Little S J, Stevens V J, LaChance P A, Severson H H, Bartley M H, Lichtenstein E, Leben J R
Kaiser Permanente Center for Health Research, Portland, OR 97227-1098.
J Public Health Dent. 1992 Fall;52(5):269-76. doi: 10.1111/j.1752-7325.1992.tb02288.x.
As part of a smokeless tobacco (ST) intervention study, we collected data on tobacco use habits and oral health for 245 male ST users aged 15 to 77. The study sample was identified during routine dental office visits and represents a relatively diverse population of patients. Oral health data collection included grading the clinical appearance of oral mucosal lesions using Greer and Poulson's classification system, as well as identifying and recording the primary anatomic location of ST placement. Results show that 78.6 percent of ST users had observable oral lesions, 23.6 percent of which were in the most clinically advanced category (degree III). Of the lesions noted, 85 percent were in the same location the patient identified as his primary area of smokeless tobacco placement. In a comparison sample of 223 non-ST-users with the same age distribution, only 6.3 percent had observable lesions. A multiple logistic regression model for ST users showed that lesion presence and severity were most significantly related to current frequency of ST use.
作为无烟烟草（ST）干预研究的一部分，我们收集了245名年龄在15至77岁之间的男性无烟烟草使用者的烟草使用习惯和口腔健康数据。该研究样本是在常规牙科门诊就诊期间确定的，代表了相对多样化的患者群体。口腔健康数据收集包括使用格里尔和波尔森分类系统对口腔黏膜病变的临床表现进行分级，以及识别和记录无烟烟草放置的主要解剖位置。结果显示，78.6%的无烟烟草使用者有可观察到的口腔病变，其中23.6%处于临床最严重类别（III度）。在所记录的病变中，85%位于患者确定为其无烟烟草主要放置区域的相同位置。在年龄分布相同的223名非无烟烟草使用者的对照样本中，只有6.3%有可观察到的病变。针对无烟烟草使用者的多元逻辑回归模型显示，病变的存在和严重程度与当前无烟烟草使用频率最显著相关。
