Reverse Smoking in Andhra Pradesh, India: A Study of Palatal Lesions among 10,169 Villagers

Reverse Smoking in Andhra Pradesh, India: A Study of Palatal Lesions among 10,169 Villagers
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印度安得拉邦的逆向吸烟:对 10,169 名村民腭部病变的研究

DOI:
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发表时间:
1971
影响因子:
8.8
通讯作者:
C. J. Smith
C. J. Smith
中科院分区:
医学1区
文献类型:
--
作者:
J. J. Pindborg;Fali S. Mehta;Gupta Pc;Daftary Dk;C. J. Smith

文献摘要

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在印度南部安得拉邦的Srikakulam地区,反吸烟的习惯很普遍。在对10,169名村民进行的口腔癌和癌前状况的逐家调查中,43.8%的人是反吸烟者;女性:男性比例为1.7:1。发现10例口腔癌,其中9例位于腭部,白斑、前白斑和腭部白斑的患病率分别为4.9%、2.9%和9.5%。在497例白斑中,422例位于腭部,其中413例有反吸烟习惯。组织学上,80%的381腭活检有过度角化。15.3%的白斑病、3.6%的前白斑病和9.1%的腭咽部尼古丁白斑病中发现上皮细胞增生。各种解释的习惯,反向吸烟的建议和讨论。除了反吸烟,其他烟草习惯也被记录;所有的习惯和口腔病变进行了比较,并根据其明显的相互关系和分布的性别和年龄进行了讨论。
In the district of Srikakulam in Andhra Pradesh in South India the habit of reverse smoking is widespread. In a house to house survey of oral cancer and precancerous conditions, comprising 10,169 villagers, 43·8% were reverse smokers; the female: male ratio being 1·7: 1. Ten previously undiagnosed cases of oral cancer, 9 located to palate, were found. The prevalences for leukoplakia, preleukoplakia and leukokeratosis nicotina palati were 4·9%, 2·9% and 9·5%. Of 497 leukoplakias, 422 were located to the palate and 413 of these patients had the habit of reverse smoking. Histologically, 80% of 381 palatal biopsies had a hyperorthokeratosis. Epithelial atypia was found in 15·3% of leukoplakias, in 3·6% of the preleukoplakias, and in 9·1% of leukokeratosis nicotina palati. Various explanations for the habit of reverse smoking are suggested and discussed. In addition to reverse smoking, other tobacco habits were also recorded; all habits and oral lesions were compared and have been discussed according to their apparent interrelationships and distribution by sex and age.