牙医和牙科学员对口腔癌及其防治策略的看法如何? 基于沙特吉赞牙科学校的一项定性研究。
What Do Dentists and Dental Students Think of Oral Cancer and Its Control and Prevention Strategies? A Qualitative Study in Jazan Dental School.
机构信息
Department of Preventive Dental Science, College of Dentistry, Jazan University, Jazan, Saudi Arabia.
Department of Health Promotion, CAPHRI, Maastricht University, Maastricht, The Netherlands.
出版信息
J Cancer Educ. 2021 Feb;36(1):134-142. doi: 10.1007/s13187-019-01609-z.
Jazan region of Saudi Arabia has a high prevalence of oral cancer: 35% of cases. However, little is known about the view of dentists and dental students on possible factors that contribute to this high rate with scarce efforts regarding prevention. The study investigated possible factors related to oral cancer as perceived by dentists and dental students, using a qualitative approach. Six focus groups conducted in Jazan Dental School (JDS) and participants included dental students, interns, faculty members, and key decision-makers. All participants acknowledged oral cancer a serious public health issue in Jazan affecting all ages. The majority thought that tobacco is a major risk factor in this region, which can easily be obtained by individuals of any age or gender. Further, formal dental education in the country is not focusing on the local related risk factors. Participants agreed that practicing oral cancer examination and its risk factors education is related to clinicians' attitude and skills. Several participants declared that no organized effort established toward oral cancer and its risk factors in the region. Cultural acceptance of oral cancer risk factors was mentioned as one of the challenges for patients. The findings indicate that dental education and training at JDS are not focusing on necessary related oral health issues and their risk factors in the community. Also, it casts a new light on the fact that dentists are not educating their patients because they lack the knowledge and the skill of health education and patients' communication methods.
沙特阿拉伯的宰丹地区口腔癌的发病率很高
35%的病例。然而,对于可能导致这一高发病率的牙医和牙科学员的看法,人们知之甚少,而且几乎没有关于预防的努力。本研究采用定性方法,调查了牙医和牙科学员认为与口腔癌有关的可能因素。在宰丹牙科学院(JDS)进行了六次焦点小组讨论,参与者包括牙科学员、实习生、教职员工和主要决策者。所有参与者都认为口腔癌是影响所有年龄段人群的宰丹地区的一个严重公共卫生问题。大多数人认为烟草是该地区的一个主要危险因素,任何年龄和性别的人都很容易获得。此外,该国的正规牙科教育并不关注当地的相关危险因素。参与者一致认为,进行口腔癌检查及其危险因素教育与临床医生的态度和技能有关。一些参与者宣称,该地区没有针对口腔癌及其危险因素的有组织的努力。文化上对口腔癌危险因素的接受度被认为是患者面临的挑战之一。研究结果表明,JDS 的牙科教育和培训没有关注社区中必要的相关口腔健康问题及其危险因素。此外,这也揭示了一个事实,即牙医没有对患者进行口腔癌教育,因为他们缺乏健康教育和患者沟通方法的知识和技能。
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