Department of Otolaryngology–Head and Neck Surgery, University of Ottawa, Ottawa, ON.
J Otolaryngol Head Neck Surg. 2012 Apr;41(2):102-7.
To determine if awareness of oral cancer screening correlates with socioeconomic status (SES) and to determine if screening for oral cancer correlates with SES.
Data were obtained from the 2008 American National Health Interview Survey (NHIS).
Our primary measure of SES was education; additional measures for SES included income, race, health insurance, and immigration status. We performed a logistic regression analysis, controlling for important demographic characteristics.
Awareness of oral cancer screening increases with higher education levels (< grade 9 OR 0.37 [CI 0.29-0.48], grade 9-12 OR 0.53 [CI 0.44-0.65], high school OR 0.68 [CI 0.59-0.77], higher degree OR 1.13 [CI 0.96-1.34]). Similarly, screening for oral cancer increases with higher education levels (< grade 9 OR 0.31 [CI 0.23-0.42], grade 9-12 OR 0.34 [CI 0.26-0.43], high school OR 0.60 [CI 0.52-0.68], higher degree OR 1.41 [CI 1.18-1.67]). We found that race, income, immigration, and health insurance status were statistically significant correlates with oral cancer awareness and screening.
Higher SES individuals are more likely to be aware of and screened for oral cancer. This is problematic because oral cancers are more prevalent in low SES groups. Future awareness and screening campaigns should be directed at vulnerable low SES populations.
确定口腔癌筛查意识是否与社会经济地位（SES）相关，并确定口腔癌筛查是否与 SES 相关。
数据来自 2008 年美国国家健康访谈调查（NHIS）。
我们SES 的主要衡量标准是教育程度；SES 的其他衡量标准包括收入、种族、医疗保险和移民身份。我们进行了逻辑回归分析，控制了重要的人口特征。
口腔癌筛查意识随着教育水平的提高而增加（<9 年级 OR 0.37 [CI 0.29-0.48]，9-12 年级 OR 0.53 [CI 0.44-0.65]，高中 OR 0.68 [CI 0.59-0.77]，更高学位 OR 1.13 [CI 0.96-1.34]）。同样，口腔癌筛查随着教育水平的提高而增加（<9 年级 OR 0.31 [CI 0.23-0.42]，9-12 年级 OR 0.34 [CI 0.26-0.43]，高中 OR 0.60 [CI 0.52-0.68]，更高学位 OR 1.41 [CI 1.18-1.67]）。我们发现，种族、收入、移民和医疗保险状况与口腔癌意识和筛查有统计学上的显著相关性。
较高 SES 的个体更有可能意识到并接受口腔癌筛查。这是有问题的，因为口腔癌在 SES 较低的人群中更为普遍。未来的意识和筛查活动应针对弱势 SES 人群。
