Oh Junhie, Kumar Jayanth, Cruz Gustavo
Bureau of Dental Health, New York State Department of Health, NY, USA.
J Public Health Dent. 2008 Winter;68(1):30-8. doi: 10.1111/j.1752-7325.2007.00075.x.
This study documents the level of oral cancer awareness and examination among New York State adults and evaluates the determinants of disparities in oral cancer detection.
The 2003 New York State Behavioral Risk Factor Surveillance System gathered information on current awareness of oral cancer and receipt of oral cancer examination from 5,544 adults. To assess whether the racial/ethnic factor remains important for the awareness, receipt, and source of oral cancer examination after controlling for other socioeconomic and health care access variables, bivariate and multiple logistic regression analyses were conducted using SAS and SUDAAN.
Even though a majority of State adults (80.4 percent) had heard about oral cancer, about three-quarters of these adults (74.3 percent) had never heard about an oral cancer test or examination. Only 35 percent of the adults reportedly received an oral cancer examination in their lifetime. Adults with Hispanic origin were less likely to have heard about and received an oral cancer examination. Regarding the source of the examination, some 72 percent of the examinations were conducted by a dental professional; the remaining 28 percent were performed by a physician, nurse, or nurse practitioner. Non-Hispanic Blacks were more likely to have received an oral cancer examination from health care providers other than a dentist or dental hygienist.
These data suggest the need to improve the oral cancer awareness and examination rate in New York State. Routine examination of the mouth by primary care providers as part of a physical examination would provide the best opportunity for improving the low oral cancer examination rates in minority populations.
本研究记录了纽约州成年人对口腔癌的认知水平和检查情况，并评估了口腔癌检测差异的决定因素。
2003年纽约州行为风险因素监测系统收集了5544名成年人关于当前口腔癌认知情况以及接受口腔癌检查的信息。为了评估在控制其他社会经济和医疗保健可及性变量后，种族/族裔因素对于口腔癌认知、接受检查情况及检查来源是否仍然重要，使用SAS和SUDAAN进行了双变量和多因素逻辑回归分析。
尽管该州大多数成年人（80.4%）听说过口腔癌，但这些成年人中约四分之三（74.3%）从未听说过口腔癌检测或检查。据报道，只有35%的成年人一生中接受过口腔癌检查。西班牙裔成年人听说过并接受口腔癌检查的可能性较小。关于检查来源，约72%的检查由牙科专业人员进行；其余28%由医生、护士或执业护士进行。非西班牙裔黑人更有可能从牙医或口腔保健员以外的医疗保健提供者那里接受口腔癌检查。
这些数据表明有必要提高纽约州的口腔癌认知水平和检查率。初级保健提供者将口腔常规检查作为体格检查的一部分，将为提高少数族裔人群较低的口腔癌检查率提供最佳机会。
