Alonge O K, Narendran S
Department of Dental Public Health, Dental Branch, University of Texas Health Science Center at Houston, Texas 77030, USA.
Oral Dis. 2003 Jan;9(1):41-5. doi: 10.1034/j.1601-0825.2003.01831.x.
The purpose of this study was to assess dentists' opinions about oral cancer (OC) prevention and early detection.
Data were collected by a self-administered mail questionnaire sent to all 398 registered dentists practising along the Texas-Mexico border.
The effective response rate to the survey was 40%. While 90% of respondents agreed that oral cancer examinations (OCE) should be provided annually for patients 40 years of age and older, only 59% of respondents believed their OC knowledge was current. While 99% agreed that dentists were qualified to perform OCE, only 54 and 68% respectively, agreed that dental hygienists and physicians were similarly qualified. Dentists who rated their undergraduate OC training favorably (OR = 2.68, 1.23-5.81, P = 0.011), had attended their last oral cancer continuing education (OCCE) course within the past 5 years (OR = 2.46, 1.25-4.86, P = 0.009), and those who performed OCE on all patients 40 years and older (OR = 2.64, 1.32-5.26, P = 0.005), were more likely to agree their OC knowledge was current.
Respondents expressed diverse opinions about OC prevention and early detection. Positive opinion on currency of OC knowledge was associated with performance of OCE. Results indicate a need for OCCE targeting the study population as well as increased emphasis on OC curriculum in dental schools.
本研究旨在评估牙医对口腔癌预防和早期检测的看法。
通过向在得克萨斯州与墨西哥边境执业的所有398名注册牙医发送自填式邮寄问卷来收集数据。
该调查的有效回复率为40%。虽然90%的受访者同意应为40岁及以上的患者每年进行口腔癌检查(OCE),但只有59%的受访者认为他们对口腔癌的知识是最新的。虽然99%的人同意牙医有资格进行口腔癌检查,但分别只有54%和68%的人同意牙科保健员和医生同样有资格。对本科口腔癌培训评价良好的牙医(OR = 2.68,1.23 - 5.81,P = 0.011)、在过去5年内参加过最后一次口腔癌继续教育(OCCE)课程的牙医(OR = 2.46,1.25 - 4.86,P = 0.009)以及对所有40岁及以上患者进行口腔癌检查的牙医(OR = 2.64,1.32 - 5.26,P = 0.005),更有可能同意他们对口腔癌的知识是最新的。
受访者对口腔癌预防和早期检测表达了不同的看法。对口腔癌知识时效性的积极看法与口腔癌检查的执行情况相关。结果表明需要针对研究人群开展口腔癌继续教育,并在牙科学院加强对口腔癌课程的重视。