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牙科学生对口腔癌流行病学和临床特征的知识与态度评估:对其他中等收入国家的启示

Assessment of Dental Students' Knowledge and Attitudes About the Epidemiologic and Clinical Characteristics of Oral Cancer: Implications for Other Middle-income Countries.

作者信息

Macedo Dhiancarlo Rocha, Maciel Eduardo Fraga, Rodrigues Jéssica Ferreira, Cardoso Sérgio Vitorino, de Oliveira Guilherme José Pimentel Lopes, Soares Priscilla Barbosa Ferreira

机构信息

Graduate Program in Dentistry, Hospital Dentistry Area, School of Dentistry, Federal University of Uberlandia, Uberlandia, MG, Brazil.

Graduate Program in Dentistry, School of Dentistry, Federal University of Uberlandia, Uberlandia, MG, Brazil.

出版信息

J Cancer Educ. 2024 Nov 4. doi: 10.1007/s13187-024-02529-3.

DOI:10.1007/s13187-024-02529-3
PMID:39496994
Abstract

The stage of detection of head and neck cancer and the time between detection and treatment are critical to prognosis. The importance of the dentist in primary diagnosis and treatment planning has been emphasized. The purpose of this study was to evaluate the knowledge of dental students in the prevention and early diagnosis of oral cancer. A descriptive cross-sectional study was conducted on 199 students from different institutions. A self-administered questionnaire with 34 multiple-choice questions on clinical and epidemiologic knowledge and opinions about oral cancer was used. Descriptive analysis to show means and frequencies and the binomial logistic regression test were used to perform the statistical analysis. The confidence level used was 95%. The results showed that all students in the study had heard of the existence of oral cancer, but only 24.6% knew someone with the disease. The majority reported a lack of information in the population about prevention and self-examination, as well as a lack of information campaigns in institutions. Although the majority perform clinical examinations of the oral mucosa (73.4%) and refer patients with suspicious lesions to specialists, there is low confidence in performing biopsies (73.4%) and gaps in training during graduation (84.4%). The majority have never attended continuing education courses on oral cancer but show interest (97.5%). The study identifies deficiencies in the knowledge and practices of dental students and highlights the need for improved teaching and training to promote oral cancer prevention and early detection. Further research in this area and ongoing assessment of students' skills are suggested.

摘要

头颈癌的检测阶段以及检测与治疗之间的时间对预后至关重要。牙医在初步诊断和治疗规划中的重要性已得到强调。本研究的目的是评估牙科学生在口腔癌预防和早期诊断方面的知识。对来自不同机构的199名学生进行了描述性横断面研究。使用了一份自我管理的问卷,其中包含34个关于口腔癌临床和流行病学知识及观点的多项选择题。采用描述性分析来展示均值和频率,并使用二项式逻辑回归检验进行统计分析。使用的置信水平为95%。结果显示,研究中的所有学生都听说过口腔癌的存在,但只有24.6%的学生认识患此病的人。大多数人报告称,人群中缺乏关于预防和自我检查的信息,机构中也缺乏宣传活动。尽管大多数人会对口腔黏膜进行临床检查(73.4%),并将有可疑病变的患者转诊给专科医生,但对进行活检的信心较低(73.4%),毕业期间的培训也存在差距(84.4%)。大多数人从未参加过关于口腔癌的继续教育课程,但表现出兴趣(97.5%)。该研究确定了牙科学生在知识和实践方面的不足,并强调需要改进教学和培训以促进口腔癌的预防和早期检测。建议在该领域进行进一步研究并持续评估学生的技能。

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本文引用的文献

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Oral cancer knowledge, attitudes, and practices among senior dental students in Yemen: a multi-institution study.也门高年级口腔医学生口腔癌知识、态度和实践:多机构研究。
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Knowledge, attitudes, and practices of oral cancer prevention among students, interns, and faculty members at the college of dentistry of Jazan University.
沙特吉赞大学牙科学院学生、实习医生和教职员工的口腔癌预防知识、态度和实践。
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Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.《全球癌症统计数据 2020:全球 185 个国家和地区 36 种癌症的发病率和死亡率估计》。
CA Cancer J Clin. 2021 May;71(3):209-249. doi: 10.3322/caac.21660. Epub 2021 Feb 4.
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J Cancer Educ. 2022 Aug;37(4):1194-1200. doi: 10.1007/s13187-020-01938-4. Epub 2021 Jan 14.
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