Yen K Lawrence, Horner Marie-Josephe D, Reed Susan G, Daguise Virginie G, Bolick-Aldrich Susan W, Young M Rita I, Day Terry A, Wood Patricia A, Hebert James R
Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, USA.
J S C Med Assoc. 2006 Aug;102(7):192-200.
Recognizing that relatively easily detected precancerous lesions precede many cancers, there is a need to investigate the effectiveness of early interventions on the reduction of incidence rates in well-designed large randomized control trials. If early detection can reduce mortality rates of OPCA, evaluation of the capacity of dentists and physicians to screen or detect precancerous lesions related to oral cancers may have merit. Presently, there is a paucity of research regarding ecological barriers in the healthcare system, and improving access to adequate dental and medical care among the rural minority population in South Carolina certainly deserves emphasis. Additional research, specific to South Carolina, which includes comprehensive assessment of multiple social, behavioral, and biological factors, is needed. Interdisciplinary collaboration will be particularly important to dissect key factors contributing to the racial disparities observed in South Carolina. These differences should be taken into account while recommending and implementing public health strategies for the control of these cancers.
认识到许多癌症之前存在相对容易检测到的癌前病变，有必要在设计良好的大型随机对照试验中研究早期干预对降低发病率的有效性。如果早期检测可以降低口腔原发性小脑萎缩的死亡率，那么评估牙医和医生筛查或检测与口腔癌相关的癌前病变的能力可能具有价值。目前，关于医疗保健系统中的生态障碍的研究很少，改善南卡罗来纳州农村少数民族人口获得充足牙科和医疗保健的机会当然值得强调。需要针对南卡罗来纳州进行更多研究，包括对多种社会、行为和生物因素的综合评估。跨学科合作对于剖析导致南卡罗来纳州观察到的种族差异的关键因素尤为重要。在推荐和实施控制这些癌症的公共卫生策略时，应考虑到这些差异。
