Creath C J, Shelton W O, Wright J T, Bradley D H, Feinstein R A, Wisniewski J F
Department of Pediatric Dentistry, School of Dentistry, University of Alabama, Birmingham 35294.
J Am Dent Assoc. 1988 Jan;116(1):43-8. doi: 10.14219/jada.archive.1988.0147.
In assessing the prevalence and perceptions of use of smokeless tobacco among adolescent male athletes, several findings have public health implications. Almost a third of the sample had tried smokeless tobacco and 8% were current users. Racial differences between blacks and whites were remarkable. Differences in income strata and urban/rural settings were not significant. Peer influence was the major factor that initiated smokeless tobacco use. Abnormal mucosal findings were much more prevalent in those who had dipped smokeless tobacco than in those who had not. Most significant was a prevalence of oral leukoplakia in 5.2% of those who had ever dipped, which was 50 times that of nondippers. Using smokeless tobacco for more than 2 years or using more than three tins per week seemed to be of possible predictive value regarding the incidence of oral leukoplakia. Fifteen percent of current users had observable leukoplakia. Components necessary for effective intervention/prevention programs were elucidated with an emphasis on an increased role by dentists and other health professionals.
在评估青少年男性运动员中无烟烟草的使用流行率及认知情况时，有几项研究结果对公共卫生具有重要意义。近三分之一的样本曾尝试过无烟烟草，8%为当前使用者。黑人和白人之间的种族差异显著。收入阶层以及城市/农村环境方面的差异并不显著。同伴影响是开始使用无烟烟草的主要因素。有过无烟烟草蘸吸行为者的黏膜异常表现比未蘸吸者更为普遍。最显著的是，曾有过蘸吸行为的人中有5.2%患口腔白斑，这是非蘸吸者的50倍。使用无烟烟草超过2年或每周使用超过三罐似乎对口腔白斑的发病率具有可能的预测价值。15%的当前使用者有可观察到的白斑。阐明了有效干预/预防项目所需的要素，重点强调牙医和其他卫生专业人员要发挥更大作用。
