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Impact du sentiment de dépendance aux benzodiazépines sur l’utilisation des services de santé : Étude sur la santé des aînés*

Published online by Cambridge University Press:  07 February 2013

Pamphile-Gervais Nkogho Mengue ,
Belkacem Abdous ,
Djamal Berbiche ,
Michel Préville  and
Philippe Voyer
Pamphile-Gervais Nkogho Mengue*
Affiliation:
Faculté de pharmacie, Université Laval
Belkacem Abdous
Affiliation:
Faculté de médecine, Université Laval
Djamal Berbiche
Affiliation:
Faculté de médecine et des sciences de la santé, Université de Sherbrooke
Michel Préville
Affiliation:
Faculté de médecine et des sciences de la santé, Université de Sherbrooke
Philippe Voyer
Affiliation:
Faculté des sciences infirmières, Université Laval
*
†La correspondance et les demandes de tirés-à-part doivent être adressées à : Correspondence and requests for offprints should be sent to: Pamphile-Gervais Nkogho Mengue, M.Sc. Faculté de pharmacie, Pavillon Ferdinand-Vandry Université Laval 1050, avenue de la Médecine, local 2575 Québec, QC G1K 7P4 (pamphile.nkogho-mengue.1@ulaval.ca)
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Résumé

Contexte : La consommation de benzodiazépines est une pratique courante chez les personnes aînées. Cette consommation peut entraîner un problème de dépendance dont les critères du Manuel diagnostic et statistique des troubles mentaux, 4e édition révisée (DSM-IV-TR) ne s’appliqueraient pas toujours à la situation de l’aîné. Cette recherche vise à examiner l’association entre le sentiment de dépendance aux benzodiazépines et l’utilisation des services de santé par les aînés. Un objectif secondaire consiste à décrire l’utilisation des benzodiazépines chez les aînés vivant dans la communauté.

Méthode : Les données proviennent d’une enquête menée au Québec en 2005-2006 auprès d’un échantillon représentatif de 707 francophones âgés de 65 ans et plus vivant dans la communauté. Le sentiment de dépendance aux benzodiazépines a été évalué par une variable composite intégrant deux questions inspirées du DSM-IV-TR. L’utilisation des services de santé a été mesurée par l’incidence cumulée des consultations auprès des professionnels de la santé au cours d’une période de 12 mois.

Résultats : Les aînés ont consommé au total 745 benzodiazépines parmi lesquelles 117 (16,5 %) avaient une longue demi-vie d’élimination. La proportion d’aînés qui ont rapporté un sentiment de dépendance aux benzodiazépines a été estimée à 35,1 %. Ces aînés n’ont pas significativement davantage utilisé les services de santé pour leurs problèmes de dépendance aux benzodiazépines.

Conclusion : Les résultats de cette étude suggèrent que l’utilisation des benzodiazépines chez les aînés au Québec est loin d’être optimale. Par ailleurs, le besoin ressenti de dépendance ne constitue pas un facteur suffisant pour amener les aînés à utiliser les services de santé pour la prise en charge d’un problème de dépendance. Il existe donc un besoin de recherche afin de mieux cerner les barrières associées à l’utilisation des services de santé par les aînés dépendants aux benzodiazépines.

Keywords

Personnes aînéessentiment de dépendancebenzodiazépinesutilisation des services de santéQuébecseniorsfeeling of dependencebenzodiazepineuse of health servicesQuebec
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 32 , Issue 1 , March 2013 , pp. 21 - 30
Copyright
Copyright © Canadian Association on Gerontology 2013

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Footnotes

*

Les auteurs remercient les Instituts de Recherche en Santé du Canada (IRSC) et le Fonds de Recherche en Santé du Québec (FRSQ) pour avoir appuyé financièrement le projet « Étude sur la santé des aînés ».

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