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            <title xml:lang="en">Prevalence of cannabis and cocaine consumption in French fishermen in South Atlantic region in 2012-2013 and its policy consequences</title>
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                <term xml:lang="en">FISHERMEN</term>
                <term xml:lang="en">DRUG CONSUMPTION PREVALENCE</term>
                <term xml:lang="en">ALCOHOL CONSUMPTION PREVALENCE</term>
                <term xml:lang="en">URINE TEST</term>
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                <term xml:lang="fr">ALCOOL</term>
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              <p>The aim of the study was to evaluate the use of cannabis and cocaine among fishermen followed in occupational medicine in the ports of Aquitaine and Charente-Maritime (Direction interrégionale de la mer Sud-Atlantique [DIRM-SA]). Materials and methods: Thousand fishermen could be recruited during medical regulatory examination by the occupational physicians and nurses of Occupational Health Department for seamen. Results: About 20% of fishermen were former smokers. A third of the fishermen are at risk for excessive drinking according to the AUDIT-C. The prevalence of cannabis experimentation was estimated at 58%. The prevalence of positive urine test for cannabis was 28%. The prevalence of experimentation with cocaine was about 16%. The prevalence of positive urine test for cocaine was 4.5%. Conclusions: In accordance with its objectives, this study allows objectifying cannabis and cocaine consumption among fishermen. The national rules for fitness at sea have to be modified by introducing the use of urinary tests by occupational physician.</p>
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              <p>Le but de l'étude était d'évaluer l'utilisation de cannabis et la cocaïne parmi des pêcheurs suivis dans la médecine du travail dans les ports d'Aquitaine et de Charente-Maritime.</p>
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