Substance use among Indian Physicians: A narrative review

Background: Substance use disorders (SUDs) are a global public health problem with more adverse impacts among the population at risk. Healthcare workers, including physicians, are at increased risk of substance use problems in developing countries, including India, due to prolonged working hours, fi...

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Main Authors: Yesh Chandra Singh, Roshan Bhad, Arun Kandaswamy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-06-01
Series:Indian Journal of Psychiatry
Subjects:
Online Access:https://journals.lww.com/10.4103/indianjpsychiatry_698_24
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author Yesh Chandra Singh
Roshan Bhad
Arun Kandaswamy
author_facet Yesh Chandra Singh
Roshan Bhad
Arun Kandaswamy
author_sort Yesh Chandra Singh
collection DOAJ
description Background: Substance use disorders (SUDs) are a global public health problem with more adverse impacts among the population at risk. Healthcare workers, including physicians, are at increased risk of substance use problems in developing countries, including India, due to prolonged working hours, financial stress due to poor pay during early career, and poor work–life balance. Aim: We conducted a narrative review to assess the rate and pattern of substance use among Indian physicians. Methods and Results: As per limited prevalence studies among Indian physicians since the year 2000, tobacco consumption and alcohol are the most common and have a higher prevalence than the general population. Recent studies also reveal issues with prescription drugs. As physicians entrusted to their patient care, they must follow the code of medical ethics, fulfilling the profession’s duties. This creates complex situations in the management of the problem, medical fitness, and stigma. Conclusion: The present narrative review assesses the prevalence of substance use among physicians in India. Some of the management and ethical issues in this “special population” group are discussed, referring to available literature in other countries, while discussing a way forward for the Indian setting.
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1998-3794
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publishDate 2025-06-01
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spelling doaj-art-b27c4213cb8c4e1abb50ab696c9adeed2025-08-20T03:29:19ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942025-06-0167655355910.4103/indianjpsychiatry_698_24Substance use among Indian Physicians: A narrative reviewYesh Chandra SinghRoshan BhadArun KandaswamyBackground: Substance use disorders (SUDs) are a global public health problem with more adverse impacts among the population at risk. Healthcare workers, including physicians, are at increased risk of substance use problems in developing countries, including India, due to prolonged working hours, financial stress due to poor pay during early career, and poor work–life balance. Aim: We conducted a narrative review to assess the rate and pattern of substance use among Indian physicians. Methods and Results: As per limited prevalence studies among Indian physicians since the year 2000, tobacco consumption and alcohol are the most common and have a higher prevalence than the general population. Recent studies also reveal issues with prescription drugs. As physicians entrusted to their patient care, they must follow the code of medical ethics, fulfilling the profession’s duties. This creates complex situations in the management of the problem, medical fitness, and stigma. Conclusion: The present narrative review assesses the prevalence of substance use among physicians in India. Some of the management and ethical issues in this “special population” group are discussed, referring to available literature in other countries, while discussing a way forward for the Indian setting.https://journals.lww.com/10.4103/indianjpsychiatry_698_24addictionalcoholdoctorsmedical ethicsphysiciansstigmasubstance use disorders
spellingShingle Yesh Chandra Singh
Roshan Bhad
Arun Kandaswamy
Substance use among Indian Physicians: A narrative review
Indian Journal of Psychiatry
addiction
alcohol
doctors
medical ethics
physicians
stigma
substance use disorders
title Substance use among Indian Physicians: A narrative review
title_full Substance use among Indian Physicians: A narrative review
title_fullStr Substance use among Indian Physicians: A narrative review
title_full_unstemmed Substance use among Indian Physicians: A narrative review
title_short Substance use among Indian Physicians: A narrative review
title_sort substance use among indian physicians a narrative review
topic addiction
alcohol
doctors
medical ethics
physicians
stigma
substance use disorders
url https://journals.lww.com/10.4103/indianjpsychiatry_698_24
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AT roshanbhad substanceuseamongindianphysiciansanarrativereview
AT arunkandaswamy substanceuseamongindianphysiciansanarrativereview