Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore.
Discipline of Primary Dental Care & Population Health, Faculty of Dentistry, National University of Singapore, Singapore.
Int Dent J. 2023 Oct;73(5):651-658. doi: 10.1016/j.identj.2022.11.021. Epub 2023 Jan 13.
Oral cancer confers high morbidity and mortality rates. Late diagnosis of oral cancer is linked to a lack of awareness of its existence and known risk factors. The purpose of this survey was to examine the knowledge and awareness of oral cancer amongst different groups in Singapore.
A self-administered questionnaire (including questions on awareness, risk factor knowledge, and health beliefs about oral cancer) was distributed to undergraduate students from the medical and dental schools and other faculties at the National University of Singapore, as well as the general public.
A total of 470 responses were analysed. Both medical and dental students were almost universally aware of the disease and correctly identified recognised risk factors for oral cancers. Dental students had a significantly higher level of knowledge of chewing betel quid as a risk factor than medical students (98% vs 74%; P < .0001), although 1 in 10 dental students did not identify alcohol as a risk factor. In contrast, undergraduate students from other faculties were the least aware of oral cancer (62%). Within the general public, knowledge of the risk factors of oral cancer aside from smoking was low, with only 41% aware of viruses as a possible aetiology. However, the younger population group, aged 18 to 34 years old, in general had better knowledge of the risk factors of oral cancer compared with older participants.
There is a general lack of awareness about oral cancer and its associated risk factors amongst certain cohorts of the Singapore population. There exists room for further targeted education.
口腔癌的发病率和死亡率都很高。口腔癌诊断较晚与对其存在和已知危险因素的认识不足有关。本调查的目的是检查新加坡不同人群对口腔癌的知识和认识。
向新加坡国立大学的医学生和牙科学以及其他学院的本科生以及普通公众分发了一份自我管理的问卷(包括对口腔癌的认识、危险因素知识和健康信念的问题)。
共分析了 470 份答复。医学生和牙科学都几乎普遍了解这种疾病,并正确识别出口腔癌的公认危险因素。牙科学学生对咀嚼槟榔作为危险因素的知识水平明显高于医学生(98%对 74%;P<0.0001),尽管 10%的牙科学学生没有将酒精确定为危险因素。相比之下,其他学院的本科生对口腔癌的认识最低(62%)。在普通公众中,除吸烟以外的口腔癌危险因素的知识水平较低,只有 41%的人知道病毒可能是病因。然而,18 至 34 岁的年轻人群组对口腔癌的危险因素的总体认识要好于年龄较大的参与者。
新加坡某些人群对口腔癌及其相关危险因素普遍缺乏认识。需要进一步进行有针对性的教育。