National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore, Singapore.
Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, PO Box 100177, 2004 Mowry Road, Suite 2251, Gainesville, FL, 32610-0177, USA.
BMC Cancer. 2021 Apr 20;21(1):430. doi: 10.1186/s12885-021-08198-5.
Research suggests having an oral and pharyngeal cancer (OPC) examination for early diagnosis can increase survival rate. However, the OPC screening rate is low in certain populations. To improve OPC screening rate, this study identified factors that are associated with having an OPC examination.
Participants with landlines and aged 25 years and older were recruited from six northern Florida counties. Bivariate and logistic regressions were used to predict the outcome of whether the participants had ever had an OPC examination as well as whether participants had ever heard of an OPC examination.
Of 2260 participants with a mean age of 55.9 ± 15.0 years, the majority of participants never smoked (53.4%), self-identified as Whites (70.6%), and had some college or 2-year degree education (30.3%). Smokers were significantly less likely to have ever heard of an OPC examination than those who never smoked. Significant interaction between smoking status and race, and smoking status and social support interaction were found. Whites who never smoked were more likely to have had an OPC examination than non-Whites who never smoked. Former and current smokers with greater social support were more likely to have had an OPC examination than those with lower social support.
The findings from this study inform the need to enhance the awareness of having an OPC examination among smokers and to reduce barriers for racial minority populations to receive an OPC examination. Future research is warranted to develop interventions to target certain populations to improve the rate of OPC examination.
研究表明，进行口腔和咽喉癌（OPC）检查有助于早期诊断，从而提高生存率。然而，某些人群的 OPC 筛查率较低。为了提高 OPC 筛查率，本研究确定了与接受 OPC 检查相关的因素。
从佛罗里达州北部的六个县招募了拥有固定电话且年龄在 25 岁及以上的参与者。使用双变量和逻辑回归来预测参与者是否曾进行过 OPC 检查以及是否听说过 OPC 检查的结果。
在 2260 名平均年龄为 55.9±15.0 岁的参与者中，大多数参与者从不吸烟（53.4%），自认为是白人（70.6%），并具有一些大学或 2 年制学历（30.3%）。与从不吸烟的参与者相比，吸烟者听说过 OPC 检查的可能性明显较低。发现吸烟状况与种族以及吸烟状况与社会支持之间存在显著的交互作用。从不吸烟的白人比从不吸烟的非白人更有可能进行过 OPC 检查。社会支持度较高的前吸烟者和现吸烟者比社会支持度较低的吸烟者更有可能进行过 OPC 检查。
本研究的结果表明，需要提高吸烟者对进行 OPC 检查的认识，并减少种族少数群体接受 OPC 检查的障碍。有必要进行未来的研究，以制定针对特定人群的干预措施，提高 OPC 检查率。
