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Psychotropic Drug Use in a Cohort of Workers 4 Years After an Industrial Disaster in France
Author(s) -
Diène Eloi,
GeoffroyPerez Béatrice,
Cohidon Christine,
Gauvin Stéphanie,
Carton Matthieu,
Fouquet Aurélie,
Fatras JeanYves,
Imber Ellen
Publication year - 2014
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.21940
Subject(s) - occupational safety and health , medicine , mental health , suicide prevention , injury prevention , cohort , poison control , psychiatry , psychotropic drug , human factors and ergonomics , medical record , cohort study , drug , medical emergency , environmental health , pathology
Two years after the 2001 Toulouse industrial disaster, a longitudinal study was set up to evaluate the impact of the disaster. The current substudy examines the medium‐term impact (5 years) the incident had on the mental health of 3,004 participants. As part of the monitoring, data relating to the psychotropic drug use of 2,494 participants were collected from administrative databases 4 years after the disaster. Use of psychotropics was higher among women for anxiolytics (10.4% for men and 15.0% for women), hypnotics (10.5% and 17.0%), and antidepressants (7.6% and 11.2%). Exposure to the disaster, especially proximity to the exposure, was significantly associated with the use of antidepressants in men, OR = 3.22, 95% CI[1.57, 6.61]. This was also the case for other exposure factors (saw dead or injury, injured, home damage, death or injury loved one, psychological disorders, exposure toxic fumes): range of OR 1.75 to 2.52 in men, 1.48 to 1.62 in women. In conclusion, this study highlights the medium‐term psychological impact of an industrial disaster on psychotropic drug use and the potential for using medical records data as a means for tracking postdisaster mental health.