Oral cancer and tobacco use in India: A new epidemic

2000 ◽  
pp. 20-21 ◽  
Author(s):  
P. C. Gupta
Keyword(s):  
2019 ◽  
Vol 4 ◽  
pp. 2057178X1881866 ◽  
Author(s):  
Ravi Mehrotra ◽  
Suzanne Tanya Nethan ◽  
Priyanka Ravi ◽  
Shekhar Grover ◽  
Shashi Sharma ◽  
...  

Objectives: India has a high incidence of oral cancer due to multifarious tobacco use. The objective of this study was to assess the status of tobacco-related oral lesions over 16 years, in a screen-detected population. Methods: This cross-sectional study involved home visits of 2000 Delhi residents, previously screened for oral potentially malignant disorders/oral cancer and counseled for tobacco cessation. Their basic demographics and tobacco/alcohol history were noted followed by oral visual examination for any related mucosal abnormalities. The data thus obtained were statistically analyzed. Results: Two hundred and sixty-five individuals (13.2%) could be traced after 16 years. The status of oral lesions varied across the participants, mainly in terms of their location, type, number, and/or presence/absence; no oral malignancies were noted. Most individuals had either a decreased use (34%, p < 0.001) or had quit tobacco (25.7%, p < 0.001); 8.3% individuals from the former and 5.7% from the latter group showed complete lesion(s) regression. The overall change in the tobacco use and oral lesions showed a highly significant positive association ( p < 0.05). Conclusion: A direct relationship exists between tobacco use and oral lesions. Repeated, tobacco cessation counseling provided by health-care professionals is effective. Oral screening of high-risk individuals, along with tobacco cessation, is thus essential.


2021 ◽  
Vol 15 (3) ◽  
pp. 155798832110163
Author(s):  
Martin S. Lipsky ◽  
Sharon Su ◽  
Carlos J. Crespo ◽  
Man Hung

Sex and gender related health disparities in oral health remain an underappreciated and often over looked aspect of well-being. The goal of this narrative review is to identify sex and gender related oral health disparities by summarizing the current literature related to differences in oral health between men and women. The review identified that men are more likely to: ignore their oral health, have poorer oral hygiene habits, and experience higher rates of periodontal disease, oral cancer, and dental trauma. Men also visit dentists less frequently and compared to women seek oral treatment more often for an acute problem and less often for disease prevention. Women exhibit more positive attitudes about dental visits, greater oral health literacy, and demonstrate better oral health behaviors than men. Men disproportionately develop periodontal diseases due to a combination of biological and gender related reasons including immune system factors, hormone differences, poorer oral hygiene behaviors, and greater tobacco use. There is a male to female ratio of 2:1 for oral cancer, largely attributable to more tobacco use, heavier use of alcohol, and longer sun exposure. Minority men experience a disproportionate burden of oral health disparities because of both their gender and race/ethnic identities. In conclusion, this review identifies several differences between men and women related to oral health and highlights the need for further research to better understand these disparities and how to incorporate them into developing prevention, education and treatment strategies to improve oral health in men.


2017 ◽  
Vol 21 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Zohaib Khan ◽  
Rizwan Abdulkader Suliankatchi ◽  
Thomas L Heise ◽  
Steffen Dreger

2019 ◽  
Vol 7 (4) ◽  
pp. e000180 ◽  
Author(s):  
Ashwini Kedar ◽  
Roopa Hariprasad ◽  
Vipin Kumar ◽  
Kavitha Dhanasekaran ◽  
Ravi Mehrotra

ObjectiveTo find an association between metabolic non-communicable disease (NCD) risk factors (high blood pressure (BP), high random blood sugar (RBS) and overweight /obesity) and oral, breast, cervical cancers/precancerous or potentially malignant conditions.DesignThis is an observational study using convenience sampling. The participants were screened through opportunistic or population-based screening.SettingThe study was conducted at a health promotion clinic (HPC) located in Northern India under the Indian Council of Medical Research. HPC is a screening clinic where screening is done for hypertension (HT), diabetes mellitus (DM), obesity, and oral, breast and cervical cancers. The study was conducted between December 2016 and January 2019.ParticipantThe number of participants screened was 8352 (6712 women and 1640 men). All consenting men and women above 18 years were included. All participants were screened for oral cancer, DM, HT and obesity. All women were also screened for breast and cervical cancers. Cervical screening was done for non-pregnant women 21 years and above with history of sexual activity.ResultOral potentially malignant disease (OPMD) was the most prevalent, followed by breast cancer, oral cancer, cervical cancer and cervical precancer. High RBS had a strong association with oral cancer (OR=2.29, 95% CI 1.09 to 4.82, p=0.03) and breast cancer (OR=1.95, 95% CI 1.01 to 3.76, p=0.05). High BP had a strong association with breast cancer (OR=2.50, 95% CI 1.43 to 4.35, p<0.0001). An inverse association was noted between oral cancer and overweight/obesity (OR=0.20, 95% CI 0.08 to 0.48, p<0.0001). Current tobacco use was strongly associated with oral cancer (OR=6.51, 95% CI 3.63 to 11.67, p<0.0001) and OPMD (OR=9.82, 95% CI 8.13 to 11.86, p<0.0001). No association was elicited between the metabolic NCD risk factors and cervical cancer/precancer.ConclusionsThe study reaffirms that NCD metabolic risk factors determine oral and breast cancers. Besides NCD risk factors, current tobacco use was a strong determinant of OPMD and oral cancer. Hence, primary and primordial prevention measures to control NCD metabolic risk factors and tobacco use should move along with secondary prevention of breast and oral cancers.


1994 ◽  
Vol 30 (5) ◽  
pp. 365-366 ◽  
Author(s):  
P.C. Gupta ◽  
R. Sankaranarayanan ◽  
H. Vainio

1997 ◽  
Vol 11 (3) ◽  
pp. 313-321 ◽  
Author(s):  
D.M. Winn

Persons who use chewing tobacco and snuff experience an increased risk of oral cancer. Because of the pharmacologic properties of nicotine and other constituents of smokeless tobacco, there is also concern that smokeless tobacco products may lead to cardiovascular diseases as well. The relatively few human population studies to date conflict with respect to whether smokeless tobacco use elevates cardiovascular risk factors or leads to cardiovascular disease or death from cardiovascular causes. Hemoglobin adducts to carcinogens present in smokeless tobacco products are measurable in the blood of smokeless tobacco users, indicating that smokeless-tobacco-related carcinogens circulate throughout the body. This prompts a concern that smokeless tobacco may increase risks of other cancers as well. The evidence to date from epidemiologic studies indicates no relationship between smokeless tobacco and bladder cancer, but there is suggestive evidence linking smokeless tobacco use to prostate cancer risk. Only single studies have been conducted of some cancers, and inconsistencies among studies of the same cancer site have been reported. Molecular epidemiologic studies may help identify markers of malignant transformation in smokeless tobacco users that may help in early intervention to prevent or ameliorate the consequences of oral cancer. Further studies are needed to determine more clearly the cardiovascular and non-oral cancer risks potentially associated with smokeless tobacco use.


2017 ◽  
Vol 28 (6) ◽  
pp. 706 ◽  
Author(s):  
Immanuel Joseph ◽  
Thavarajah Rooban ◽  
Kannan Ranganathan

2014 ◽  
Vol 4 (1) ◽  
pp. 4-7
Author(s):  
SA Urmi ◽  
I Zerin ◽  
MSA Farzan ◽  
MA Kabir

DOI: http://dx.doi.org/10.3329/bjdre.v4i1.18008 Bangladesh Journal of Dental Research & Education Vol.4(1) 2014: 4-7


1970 ◽  
Vol 9 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Mohammad Tawfique Hossain Chowdhury ◽  
Ray Croucher

Tobacco use is widespread in Bangladesh. Dental Professionals could act on different levels of tobacco control activities. AIM: to explore prevalence and attitudes towards tobacco and identified the association of tobacco use related behaviour with the level of tobacco cessation training and level of knowledge of oral cancer among 4th year dental undergraduates of Dhaka, Bangladesh. Methods: This was a self reported cross-sectional questionnaire based survey. Global Health Professional Survey (GHPS) questionnaire and Humphris Oral Cancer Knowledge Scale questionnaire were used in this survey. Fourth year dental undergraduates studying in six dental colleges in Dhaka completed the questionnaire in April and May, 2007. Results: Response rate was 93%. Current prevalence of cigarette and chewing tobacco is 24% and 10% respectively. Male respondents were the predominant user of tobacco and had the less positive attitudes towards tobacco cessation than female. This study also shows that knowledge and training did not have any influence over tobacco related behaviour. Conclusions: In this sample of Bangladeshi dental students, high prevalence of tobacco use but strong positive attitudes towards tobacco cessation was reported. Review of policy and dental curriculum is needed as it is identified that training and oral cancer knowledge did not seem to have impact over tobacco use related behaviour. DOI = 10.3329/jom.v9i1.1423   J MEDICINE 2008; 9 : 31-36


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