Analysis of oral cancer epidemiology in the US reveals state-specific trends: implications for oral cancer prevention

BACKGROUND Reviews of national and state-specific cancer registries have revealed differences in rates of oral cancer incidence and mortality that have implications for public health research and policy. Many significant associations between head and neck (oral) cancers and major risk factors, such as cigarette usage, may be influenced by public health policy such as smoking restrictions and bans – including the Nevada Clean Indoor Act of 2006 (and subsequent modification in 2011). OBJECTIVE Although evaluation of general and regional advances in public policy have been previously evaluated, no recent studies have focused specifically on the changes to the epidemiology of oral cancer incidence and mortality in Nevada. METHODS Cancer incidence and mortality rate data were obtained from the National Cancer Institute (NCI) Division of Cancer Control and Population Sciences (DCCPS) Surveillance, Epidemiology and End Results (SEER) program. Most recently available rate changes in cancer incidence and mortality for Nevada included the years 2012 – 2016 and are age-adjusted to the year 2000 standard US population. Comparisons of any differences between Nevada and the overall US population were evaluated using Chi square analysis. RESULTS This analysis revealed that the overall rates of incidence and mortality from oral cancer in Nevada differs from that observed in the overall US population. For example, although the incidence of oral cancer among Caucasians is increasing in Nevada and the US overall, it is increasing at nearly twice that rate in Nevada, P=0.0002. In addition, although oral cancer incidence among Minorities in the US is declining, it is increasing in Nevada , P=0.0001. Analysis of reported mortality causes revealed that mortality from oral cancer increased in the US overall but declined in Nevada during the same period (2012-2016). More specifically, mortality among both Males and Females in the US is increasing, but is declining in Nevada, P=0.0027. CONCLUSIONS Analysis of the epidemiologic data from Nevada compared with the overall US revealed significant differences in rates of oral cancer incidence and mortality. More specifically, oral cancer incidence increased in Nevada between 2012-2016 among all groups analyzed (Males, Females, White, Minority), while decreases were observed nationally among Females and Minorities. Although mortality in Nevada decreased over this same time period (in contrast to the national trends), the lag time between diagnosis (incidence) and mortality suggests that these trends will change in the near future. CLINICALTRIAL Not applicable

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Maryland adults' perspectives on oral cancer prevention and early detection

The Journal of the American Dental Association ◽

10.14219/jada.archive.2002.0329 ◽

2002 ◽

Vol 133 (8) ◽

pp. 1058-1063 ◽

Cited By ~ 30

Author(s):

ALICE M. HOROWITZ ◽

MARIA T. CANTO ◽

WENDY L. CHILD

Keyword(s):

Oral Cancer ◽

Early Detection ◽

Cancer Prevention ◽

Prevention And Early Detection

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Cancer Epidemiology, Biomarkers & Prevention and Cancer Prevention Research: Two Journals, a Common Goal: Fig. 1

Cancer Prevention Research ◽

10.1158/1940-6207.capr-08-0176 ◽

2008 ◽

Vol 1 (6) ◽

pp. 393-395

Author(s):

Timothy R. Rebbeck ◽

Powel H. Brown ◽

Ernest T. Hawk ◽

Caryn Lerman ◽

Electra D. Paskett ◽

...

Keyword(s):

Cancer Prevention ◽

Cancer Epidemiology ◽

Prevention Research ◽

Common Goal

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Knowledge, attitudes, and practices of oral cancer prevention among students, interns, and faculty members at the college of dentistry of Jazan University

BMC Oral Health ◽

10.1186/s12903-021-01973-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mosa A. Shubayr ◽

Ahmed M. Bokhari ◽

Afnan A. Essa ◽

Ali M. Nammazi ◽

Dania E. Al Agili

Keyword(s):

Oral Health ◽

Oral Cancer ◽

Early Detection ◽

Cancer Prevention ◽

Dental Students ◽

Faculty Members ◽

Attitudes And Practices ◽

The Past ◽

Health Practitioners ◽

Knowledge Attitudes And Practices

Abstract Background Oral cancer awareness among current and future dental practitioners plays a substantial role in the early detection and prevention of oral cancer. Therefore, this study aimed to assess the knowledge, attitudes, and practices (KAP) of oral cancer prevention (OCP) among oral health practitioners in the College of Dentistry at Jazan University, Saudi Arabia, and to determine factors that facilitate, or limit practices related to oral cancer prevention. Methods A self-administered questionnaire survey was done among dental students (n = 274), interns (n = 81), and faculty members (n = 117) in the College of Dentistry at Jazan University between May 2019 to February 2020. The questionnaire was developed in English and modified from a previously validated and published questionnaire into Arabic. It covered every KAP of oral cancer prevention that was useful in accomplishing the study's objectives. Logistic regression analysis was utilized to determine the factors associated with the practice of oral cancer prevention in the past year. Results Only 29.7% reported having participated in any OCP activities in the past 12 months while about 42% and 53% of participants referred suspected oral cancer patients to the departments of maxillofacial surgery and oral medicine, respectively. Most of the participants had poor knowledge (71.9%), unfavourable attitudes towards OCP (83.6%) and poor levels of practice (62.9%). The study found that the attitude of the participants was significant in influencing their practices of OCP in the previous 12 months, after adjusting for all other factors. Conclusion It was concluded that the level of knowledge, attitudes, and practices of OCP among the sample population was poor. The survey findings suggest that oral health practitioners in Jazan are inexperienced in the methods to adopt for prevention and early detection of oral cancer, despite the high prevalence of oral cancer among province residents. Further research should investigate effective educational strategies and training for improving the participation of students, interns, and faculty members in oral cancer prevention activities.

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