Uplap Pa, Mishra Ga, Majumdar P, Gupta Sd, Rane Ps, Sadalge Pk, Avasare Am, Goswami Ss, Dhar Va, Shastri Ss
Department of Preventive Oncology, Tata Memorial Hospital, Parel, Mumbai, India.
Indian J Community Med. 2011 Apr;36(2):133-8. doi: 10.4103/0970-0218.84133.
Oral cancer remains the commonest form of cancer and cancer-related deaths among Indian males due to popularity of avoidable risk factors such as tobacco and alcohol use. A workplace oral cancer screening and tobacco cessation study was commenced on World No Tobacco Day 2007 at a chemical industry in rural Maharashtra.
The objectives were to screen the employees for oral neoplasia and to correlate it with their tobacco consumption pattern. In addition, the objective was to provide tobacco cessation services at the workplace.
This is an interventional cohort study among 104 employees of a chemical industrial unit in rural Maharashtra. Naked eye examination of the oral cavity was performed for all employees by a doctor irrespective of the tobacco habits at the beginning and at the end of 1 year. In between, the tobacco users were regularly examined during each follow-up.
Through personal interviews of the participants, data were manually recorded and were transferred to electronic data base. Data analysis was conducted in STATA™ 8.2 on intention to treat basis.
Among the 104 employees, 50 (48.08%) were current tobacco users at the beginning of the program. Oral precancers were seen exclusively among 20 (40%) tobacco users. After 1 year of workplace tobacco cessation intervention, 80% of oral precancers regressed. This shows that screening of the oral cavity at the workplace is effective when combined with tobacco cessation.
由于烟草和酒精使用等可避免的风险因素盛行，口腔癌仍然是印度男性中最常见的癌症形式以及与癌症相关的死亡原因。2007年世界无烟日，在马哈拉施特拉邦农村的一家化工企业开展了一项工作场所口腔癌筛查与戒烟研究。
目标是筛查员工是否患有口腔肿瘤，并将其与他们的烟草消费模式相关联。此外，目标是在工作场所提供戒烟服务。
这是一项针对马哈拉施特拉邦农村一家化工企业104名员工的干预性队列研究。由一名医生对所有员工在开始时和1年末进行口腔的肉眼检查，无论其烟草使用习惯如何。在此期间，在每次随访时对烟草使用者进行定期检查。
通过对参与者的个人访谈，数据被手动记录并转移到电子数据库。在STATA™ 8.2软件中基于意向性分析进行数据分析。
在这104名员工中，50名（48.08%）在项目开始时是当前烟草使用者。口腔癌前病变仅在20名（40%）烟草使用者中被发现。经过1年的工作场所戒烟干预后，80%的口腔癌前病变消退。这表明在工作场所进行口腔筛查并结合戒烟是有效的。
