Dental service use and the implications for oral cancer screening in a sample of Bangladeshi adult medical care users living in Tower Hamlets, UK
Dental service use and the implications for oral cancer screening in a sample of Bangladeshi adult medical care users living in Tower Hamlets, UK
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DOI：
10.1038/sj.bdj.4800156a
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发表时间：
1999-05-22
影响因子：
2.6
通讯作者：
O'Farrell, M
中科院分区：
文献类型：
--
作者：
Pearson, N;Croucher, R;O'Farrell, M
目的评估一组孟加拉医疗保健使用者对牙科服务的使用、接受牙科保健的障碍、对定期牙科检查的态度以及吸烟和嚼锅习惯的流行率。设计多中心横断面研究。在塔哈姆莱斯设置四个普通医疗诊所候诊区。受试者为40岁及以上的孟加拉成年人。干预访谈时间表。主要结果衡量吸烟和嚼锅的流行率，是否添加烟草。结果共调查158人，应答率为85%。整个样本中有25%的人从未看过牙医。这些人更有可能是女性(P<；0.05)，她们也认为定期体检没有什么价值。在使用卫生服务方面，73%的人有语言障碍。33%的样本是吸烟者。有78%的被调查者咀嚼过PAAN，其中加入烟草的女性显著多于男性(P<；0.05)，咀嚼频率也高于男性。结论要想在这一人群中开展口腔癌筛查和口腔健康促进工作，还需要克服相当大的障碍。在这一孟加拉样本中，报告的使用牙科服务的行为和态度以及使用烟草和PAN的行为和态度存在性别差异。需要进一步的研究来确定为什么这一少数民族参加一般的医疗实践，而不是一般的牙科实践。
Aim To assess the use of dental services, barriers to uptake of dental care and attitudes to regular dental examinations and the prevalence of tobacco and paan chewing habits in a group of Bangladeshi medical care users.Design Multi-centre cross-sectional study.Setting Four general medical practices' waiting areas in Tower Hamlets.Subjects Bangladeshi adults aged 40 years and over.Intervention An interview schedule.Main outcome measures The prevalence of tobacco smoking and paan chewing with or without the addition of tobacco. The use of dental services, barriers to the use of dental services and attitudes to regular dental examinations.Results Results were obtained from 158 subjects (response rate 85%). 25% of the whole sample had never visited a dentist. These were significantly (P < 0.05) more likely to be women, who also thought regular check-ups were of little value. In their use of health services 73% experienced language difficulties. 33% of the sample were tobacco smokers. Paan was chewed by 78% of the sample with significantly (P < 0.05) more females than males adding tobacco to their quid and chewing more frequently than males.Conclusion There are considerable barriers to be overcome if dental practices are to be the site for oral cancer screening and oral health promotion in this population. There are sex differences in reported behaviour and attitudes about use of dental services and in tobacco and paan use in this Bangladeshi sample. Further research is needed to establish why this ethnic minority attend general medical practices but not general dental practices.