Oral and oropharyngeal cancer screening and tobacco cessation discussions, NHANES 2011–2018

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2023-10-18 DOI:10.1111/cdoe.12921

R. Constance Wiener, Jay S. Patel

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引用次数: 0

Abstract

Objective

Oral cavity and oropharyngeal cancer (OOPC) is a devastating disease often caught in late stages. People who use tobacco are at higher risk of OOPC. Tobacco cessation discussions and OOPC screenings are important factors in decreasing the risk of OOPC or its late stage diagnosis. As research on sex differences has been increasing—from research on biomedical to psychological and sociological determinants—there is a potential difference, by sex, as to whom is more likely to have a tobacco cessation discussion and OOPC screening. The objective of this study is to determine if there is an association of sex with tobacco cessation discussions and OOPC screenings conducted by dental healthcare professionals among participants who currently use tobacco.

Method

Data from 8 years of the National Health and Nutrition Examination Survey (2011–2018) were merged. Data from participants, ages 30 years and above, who self-reported current use of tobacco, a dental visit within the previous year and responsed to questions about oral cancer screening were analysed for frequency determination and logistic regression analysis. Having the combination of neither OOPC screening nor discussion about the benefits of not using tobacco was the outcome in the analysis.

Results

There were 22.1% who had an OOPC screening by a dental professional within the previous year. Of the 41% who reported having had a conversation with a dental professional within the previous year about the benefits of tobacco cessation, 9.8% reported having both the conversation and OOPC screening. Males were less likely than females to have the combination of neither OOPC screening nor advice about tobacco cessation than females (adjusted odds ratio: 0.74; 95%CI: 0.57, 0.96).

Conclusion

There is an increased need for OOPC screening and the discussion of tobacco use by dental professionals among their patients who use tobacco, particularly for female patients.

查看原文本刊更多论文

口腔和口咽癌症筛查和戒烟讨论，2011年至2018年NHANES。

目的：口腔口咽癌症是一种晚期恶性疾病。吸烟的人患OOPC的风险更高。戒烟讨论和OOPC筛查是降低OOPC或其晚期诊断风险的重要因素。随着对性别差异的研究从生物医学到心理和社会学决定因素的研究不断增加，在谁更有可能进行戒烟讨论和OOPC筛查方面，存在着潜在的性别差异。本研究的目的是确定在目前使用烟草的参与者中，牙科保健专业人员进行的性与戒烟讨论和OOPC筛查是否存在关联。方法：将2011-2018年全国健康与营养调查的8年数据进行合并。对来自30岁及以上的参与者的数据进行分析，以确定频率和逻辑回归分析，这些参与者自我报告了目前的烟草使用情况、前一年内的一次牙科就诊以及对口腔癌症筛查问题的回答。既没有OOPC筛查，也没有讨论不使用烟草的好处，这是分析的结果。结果：22.1%的患者在前一年内接受了牙科专业人员的OOPC筛查。41%的人报告在前一年内与牙科专业人员就戒烟的好处进行了交谈，9.8%的人报告同时进行了交谈和OOPC筛查。男性比女性更不可能同时接受OOPC筛查和戒烟建议（调整后的比值比：0.74；95%置信区间：0.57,0.96）。结论：在吸烟患者中，尤其是女性患者中，牙科专业人员越来越需要进行OOPC筛查并讨论烟草使用情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.