Martin L M, Bouquot J E, Wingo P A, Heath C W
American Cancer Society, Atlanta, GA 30329, USA.
J Public Health Dent. 1996 Fall;56(6):336-40. doi: 10.1111/j.1752-7325.1996.tb02461.x.
In this paper we describe the proportion of US adults who report receiving oral cancer screening and tobacco cessation counseling and assistance from dentists and other health professionals.
Data from the 1992 National Health Interview Survey (NHIS) Cancer Control Supplement, a nationally representative sample of 12,035 adults 18 years of age and older, are analyzed.
In 1992, less than 10 percent of adults reported oral cancer screening by a dentist or hygienist within the past three years. White adults (10.1%, 95% CI = 9.3, 10.9) reported an oral cancer screening three times more frequently than black (3.2%, 95% CI = 1.9, 4.5) or Hispanic (3.4%, 95% CI = 2.1, 4.7) adults. About half of adult current smokers had seen a dentist within 12 months, and of those only 24.1 percent (95% CI = 21.7, 26.5) had been advised to quit smoking. Heavy smokers (two or more packs a day) were more likely to have been advised to quit than light (pack or less per day) or occasional smokers. A similar proportion (24.3%, 95% CI = 17.6, 31.0) of white adult men who reported using smokeless tobacco products had been told by a dentist to quit using tobacco.
Results from this population-based survey indicate that cancer screening and tobacco cessation advice are underutilized in the dental practice. Increased patient awareness and implementation of screening and tobacco cessation interventions could improve oral cancer incidence and mortality and have a public health benefit for other tobacco-related morbidity and mortality as well.
在本文中，我们描述了报告接受过口腔癌筛查以及来自牙医和其他健康专业人员的戒烟咨询与帮助的美国成年人比例。
分析了1992年全国健康访谈调查（NHIS）癌症控制补充调查的数据，该调查是对12,035名18岁及以上成年人的全国代表性样本。
1992年，不到10%的成年人报告在过去三年内接受过牙医或口腔保健员的口腔癌筛查。白人成年人（10.1%，95%置信区间=9.3，10.9）报告口腔癌筛查的频率是黑人（3.2%，95%置信区间=1.9，4.5）或西班牙裔成年人（3.4%，95%置信区间=2.1，4.7）的三倍。约一半的成年现吸烟者在12个月内看过牙医，其中只有24.1%（95%置信区间=21.7，26.5）被建议戒烟。重度吸烟者（每天两包或更多）比轻度吸烟者（每天一包或更少）或偶尔吸烟者更有可能被建议戒烟。报告使用无烟烟草制品的白人成年男性中，有类似比例（24.3%，95%置信区间=17.6，31.0）被牙医告知戒烟。
这项基于人群的调查结果表明，癌症筛查和戒烟建议在牙科实践中未得到充分利用。提高患者意识以及实施筛查和戒烟干预措施可以改善口腔癌的发病率和死亡率，并且对其他与烟草相关的发病率和死亡率也具有公共卫生益处。
