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南非横断面研究中口腔黏膜病变的流行情况及其与血清可替宁水平的关系。

Prevalence of Oral Mucosal Lesions and Relation to Serum Cotinine Levels-Findings from a Cross-Sectional Study in South Africa.

机构信息

Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

Division of Epidemiology and Biostatistics, Stellenbosch University, Cape Town 7505, South Africa.

出版信息

Int J Environ Res Public Health. 2020 Feb 7;17(3):1065. doi: 10.3390/ijerph17031065.

DOI:10.3390/ijerph17031065
PMID:32046216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7037025/
Abstract

Oral mucosal lesions (OML) can decrease oral health-related quality of life and some have the potential to become malignant. The aim of the present study was to report the prevalence of OML in relation to age, sex, and serum cotinine levels in a population with mixed ancestry from South Africa. This study is part of the Cape Town Vascular and Metabolic Health (VHM) study, conducted between 2014-2016. Trained dental examiners assessed the oral mucosa for the presence of OML according to WHO criteria. In total, 1976 individuals were included in the study, being 1496 females (75.7%) and 480 males (24.3%) with average age of 49.5 years (SD = 15.3). In total, 262 lesions were detected in 252 participants (overall prevalence of 13%). Males had higher prevalence than females (14% vs. 9%, = 0.008). Participants aged 25-34 had the highest prevalence rates (21%). Participants who had cotinine ≥15 ng/mL had higher prevalence of OML as compared to those with <15 ng/mL (15% vs. 5%, < 0.001). Most common lesions were nicotine stomatitis (33%) and leukoplakia (19%). Age, male sex, and higher cotinine levels were associated with increased prevalence of OML.

摘要

口腔黏膜病变 (OML) 会降低口腔健康相关生活质量，有些还有恶变的可能。本研究旨在报告南非混合人群中与年龄、性别和血清可替宁水平相关的 OML 患病率。本研究是 2014-2016 年进行的开普敦血管和代谢健康 (VHM) 研究的一部分。经过培训的口腔检查人员根据世卫组织标准评估口腔黏膜是否存在 OML。共有 1976 人参与了该研究，其中 1496 名女性（75.7%）和 480 名男性（24.3%），平均年龄为 49.5 岁（SD = 15.3）。共有 252 名参与者发现 262 个病变（总患病率为 13%）。男性的患病率高于女性（14%对 9%， = 0.008）。25-34 岁参与者的患病率最高（21%）。与可替宁 <15 ng/mL 的参与者相比，可替宁 ≥15 ng/mL 的参与者 OML 的患病率更高（15%对 5%， < 0.001）。最常见的病变是尼古丁性口炎（33%）和口腔白斑（19%）。年龄、男性和较高的可替宁水平与 OML 患病率增加相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50d7/7037025/53588123fb00/ijerph-17-01065-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50d7/7037025/d202427ab21e/ijerph-17-01065-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50d7/7037025/7ee71b934c9b/ijerph-17-01065-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50d7/7037025/1327ce569a8b/ijerph-17-01065-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50d7/7037025/53588123fb00/ijerph-17-01065-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50d7/7037025/d202427ab21e/ijerph-17-01065-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50d7/7037025/7ee71b934c9b/ijerph-17-01065-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50d7/7037025/1327ce569a8b/ijerph-17-01065-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50d7/7037025/53588123fb00/ijerph-17-01065-g004.jpg

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