Key Points
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A study of alcohol and drug use by vocational dental practitioners (VDPs).
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VDPs are using alcohol and drugs to a degree that will cause health problems.
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This paper is intended to promote a more scientific approach to the prevention, intervention and treatment of problematic alcohol and drug use in the profession.
Abstract
Objective This study was designed to investigate the prevalence of alcohol and drug use in vocational dental practitioners (VDPs).Design Anonymous self-report questionnaire.
Design Anonymous self-report questionnaire.
Subjects and methods All UK vocational dental practitioners (n = 719) who started practice in the summer of 1999 were questioned on their use of alcohol, tobacco, cannabis and other illicit drugs whilst a VDP and before graduation.
Results Eighty-nine per cent of males and 88% of females reported alcohol use. Of these, 35% of males and 36% of females drank above sensible levels (up to 21 units per week for males, 14 units for females), with 48% of males and 52% of females 'binge drinking'. Thirty-three per cent of respondents reported cannabis use whilst a VDP. Regular drug use (use at least once a month) other than cannabis whilst a VDP was found to be highest among males, with regular ecstasy use reported by 4% and regular cocaine use reported by 2%. Regular tobacco use (ten or more cigarettes per day) was reported by 9% of VDPs. Regular tobacco users were found to be six times more likely to use cannabis on a regular basis, three times more likely to use ecstasy on a regular basis and four times more likely to use cocaine on a regular basis than those VDPs who reported non regular tobacco use.
Conclusion VDPs are drinking above sensible limits, binge drinking, using tobacco and indulging in illicit drug use to a degree that will cause health problems. However, use of all substances had reduced since qualification.
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References
Underwood B, Fox K . A survey of alcohol and drug use among UK based dental undergraduates. Br Dent J 2000; 189: 314–317.
Royal College of Physicians, Psychiatrists, and General Practitioners. Alcohol and the heart in perspective: sensible limits reaffirmed. London: Royal Colleges, 1995.
Edward G . Sensible drinking: doctors should stick with the independent medical advice. Br Med J 1996; 312: 1.
British Medical Association. Alcohol: guidelines on sensible drinking. London: BMA, 1995.
Moore L, Smith C, Catford J . Binge drinking: prevalence, patterns and policy. Health Educ Res 1994; 9: 497–505.
Committee on Vocational Training for England and Wales. 'Composition of vocational training'. 2001 <http://www.eastman.ucl.ac.uk/~shall/whatisvt.html> (accessed on 20 November 2001).
The General Dental Council. Maintaining Standards. London: General Dental Council, 1997.
Newbury-Birch D, Lowry RL, Kamali F . The changing patterns of drinking, illicit drug use, stress, anxiety and depression in dental students in a UK dental school: a longitudinal study. Br Dent J 2002; 192: 646–649.
Drugs and alcohol – addiction in the dental profession: problems and solutions. London: The Dentists' Health Support Trust, 2000.
Busch L . Rehabilitating the impaired dentist: A look at what the profession is doing to help. J Am Dent Assoc 1982; 105: 781–787.
Giangrego E, Oberg S . Chemical dependency: the road to recovery. J Am Dent Assoc 1987; 115: 17–27.
Anon. Sick dentists — an escalating problem. Br Dent J 1991; 171: 151.
Anon. Drink, drugs and dentistry-are you at risk? Br Dent J 1996; 180: 392–393.
Combs RH . Drug-Impaired Professionals. Harvard: Harvard University Press, 1997.
Bartlett DW, Coward PY, Wilson R, Goodsman D, Darby J . Experience and perception of vocational training reported by the 1999 cohort of vocational dental practitioners and their trainers in England and Wales. Br Dent J 2001; 191: 265–270.
Ashton CH, Kalmali F . Personality and lifestyle, alcohol and drug consumption in a sample of British medical students. Med Educ 1995; 29: 187–92.
Webb E, Ashton CH, Kelly P, Kamali F . Alcohol and drug use in UK university students. Lancet 1996; 348:20–24.
Inter-departmental working group. Sensible drinking. London: Department of Health, 1995.
Baldwin PJ, Dodd M, Rennie JS . Young dentists-work, wealth, health and happiness. Br Dent J 1999; 186: 30–36.
Wright, JD, Pearl, L . Experience and knowledge of young people regarding illicit drug use, 1969–99. Addiction 2000;95: 1225–1235.
Balding J . Young people and illegal drugs into 2000. Exeter: Exeter Schools Health Education Unit, 2000.
Plant MA, Miller P . Drug use has declined among teenagers in the United Kingdom. Br Med J 2000; 320:1536.
Parker H, Aldridge J, Measham F . Illegal leisure: the normalisation of adolescent recreational drug use. London: Routledge, 1998.
Heather N, Robertson I . Problem drinking. 3rd ed. Oxford: Oxford University Press, 1997.
Acknowledgements
The authors would like to acknowledge Mr J P Ralph (Postgraduate Dental Dean Yorkshire), whose support made this study possible.
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Underwood, B., Fox, K. & Nixon, P. Alcohol and drug use among vocational dental practitioners. Br Dent J 195, 265–268 (2003). https://doi.org/10.1038/sj.bdj.4810479
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DOI: https://doi.org/10.1038/sj.bdj.4810479
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