Cruz Gustavo D, Le Geros Racquel Z, Ostroff Jamie S, Hay Jennifer L, Kenigsberg Herbert, Franklin D Mercedes
New York University College of Dentistry, Department of Epidemiology and Health Promotion, 324 East 24th Street, Room 806, New York, N.Y. 10010, USA.
J Am Dent Assoc. 2002 Aug;133(8):1064-71; quiz 1094. doi: 10.14219/jada.archive.2002.0330.
Screening people who are at high risk of developing oral cancers is a promising tool for decreasing morbidity and mortality attributable to this cancer.
A consortium led by the New York University College of Dentistry conducted a three-day oral cancer screening during June 1999. As part of the screening intake, the authors conducted a survey to assess the sociodemographic characteristics, level of knowledge of risk factors and predictors of oral cancer awareness among the subjects. The authors performed bivariate and multivariate analyses using two indicators of oral cancer awareness as dependent variables.
The 803 subjects were racially and ethnically diverse, 66 percent were 40 years of age or older, 43 percent had a history of smoking, and 9 percent were likely to have had a history of alcohol abuse. Race/ethnicity, education level and knowledge of risk factors for oral cancer were predictors of awareness of an oral cancer examination, whereas only knowledge and possible history of alcohol abuse were predictors of having a history of examinations.
This screening program attracted a diverse sample of people at high risk of developing oral cancer due to smoking and likely history of alcohol abuse. Consistent with other national and international studies, the authors found a lack of knowledge of the risk factors associated with oral cancer and a low rate of histories of oral cancer examinations among the subjects.
Oral cancer screening programs represent potential opportunities not only for early detection of oral cancer but to raise awareness and educate the public about the disease.
对有患口腔癌高风险的人群进行筛查是降低该癌症所致发病率和死亡率的一项有前景的手段。
由纽约大学牙科学院牵头的一个联合会在1999年6月开展了为期三天的口腔癌筛查。作为筛查工作的一部分，作者进行了一项调查，以评估受试者的社会人口学特征、对风险因素的知晓程度以及口腔癌知晓情况的预测因素。作者以口腔癌知晓情况的两项指标作为因变量进行了双变量和多变量分析。
803名受试者在种族和民族上具有多样性，66%的人年龄在40岁及以上，43%的人有吸烟史，9%的人可能有酗酒史。种族/民族、教育水平以及对口腔癌风险因素的知晓情况是口腔癌检查知晓情况的预测因素，而只有对风险因素的知晓情况以及可能的酗酒史是有检查史的预测因素。
这项筛查计划吸引了因吸烟和可能的酗酒史而有患口腔癌高风险的多样化人群样本。与其他国内和国际研究一致，作者发现受试者对与口腔癌相关的风险因素缺乏了解，且口腔癌检查史的比例较低。
口腔癌筛查计划不仅是早期发现口腔癌的潜在机会，也是提高公众对该疾病的认识并对其进行教育的潜在机会。
