Opinions about oral cancer prevention and early detection among dentists practising along the Texas-Mexico border

Opinions about oral cancer prevention and early detection among dentists practising along the Texas-Mexico border
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DOI:
10.1034/j.1601-0825.2003.01831.x
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发表时间:
2003-01-01
期刊:
影响因子:
3.8
通讯作者:
Narendran, S
Narendran, S
中科院分区:
医学3区
文献类型:
--
作者:
Alonge, OK;Narendran, S

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目的:本研究的目的是评估牙医对口腔癌 (OC) 预防和早期检测的看法。方法:通过向德克萨斯州-墨西哥边境沿线所有 398 名注册牙医发送自填邮件调查问卷来收集数据。结果:调查的有效回复率为 40%。虽然 90% 的受访者同意每年应为 40 岁及以上的患者提供口腔癌检查 (OCE),但只有 59% 的受访者认为他们的 OC 知识是最新的。虽然 99% 的人认为牙医有资格进行 OCE,但只有 54% 和 68% 的人认为牙科保健员和医生具有类似资格。对本科 OC 培训评价良好的牙医 (OR = 2.68, 1.23-5.81, P = 0.011),在过去 5 年内参加过最后一次口腔癌继续教育 (OCCE) 课程 (OR = 2.46, 1.25-4.86, P = 0.009),以及对所有 40 岁及以上患者进行 OCE 的牙医 (OR = 2.64, 1.32-5.26,P = 0.005),更有可能同意他们的 OC 知识是最新的。结论:受访者对 OC 预防和早期发现表达了不同的意见。对 OC 知识流通的积极评价与 OCE 的绩效相关。结果表明需要针对研究人群的 OCCE 以及牙科学校对 OC 课程的重视。
OBJECTIVES: The purpose of this study was to assess dentists' opinions about oral cancer (OC) prevention and early detection.METHODS: Data were collected by a self-administered mail questionnaire sent to all 398 registered dentists practising along the Texas-Mexico border.RESULTS: The effective response rate to the survey was 40%. While 90% of respondents agreed that oral cancer examinations (OCE) should be provided annually for patients 40 years of age and older, only 59% of respondents believed their OC knowledge was current. While 99% agreed that dentists were qualified to perform OCE, only 54 and 68% respectively, agreed that dental hygienists and physicians were similarly qualified. Dentists who rated their undergraduate OC training favorably (OR = 2.68, 1.23-5.81, P = 0.011), had attended their last oral cancer continuing education (OCCE) course within the past 5 years ( OR = 2.46, 1.25-4.86, P = 0.009), and those who performed OCE on all patients 40 years and older ( OR = 2.64, 1.32-5.26, P = 0.005), were more likely to agree their OC knowledge was current.CONCLUSIONS: Respondents expressed diverse opinions about OC prevention and early detection. Positive opinion on currency of OC knowledge was associated with performance of OCE. Results indicate a need for OCCE targeting the study population as well as increased emphasis on OC curriculum in dental schools.