Silva Romyne Bastos Solano E, Herkrath Ana Paula Corrêa de Queiroz, Valle Matheus Albuquerque do, Guimarães Carla Rilane Bernardes, Herkrath Fernando José, Pereira Juliana Vianna
School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil.
Fundação Oswaldo Cruz, Instituto Leônidas e Maria Deane, Manaus, Amazonas, Brazil.
Braz Dent J. 2025 Jul 11;36:e236302. doi: 10.1590/0103-644020256302. eCollection 2025.
The study evaluated the prevalence of actinic cheilitis and associated factors in fishermen living in a rural riverside community in the Amazon, Brazil. A cross-sectional study was conducted with male artisanal fishermen. Demographic, socioeconomic, behavioral, and occupational characteristics were assessed using a questionnaire. Actinic cheilitis was evaluated by a clinical examination of the lips, and lesions were classified as grades I (mild), II (moderate), or III (severe). Factors associated with actinic cheilitis were identified by Poisson regression. Fifty-six fishermen were evaluated (mean age = 41.7 years). The average time spent fishing was 27.9 years, with 9.8 hours per day. The majority did not use sunscreen (75%) or lip balm (89.3%) and used uncovered boats (85.7%). Overall, 67.8% had not used dental health services in the last year and 35.7% had their last consultation more than three years ago. The prevalence of actinic cheilitis was 3.5% in grade I, 28.6% in grade II, and 28.6% in grade III. Having white skin and not having visited the dentist in the last three years was associated with a higher prevalence of the lesion while using lip balm was a protective factor. The study showed that riverside fishermen living in a location with a high incidence of ultraviolet radiation had a high prevalence and severity of actinic cheilitis, indicating the need to ensure the use of health services and the adoption of preventive strategies to reduce the occurrence of this potentially malignant oral disorder in these locations.
该研究评估了巴西亚马逊地区一个农村河畔社区渔民中光化性唇炎的患病率及相关因素。对男性个体渔民进行了一项横断面研究。使用问卷评估人口统计学、社会经济、行为和职业特征。通过唇部临床检查评估光化性唇炎，病变分为I级（轻度）、II级（中度）或III级（重度）。通过泊松回归确定与光化性唇炎相关的因素。共评估了56名渔民（平均年龄 = 41.7岁）。平均捕鱼时间为27.9年，每天捕鱼9.8小时。大多数人不使用防晒霜（75%）或润唇膏（89.3%），且使用无遮盖的船只（85.7%）。总体而言，67.8%的人在过去一年未使用牙科保健服务，35.7%的人上一次就诊时间超过三年。I级光化性唇炎的患病率为3.5%，II级为28.6%，III级为28.6%。皮肤白皙且在过去三年未看牙医与该病变的较高患病率相关，而使用润唇膏是一个保护因素。该研究表明，生活在紫外线辐射高发地区的河畔渔民光化性唇炎的患病率和严重程度较高，这表明需要确保使用保健服务并采取预防策略，以减少这些地区这种潜在恶性口腔疾病的发生。
