Prevalence of Potentially Malignant Oral Mucosal Lesions among Tobacco Users in Jeddah, Saudi Arabia
Prevalence of Potentially Malignant Oral Mucosal Lesions among Tobacco Users in Jeddah, Saudi Arabia
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DOI：
10.7314/apjcp.2014.15.2.757
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发表时间：
2014-01-01
影响因子：
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通讯作者：
Hassan, Mona Hassan
中科院分区：
文献类型：
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作者：
Al-Attas, Safia Ali;Ibrahim, Suzan Seif;Hassan, Mona Hassan
吸烟是全世界公认的健康问题，沙特阿拉伯和其他许多国家一样，烟草流行已成定局，吸烟者罹患多种疾病的风险增加。这项横断面研究是在沙特阿拉伯吉达分层整群抽样的成年人中，评估与烟草使用有关的口腔粘膜病变的患病率，潜在的恶性或恶性。收集了599个样本，每个参与者都接受了临床常规的口腔检查，并填写了一份问卷，提供了人口统计学、烟草使用和其他相关习惯的信息。最常见的烟草使用形式是吸烟(65.6%)，其次是水烟或Moasel(38.1%)，而咀嚼烟草、槟榔和Gat分别占21%-2%、7.7%和5%。在被调查的烟民中，软组织病变的患病率很高(88.8%)，并发现了广泛的病变，约50%有舌毛，36%有吸烟者黑变病，28.9%有口腔炎尼古丁，27%有摩擦性角化病，26.7%有裂舌，26%有牙龈或牙周炎，最后有20%的白水症。可疑的潜在恶性病变影响10.5%的受试者，最常见的是角化病(6.3%)、白斑(2.3%)、红斑(0.7%)、口腔粘膜下纤维性变(0.5%)和苔藓样病变(0.4%)，这些与男性、较低教育水平、糖尿病和咀嚼烟草习惯有关。结论是，吸烟与多种口腔粘膜病变有关，那些怀疑恶变的人与咀嚼形式有关，表明影响严重。
Smoking is recognized as a health problem worldwide and there is an established tobacco epidemic in Saudi Arabia as in many other countries, with tobacco users at increased risk of developing many diseases. This cross sectional study was conducted to assess the prevalence of oral mucosal, potentially malignant or malignant, lesions associated with tobacco use among a stratified cluster sample of adults in Jeddah, Saudi Arabia. A sample size of 599 was collected and each participant underwent clinical conventional oral examination and filled a questionnaire providing information on demographics, tobacco use and other relevant habits. The most common form of tobacco used was cigarette smoking (65.6 %) followed by Shisha or Moasel (38.1%), while chewing tobacco, betel nuts and gat accounted for 21-2%, 7.7%, and 5% respectively. A high prevalence (88.8%) of soft tissue lesions was found among the tobacco users examined, and a wide range of lesions were detected, about 50% having hairy tongue, 36% smoker's melanosis, 28.9% stomatitis nicotina, 27% frictional keratosis, 26.7% fissured tongue, 26% gingival or periodontal inflammation and finally 20% leukodema. Suspicious potentially malignant lesions affected 10.5% of the subjects, most prevalent being keratosis (6.3%), leukoplakia (2.3%), erythroplakia (0.7%), oral submucous fibrosis (0.5%) and lichenoid lesions (0.4%), these being associated with male gender, lower level of education, presence of diabetes and a chewing tobacco habit. It is concluded that smoking was associated with a wide range of oral mucosal lesions , those suspicious for malignancy being linked with chewable forms, indicating serious effects.