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Lifestyle risk factor related disparities in oral cancer examination in the U.S: a population-based cross-sectional study
BACKGROUND: Oral cancers account for 3% of annual U.S. cancer diagnosis, 2 in 5 of which are diagnosed late when prognosis is poor. The purpose of this study was to report the population-level prevalence of oral cancer examination among adult smokers and alcohol drinkers and assess if these modifiab...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995129/ https://www.ncbi.nlm.nih.gov/pubmed/32005213 http://dx.doi.org/10.1186/s12889-020-8247-2 |
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author | Akinkugbe, Aderonke A. Garcia, Dina T. Brickhouse, Tegwyn H. Mosavel, Maghboeba |
author_facet | Akinkugbe, Aderonke A. Garcia, Dina T. Brickhouse, Tegwyn H. Mosavel, Maghboeba |
author_sort | Akinkugbe, Aderonke A. |
collection | PubMed |
description | BACKGROUND: Oral cancers account for 3% of annual U.S. cancer diagnosis, 2 in 5 of which are diagnosed late when prognosis is poor. The purpose of this study was to report the population-level prevalence of oral cancer examination among adult smokers and alcohol drinkers and assess if these modifiable lifestyle factors are associated with receiving an oral cancer examination. METHODS: Adult participants ≥30 years (n = 9374) of the 2013–2016 cycles of the National Health and Nutrition Examination Survey were included. Oral cancer examination (yes/no), smoking (never, former, current) and alcohol use (abstainers, former, current) were self-reported. Survey-logistic regression estimated odds ratios (OR) and 95% confidence intervals (CIs) of ever and past year oral cancer examination adjusted for age, gender, race/ethnicity, education, income, and time since last dental visit. RESULTS: One third (33%) reported ever been examined for oral cancer, 66% of whom reported an examination in the past year. Adjusted OR (95% CI) of past year examination comparing current and former smokers to non-smokers were 0.51 (0.29, 0.88) and 0.74 (0.53, 1.04) respectively. Similarly, current and former alcohol drinkers relative to abstainers were less likely to report a past year oral cancer examination, OR (95% CI) = 0.84 (0.53, 1.30) and 0.50 (0.30, 0.83) respectively. CONCLUSION: This study showed that smokers and alcohol users were less likely than abstainers to self-report a past year oral cancer examination. Access to affordable and targeted oral cancer examination within the dental care setting might ensure that these high-risk individuals get timely examinations and earlier diagnosis that might improve prognosis and survival. |
format | Online Article Text |
id | pubmed-6995129 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-69951292020-02-04 Lifestyle risk factor related disparities in oral cancer examination in the U.S: a population-based cross-sectional study Akinkugbe, Aderonke A. Garcia, Dina T. Brickhouse, Tegwyn H. Mosavel, Maghboeba BMC Public Health Research Article BACKGROUND: Oral cancers account for 3% of annual U.S. cancer diagnosis, 2 in 5 of which are diagnosed late when prognosis is poor. The purpose of this study was to report the population-level prevalence of oral cancer examination among adult smokers and alcohol drinkers and assess if these modifiable lifestyle factors are associated with receiving an oral cancer examination. METHODS: Adult participants ≥30 years (n = 9374) of the 2013–2016 cycles of the National Health and Nutrition Examination Survey were included. Oral cancer examination (yes/no), smoking (never, former, current) and alcohol use (abstainers, former, current) were self-reported. Survey-logistic regression estimated odds ratios (OR) and 95% confidence intervals (CIs) of ever and past year oral cancer examination adjusted for age, gender, race/ethnicity, education, income, and time since last dental visit. RESULTS: One third (33%) reported ever been examined for oral cancer, 66% of whom reported an examination in the past year. Adjusted OR (95% CI) of past year examination comparing current and former smokers to non-smokers were 0.51 (0.29, 0.88) and 0.74 (0.53, 1.04) respectively. Similarly, current and former alcohol drinkers relative to abstainers were less likely to report a past year oral cancer examination, OR (95% CI) = 0.84 (0.53, 1.30) and 0.50 (0.30, 0.83) respectively. CONCLUSION: This study showed that smokers and alcohol users were less likely than abstainers to self-report a past year oral cancer examination. Access to affordable and targeted oral cancer examination within the dental care setting might ensure that these high-risk individuals get timely examinations and earlier diagnosis that might improve prognosis and survival. BioMed Central 2020-01-31 /pmc/articles/PMC6995129/ /pubmed/32005213 http://dx.doi.org/10.1186/s12889-020-8247-2 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Akinkugbe, Aderonke A. Garcia, Dina T. Brickhouse, Tegwyn H. Mosavel, Maghboeba Lifestyle risk factor related disparities in oral cancer examination in the U.S: a population-based cross-sectional study |
title | Lifestyle risk factor related disparities in oral cancer examination in the U.S: a population-based cross-sectional study |
title_full | Lifestyle risk factor related disparities in oral cancer examination in the U.S: a population-based cross-sectional study |
title_fullStr | Lifestyle risk factor related disparities in oral cancer examination in the U.S: a population-based cross-sectional study |
title_full_unstemmed | Lifestyle risk factor related disparities in oral cancer examination in the U.S: a population-based cross-sectional study |
title_short | Lifestyle risk factor related disparities in oral cancer examination in the U.S: a population-based cross-sectional study |
title_sort | lifestyle risk factor related disparities in oral cancer examination in the u.s: a population-based cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995129/ https://www.ncbi.nlm.nih.gov/pubmed/32005213 http://dx.doi.org/10.1186/s12889-020-8247-2 |
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