Oral cancer screening in the Bangladeshi community of Tower Hamlets: a social model.
Oral cancer screening in the Bangladeshi community of Tower Hamlets: a social model.
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DOI：
10.1038/sj.bjc.6605394
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发表时间：
2009-12-03
影响因子：
8.8
通讯作者：
中科院分区：
文献类型：
--
作者：
英国口腔癌发病率在过去10年中上升了22%。口腔癌通常在晚期被发现，此时治疗使人衰弱，生存机会很差。某些黑人和少数族裔群体由于危险因素行为的普遍存在，患口腔癌的风险较高。我们描述的背景，口腔癌筛查活动的发展和成果，适合于一个弱势群体的成员在口腔癌的高风险，在2006年和2008年之间在塔哈姆雷特，东伦敦的需要。总共有1320人参加了为期34天的筛选，分为两个阶段（第一阶段（2006/2007）：n=485，第二阶段（2008）：n=835）。在第二阶段对交付过程进行了修改，试图招募更多的高风险个体并提高筛选特异性。共有75人被紧急转诊接受进一步调查（第一阶段：n=20，第二阶段：n= 55）。9例被诊断为异型增生病变（I期：n=3，II期：n=6），另外8例显示出潜在的恶性疾病，无异型增生（I期：n=1，II期：n=7）。完成教育水平低（OR：6.94，95% CI：1.66，28.98）和嚼着烟草的paan（OR：8.01，95% CI：3.54，18.08）的筛查参与者更有可能被转诊进行进一步调查。该项目为进一步发展弱势社区的口腔癌筛查干预措施提供了见解。
UK oral cancer incidence has risen by 22% in the last 10 years. Oral cancer is often detected at a late stage when treatment is debilitating and the chances of survival are poor. Certain black and minority ethnic groups are at elevated risk of oral cancer due to the prevalence of risk factor behaviours. We describe the background to, the development of and outcomes of an oral cancer screening activity appropriate to the needs of members of a disadvantaged community at high risk of oral cancer, carried out between 2006 and 2008 in Tower Hamlets, East London. In all, 1320 people participated during 34 days of screening, divided into two phases (Phase I (2006/2007): n=485, Phase II (2008): n=835). Modifications to the delivery process were implemented for Phase II in an attempt to recruit more high-risk individuals and to improve screening specificity. In total, 75 people were urgently referred for further investigation (Phase I: n=20, Phase II: n= 55). Nine were diagnosed with dysplastic lesions (Phase I: n=3, Phase II: n=6) and a further eight showed potentially malignant disorders without dysplasia (Phase I: n=1, Phase II: n=7). Screening participants with low levels of completed education (OR: 6.94, 95% CI: 1.66, 28.98) and who chewed paan with tobacco (OR: 8.01, 95% CI: 3.54, 18.08) were more likely to be referred for further investigation. The project offers insights for the further development of oral cancer screening interventions for disadvantaged communities.
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影响因子：
4.8
作者：
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通讯作者：
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