcool Table 4 : Results to questions from the AUDIT scores by gender. Question Women Men No During the past year, were you unable to remember what happened the day before? Replies 58 (62%) 35 (49%) Yes 35 (38%) 36 (51%) NS
  18. 18. L’alcool Table 4 : Results to questions from the AUDIT scores by gender. Question Replies No Women Men 82 (88%) 51 (72%) Have you hurt or you hurt someone because you were drunk? p<0.01 Yes 11 (12%) 20 (28%)
  19. 19. L’alcool Table 4 : Results to questions from the AUDIT scores by gender. Question Women Men No risk / no intervention Consumption and type of intervention Replies 54 (58%) 31 (44%) Risk drinking requiring a brief intervention 29 (31%) 3021 (30%) Risk of dependency requiring specialized care 10 (11%) p<0.05 19 (27%)
  20. 20. Score AUDIT Risque de dépendance 18% Pas de consommation nocive 50% Consommation nocive 32%
  21. 21. Ivresse • 78% ont été ivres au cours des 12 derniers mois 25 50 75 20 12 8 1 52 2 8 20 10 Fréquence Moyenne Médiane Minimum Maximum Centiles Si oui, combien de fois ? 0 1 3 5 7 10 15 Si oui, combien de fois ? 20 25 34 36 50
  22. 22. Boire ET conduire 17 % des étudiants qui ont le permis, ont conduit alors qu’ils avaient bu
  23. 23. L’alcool • Les étudiants de 1er cycle nécessitent plus fréquemment une prise en charge (61%) que les étudiants de 2ème cycle (34%) (p<0.05).
  24. 24. Qu’en pensez-vous ?
  25. 25. Pourquoi buvez-vous ?
  26. 26. Les raisons 84 82 parce que cela permet de profiter d'une soirée pour célébrer une occasion 76 parce que vous aimez 53 48 pour être plus sociable pour vous intégrer dans un groupe 47 pour vous sentir plus sur de vous 24 parce qu'il vous aide lorsque vous vous sentez déprimé ou nerveux 19 pour oublier vos soucis 15 parce que vos amis vous mettent la pression pour boire 0 20 40 60 % 80 100
  27. 27. Qu’en pensez-vous ?
  28. 28. Le Tabac
  29. 29. TABAC  Au sein de la faculté de médecine d’Amiens, on retrouve: – 62% de non fumeurs – 38% de fumeurs, dont:  16% ne le sont que de manière occasionnelle  22% sont des fumeurs réguliers
  30. 30. TABAC % 70 63 60 50 40 30 20 20 6 10 6 6 0 Dépendance très faible Dépendance faible Dépendance moyenne Dépendance forte Dépendance très forte
  31. 31. TABAC 70% des étudiants fumeurs souhaiteraient arrêter de fumer 20 P ro téger ma santé 16 Faire des éco no mies 15 Retro uver une bo nne co nditio n physique 13 Ne plus être dépendant au pro duit 10 M ieux respirer 5 Ne plus into xiquer mo n ento urage une perso nne de mo n ento urage m'y a enco uragé 3 Respecter les zo nes no n fumeurs 3 Un de mes pro ches a une maladie grave liée au tabac 2 A vo ir un enfant 2 1 un médecin m'y a enco uragé suite à une campagne d'info rmatio n 0 po ur une autre raiso n 0 0 5 10 % 15 20
  32. 32. Qu’en pensez-vous ?
  33. 33. Cannabis 77 % en ont déjà consommé •10 % doivent s’interroger sérieusement sur leur consommation •5% ont besoin d’une aide médicale
  34. 34. CANNABIS • Les étudiants qui ont une consommation de cannabis préoccupante ont plus redoublé que les autres (89% vs 39%, p<0.01).
  35. 35. Les autres drogues
  36. 36. Autres drogues • 1 étudiants / 4 (n=41) a consommé d’autres drogues au cours des 12 derniers mois. • Parmi eux: – les Poppers (93%) – les champignons hallucinogènes (14%) – le LSD et la cocaïne (12%) – le mésusage de médicament (9%) – l’ecstasy (6%) – l’héroïne (3%)
  37. 37. Et par ça… ça va ?
  38. 38. Et par ça… ça va ? • 58 % des étudiants sont stressés – (71% en D2/D3/D4 vs 49% en P2/D1, p <0.05) • 54 % sont angoissés en pensant à leur avenir • 1 étudiants sur 3 à des problèmes de sommeil
  39. 39. Et par ça… ça va ? • Au cours des 12 dernier : 10% ont pensé au suicide • 5% ont fait une tentative de suicide dans leur vie
  40. 40. Action ! …
  41. 41. COPYRIGHT 2011 - 2012 UFR de médecine d’Amiens - Tous droits réservés.

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