Aslesh Ottapura Prabhakaran, Paul Sam, Paul Lipsy, Jayasree Anandabhavan Kumaran
Academy of Medical Sciences, Community Medicine, Kerala University of Health Sciences, Kannur, India.
Iran J Cancer Prev. 2015 Dec;8(6):e3876. doi: 10.17795/ijcp-3876. Epub 2015 Dec 23.
Kerala is a highly urbanized state in India and interstate migrant laborers working there forms a marginalized community. It was generally perceived that use of tobacco and alcohol was high among the workers, but there are no epidemiological studies assessing the actual burden.
To estimate the prevalence of use of tobacco and also the prevalence of oral mucosal lesions associated with such use consumption among the adult male interstate migrant workers in North Kerala.
A cross sectional study was carried out among male migrant workers above 18 years working in different factories in urban parts of Kannur district. Total of 244 participants attending routine health check-up camp were assessed for the use of tobacco/alcohol, type, frequency and duration of their use by a questionnaire. The trained dental interns conducted oral cavity examination for detecting oral mucosal lesions associated with tobacco use.
The prevalence of current use of smoked tobacco, smokeless tobacco and alcohol use were 41.8%, 71.7% and 56.6%, respectively among migrants. Oral mucosal lesions (OML) were seen in 36.3% of participants. Among smokeless tobacco users, 44.6% had lesions. Adjusted odds ratio for OML was 4.5 (CI: 1.9 - 19.84) among smokeless tobacco users.
The current use of smokeless tobacco and oral mucosal lesions are highly prevalent among migrant workers.
喀拉拉邦是印度一个高度城市化的邦，在那里工作的跨州流动劳工构成了一个边缘化群体。人们普遍认为这些工人中烟草和酒精的使用率很高，但尚无流行病学研究评估实际负担情况。
估计喀拉拉邦北部成年男性跨州流动工人中烟草的使用率以及与烟草使用相关的口腔黏膜病变的患病率。
对卡努尔区城市地区不同工厂中18岁以上的男性流动工人进行了一项横断面研究。通过问卷调查对总共244名参加常规健康检查营的参与者的烟草/酒精使用情况、使用类型、频率和持续时间进行了评估。经过培训的牙科实习生进行口腔检查，以检测与烟草使用相关的口腔黏膜病变。
流动工人中当前使用烟熏烟草、无烟烟草和酒精的患病率分别为41.8%、71.7%和56.6%。36.3%的参与者出现口腔黏膜病变（OML）。在无烟烟草使用者中，44.6%有病变。无烟烟草使用者中OML的调整比值比为4.5（CI：1.9 - 19.84）。
无烟烟草的当前使用率和口腔黏膜病变在流动工人中非常普遍。
