一个以非裔美国人为主的社区中口腔癌知识的特征及预测因素。

Characteristics and predictors of oral cancer knowledge in a predominantly African American community.

作者信息

Osazuwa-Peters Nosayaba, Adjei Boakye Eric, Hussaini Adnan S, Sujijantarat Nanthiya, Ganesh Rajan N, Snider Matthew, Thompson Devin, Varvares Mark A

机构信息

Saint Louis University Cancer Center, Saint Louis, MO, United States of America.

Saint Louis University, School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Saint Louis, MO, United States of America.

出版信息

PLoS One. 2017 May 17;12(5):e0177787. doi: 10.1371/journal.pone.0177787. eCollection 2017.

DOI:10.1371/journal.pone.0177787

PMID:28545057

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5435300/

Abstract

PURPOSE

To characterize smoking and alcohol use, and to describe predictors of oral cancer knowledge among a predominantly African-American population.

METHODS

A cross-sectional study was conducted between September, 2013 among drag racers and fans in East St. Louis. Oral cancer knowledge was derived from combining questionnaire items to form knowledge score. Covariates examined included age, sex, race, marital status, education status, income level, insurance status, tobacco and alcohol use. Adjusted linear regression analysis measured predictors of oral cancer knowledge.

RESULTS

Three hundred and four participants completed questionnaire; 72.7% were African Americans. Smoking rate was 26.7%, alcohol use was 58.3%, and mean knowledge score was 4.60 ± 2.52 out of 17. In final adjusted regression model, oral cancer knowledge was associated with race and education status. Compared with Caucasians, African Americans were 29% less likely to have high oral cancer knowledge (β = -0.71; 95% CI: -1.35, -0.07); and participants with a high school diploma or less were 124% less likely to have high oral cancer knowledge compared with college graduates (β = -1.24; 95% CI: -2.44, -0.41).

CONCLUSIONS

There was lower oral cancer knowledge among African Americans and those with low education. The prevalence of smoking was also very high. Understanding predictors of oral cancer knowledge is important in future design of educational interventions specifically targeted towards high-risk group for oral cancer.

摘要

目的

描述吸烟和饮酒情况，并阐述在以非裔美国人为主的人群中口腔癌知识的预测因素。

方法

2013年9月在东圣路易斯对赛车手和车迷进行了一项横断面研究。口腔癌知识通过合并问卷项目形成知识得分来获取。所检查的协变量包括年龄、性别、种族、婚姻状况、教育程度、收入水平、保险状况、烟草和酒精使用情况。采用调整后的线性回归分析来衡量口腔癌知识的预测因素。

结果

304名参与者完成了问卷调查；72.7%为非裔美国人。吸烟率为26.7%，饮酒率为58.3%，在满分17分的情况下平均知识得分为4.60±2.52分。在最终调整后的回归模型中，口腔癌知识与种族和教育程度有关。与白种人相比，非裔美国人具备较高口腔癌知识的可能性低29%（β = -0.71；95%置信区间：-1.35，-0.07）；与大学毕业生相比，拥有高中文凭或更低学历的参与者具备较高口腔癌知识的可能性低124%（β = -1.24；95%置信区间：-2.44，-0.41）。