Cruz Gustavo D, Ostroff Jamie S, Kumar Jayanth V, Gajendra Sangeeta
Public Health, New York University College of Dentistry, Department of Epidemiology and Health Promotion, New York, NY 10010, USA.
J Am Dent Assoc. 2005 May;136(5):594-601; quiz 681-2. doi: 10.14219/jada.archive.2005.0230.
The authors conducted a study to examine oral cancer prevention and early detection practice patterns in a population-based random sample of practicing oral health care professionals in New York state.
The authors surveyed a population-based, self-weighting, stratified random sample of dentists (n = 1,025) and dental hygienists (n = 1,025) in New York state. They assessed the subjects' readiness to offer tobacco-use cessation and alcohol-abuse counseling and oral cancer examinations.
The effective response rates were 55 and 66 percent for dentists and dental hygienists, respectively. In terms of readiness to perform oral cancer examinations for patients aged 40 years and older, the large majority (82 percent of dentists and 72 percent of dental hygienists) were in the maintenance stage of behavior, indicating that oral cancer examinations were a routine part of their practice. In terms of readiness to offer tobacco-use cessation counseling, only 12 percent of dentists and 21 percent of dental hygienists were in the maintenance stage, and only 2 percent of dentists and 4 percent of dental hygienists were in the maintenance stage of offering alcohol-abuse counseling.
Oral cancer examinations seem to have been adopted as a standard of practice by most oral health care providers in New York state, but cancer prevention services, such as counseling regarding cessation of tobacco use and alcohol abuse, are lacking.
Oral health care providers should be trained in oral cancer prevention services such as tobacco-use cessation and alcohol-abuse counseling and encouraged to include these services, along with continued provision of oral cancer examinations, as a standard aspect of care.
作者开展了一项研究，以调查纽约州从业口腔保健专业人员基于人群的随机样本中的口腔癌预防和早期检测实践模式。
作者对纽约州基于人群的、自加权分层随机样本的牙医（n = 1025）和口腔卫生士（n = 1025）进行了调查。他们评估了受试者提供戒烟和戒酒咨询以及口腔癌检查的意愿。
牙医和口腔卫生士的有效回复率分别为55%和66%。在为40岁及以上患者进行口腔癌检查的意愿方面，绝大多数（82%的牙医和72%的口腔卫生士）处于行为维持阶段，这表明口腔癌检查是他们日常工作的一部分。在提供戒烟咨询的意愿方面，只有12%的牙医和21%的口腔卫生士处于维持阶段，而在提供戒酒咨询的维持阶段，只有2%的牙医和4%的口腔卫生士。
纽约州的大多数口腔保健提供者似乎已将口腔癌检查作为一种执业标准，但缺乏癌症预防服务，如戒烟和戒酒咨询。
口腔保健提供者应接受口腔癌预防服务方面的培训，如戒烟和戒酒咨询，并鼓励他们将这些服务与持续提供口腔癌检查一起，作为护理的标准内容。
