Universidade do Estado do Rio Grande do Norte, Caicó, RN, Brazil.
Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
Einstein (Sao Paulo). 2022 May 27;20:eAO6862. doi: 10.31744/einstein_journal/2022AO6862. eCollection 2022.
To evaluate the prevalence of actinic cheilitis in rural workers and factors associated with the development of this condition.
A cross-sectional study was conducted in a city in Northeastern Brazil. Data were collected by clinical examination and use of a questionnaire validated with 300 rural workers. The χ2 test was employed to identify possible associations between the presence of actinic cheilitis and clinical and demographic variables. Multiple logistic regression analysis was performed using forward stepwise selection. A p value of 0.05 was considered significant.
The prevalence of actinic cheilitis was 12.0% in the sample. The highest prevalence of actinic cheilitis was observed in white males, with low educational level, and an approximately 40-year history of sun exposure. Chronic lesions were commonly found in the lower lip and were characterized by scaling, dryness, and mild edema. Skin color, sex, educational level of patients, and cumulative sun exposure (in years), were identified as predictors of development of actinic cheilitis.
Our results suggest the need to implement educational health strategies aimed to orient the population about risk factors and preventive measures of the disease. Appropriate clinical management of patients with actinic cheilitis is important for prevention of lip cancer.
评估农村劳动者中光化性唇炎的患病率及其相关发病因素。
本研究为巴西东北部某城市的一项横断面研究。通过临床检查和使用经过 300 名农村劳动者验证的问卷收集数据。采用卡方检验来识别光化性唇炎与临床和人口统计学变量之间的可能关联。采用逐步向前选择法进行多因素逻辑回归分析。p 值＜0.05 为差异有统计学意义。
本样本中光化性唇炎的患病率为 12.0%。白色人种、男性、教育水平低、日光暴露史约 40 年的人群，光化性唇炎的患病率最高。慢性病变常见于下唇，表现为鳞屑、干燥和轻度水肿。皮肤颜色、性别、患者的教育水平以及累积日光暴露（年）被确定为光化性唇炎发病的预测因素。
我们的研究结果表明，需要实施卫生教育策略，使人群了解疾病的危险因素和预防措施。对光化性唇炎患者进行适当的临床管理对于预防唇癌很重要。
