Dwojak Sunshine, Deschler Daniel, Sargent Michele, Emerick Kevin, Guadagnolo B Ashleigh, Petereit Daniel
Sunshine Dwojak, Daniel Deschler, and Kevin Emerick are with the Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA. Michele Sargent and Daniel Petereit are with the John T. Vucurevich Cancer Care Institute at Rapid City Regional Hospital, Rapid City, SD. B. Ashleigh Guadagnolo is with the University of Texas M.D. Anderson Cancer Center, Houston.
Am J Public Health. 2015 Jun;105(6):1155-60. doi: 10.2105/AJPH.2014.302177. Epub 2014 Oct 16.
We established the level of awareness of risk factors and early symptoms of head and neck cancer among American Indians in South Dakota and determined whether head and neck cancer screening detected clinical findings in this population.
We used the European About Face survey. We added questions about human papillomavirus, a risk factor for head and neck cancer, and demographics. Surveys were administered at 2 public events in 2011. Participants could partake in a head and neck cancer screening at the time of survey administration.
Of the 205 American Indians who completed the survey, 114 participated in the screening. Mean head and neck cancer knowledge scores were 26 out of 44. Level of education was the only factor that predicted higher head and neck cancer knowledge (b = 0.90; P = .01). Nine (8%) people had positive head and neck cancer screening examination results. All abnormal clinical findings were in current or past smokers (P = .06).
There are gaps in American Indian knowledge of head and neck cancer risk factors and symptoms. Community-based head and neck cancer screening in this population is feasible and may be a way to identify early abnormal clinical findings in smokers.
我们确定了南达科他州美国印第安人对头颈部癌症危险因素和早期症状的知晓水平，并确定头颈部癌症筛查是否能在此人群中检测出临床病症。
我们采用了欧洲的“关于面孔”调查。我们增加了关于人乳头瘤病毒（头颈部癌症的一个危险因素）和人口统计学的问题。2011年在2次公共活动中进行了调查。参与者在接受调查时可参加头颈部癌症筛查。
在完成调查的205名美国印第安人中，114人参加了筛查。头颈部癌症知识平均得分在44分中为26分。教育程度是预测头颈部癌症知识得分较高的唯一因素（b = 0.90；P = 0.01）。9人（8%）头颈部癌症筛查检查结果呈阳性。所有异常临床病症均出现在当前或既往吸烟者中（P = 0.06）。
美国印第安人在头颈部癌症危险因素和症状方面的知识存在差距。对该人群进行基于社区的头颈部癌症筛查是可行的，可能是识别吸烟者早期异常临床病症的一种方法。
