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一项基于社区的健康教育项目对古吉拉特社区口腔癌风险因素认知的影响。

The impact of a community-based health education programme on oral cancer risk factor awareness among a Gujarati community.

作者信息

Siddique I, Mitchell D A

机构信息

Department of Oral and Maxillofacial Surgery, Pinderfields Hospital, Aberford Road, Wakefield, West Yorkshire, WF1 4DG, UK.

出版信息

Br Dent J. 2013 Aug;215(4):E7. doi: 10.1038/sj.bdj.2013.829.

DOI:10.1038/sj.bdj.2013.829
PMID:23969680
Abstract

OBJECTIVES

To determine any differences in oral cancer risk factor awareness and behaviour among first and second generation Gujarati muslims and to investigate the impact of a community-based health education programme on oral cancer risk factor awareness.

DESIGN

Respondents completed a confidential, bilingual questionnaire in English and Gujarati regarding alcohol, tobacco, paan, sopari, paan masala and gutka use before and after a community-based health education programme on oral cancer risk factors.

SETTING

Community Health Fair. Indian Muslim Welfare Association, Batley, West Yorkshire.

SUBJECTS

Ninety-six male and female Gujarati muslims aged 16 to 81 years.

MAIN OUTCOME MEASURES

Quantitative results on oral cancer risk factor awareness before and after a health education programme. Quantitative figures obtained from the questionnaire with regards to alcohol, tobacco, paan, sopari, paan masala and gutka usage.

RESULTS

There were very low levels of alcohol consumption among Gujarati muslims. First generation Gujarati males consumed significantly more tobacco than second generation Gujarati males, difference in proportion 0.30 (0.03 to 0.56, p = 0.03). There was complete absence of paan use among Gujarati females. First generation Gujarati males consumed significantly higher amounts of sopari compared with their male counterparts in the second generation (p = 0.003). There were very low rates of paan masala use. Only first generation Gujarati males consumed gutka. Significantly more first generation males and females correctly identified all oral cancer risk factors after the health education intervention compared with baseline (difference 0.40, 95% CI 0.23 to 0.57, p = <0.001). Significantly more second generation males and females correctly identified all oral cancer risk factors after the health education intervention compared with baseline (difference 0.45, 95% CI 0.28 to 0.61, p = <0.001).

CONCLUSION

Our study demonstrated significant differences in oral cancer risk factor awareness and practices among first and second generation Gujarati muslims and that a local community-based health education programme was effective in raising awareness.

摘要

目的

确定第一代和第二代古吉拉特穆斯林在口腔癌危险因素认知和行为方面是否存在差异,并调查一项基于社区的健康教育计划对口腔癌危险因素认知的影响。

设计

在一项关于口腔癌危险因素的基于社区的健康教育计划前后,受访者用英语和古吉拉特语完成了一份关于酒精、烟草、槟榔、蒌叶、槟榔香料和古特卡使用情况的保密双语问卷。

地点

社区健康博览会。西约克郡巴特利的印度穆斯林福利协会。

研究对象

96名年龄在16至81岁之间的古吉拉特穆斯林男性和女性。

主要观察指标

健康教育计划前后口腔癌危险因素认知的定量结果。从问卷中获得的关于酒精、烟草、槟榔、蒌叶、槟榔香料和古特卡使用情况的定量数据。

结果

古吉拉特穆斯林的酒精消费量非常低。第一代古吉拉特男性的烟草消费量明显高于第二代古吉拉特男性,比例差异为0.30(0.03至0.56,p = 0.03)。古吉拉特女性完全不食用槟榔。第一代古吉拉特男性的蒌叶消费量明显高于第二代男性(p = 0.003)。槟榔香料的使用率非常低。只有第一代古吉拉特男性食用古特卡。与基线相比,健康教育干预后,第一代男性和女性中正确识别所有口腔癌危险因素的人数明显增加(差异为0.40,95%可信区间为0.23至0.57,p = <0.001)。与基线相比,健康教育干预后,第二代男性和女性中正确识别所有口腔癌危险因素的人数明显增加(差异为0.45,95%可信区间为0.28至0.61,p = <0.001)。

结论

我们的研究表明,第一代和第二代古吉拉特穆斯林在口腔癌危险因素认知和行为方面存在显著差异,并且一项基于当地社区的健康教育计划在提高认知方面是有效的。

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