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Patient awareness/knowledge towards oral cancer: a cross-sectional survey.


ABSTRACT: BACKGROUND:Oral cancer (OC) is associated with multiple risk factors and high mortality rates and substantially contributes to the global cancer burden despite being highly preventable. This cross-sectional study sought to assess current knowledge, awareness, and behaviors of patients in rural communities surrounding OC risk. METHODS:An anonymous 21-question survey was distributed to patients in waiting rooms of a large integrated medical-dental health system serving north-central Wisconsin. Survey results were summarized via descriptive statistics. Odds ratios surrounding health literacy on OC risk factors were obtained using unconditional univariate logistic regression analysis. RESULTS:Of 504 dental and 306 medical patients completing the survey, 62.2% were female, Caucasian/White (92%) with 41% having a???high school diploma/equivalent. Current smoker/smokeless tobacco use was reported by 34%, while 39% reported former tobacco exposure. Alcohol use was reported by 54% of respondents at the following frequencies: < once/week, (35%); 1-2 times/week, (16%); 3-4 times/week, (6%); 5-6 times/week, (2%); and daily, (23%). Knowledge about tobacco and alcohol use and increased OC risk was reported by 94 and 40%, respectively. About 50% reported knowledgeability regarding cancer-associated symptomology. Tobacco cessation was reported by 20% of responders. Receipt of education on OC from healthcare providers and human papilloma virus links to OC causation was reported by 38 and 21%, respectively. CONCLUSION:Patients who smoked >?20+ cigarettes per day were more knowledgeable about tobacco and OC risk compared to non-smokers and those who smoked ??19 cigarettes/day (p?=?0.0647). Patients who were alcohol consumers exhibited higher knowledgeability surrounding increased OC risk with alcohol and tobacco exposures compared to alcohol abstainers (p?=?0.06). We concluded that patients recognized links between tobacco and OC risk but demonstrated lower knowledge of other causal factors. Strategic patient education by providers could increase awareness of OC risk.

SUBMITTER: Shimpi N 

PROVIDER: S-EPMC5952627 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Patient awareness/knowledge towards oral cancer: a cross-sectional survey.

Shimpi Neel N   Jethwani Monica M   Bharatkumar Aditi A   Chyou Po-Huang PH   Glurich Ingrid I   Acharya Amit A  

BMC oral health 20180515 1


<h4>Background</h4>Oral cancer (OC) is associated with multiple risk factors and high mortality rates and substantially contributes to the global cancer burden despite being highly preventable. This cross-sectional study sought to assess current knowledge, awareness, and behaviors of patients in rural communities surrounding OC risk.<h4>Methods</h4>An anonymous 21-question survey was distributed to patients in waiting rooms of a large integrated medical-dental health system serving north-central  ...[more]

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