PREVENTION OF ORAL CANCER

口腔软组织病变、癌前病变和癌症是最常见的 严重的，就口腔癌而言，危及生命的口腔 条件。其中许多癌症的危险因素已被明确识别。 作为与医疗条件和治疗的共病，以及与高 危险行为，如吸烟和饮酒。这些癌症和 导致它们的风险是健康促进和疾病的目标 预防。该处正在进行研究，以确定相关因素 与这些口腔疾病相关的知识、观点和实践 并将重点放在可以改进策略的干预研究上 减少这些疾病的发生率和流行率，并 相关的危险行为。工作人员分析了1990年和1992年的国民健康保险制度 关于口腔癌风险、体征和症状的知识以及 做过口腔癌检查。这两项分析都发表了。员工 正在与马里兰州警察局的几名调查人员合作 卫生部和马里兰大学关于全州范围内的 公众和医疗保健的知识、意见和做法 提供者(牙医、牙科卫生员、执业护士和 医生)关于口腔癌。这些数据和其他数据将用于 计划可作为国家口语示范的教育干预措施 预防癌症，及早发现。此外，全国范围内的 牙科和医学院校评估口腔患者的危险因素 癌症已经进行了；一个已经发表，另一个已经发表 接受出版。工作人员已与其他机构合作 对牙医和牙齿卫生师进行两次全国性调查 他们对口腔癌的知识和实践。工作人员准备了一份 全国战略规划会议使用的背景文件 预防和控制口腔和咽癌，这是 由疾病控制和预防中心、NIDR和 美国牙科协会。工作人员目前是和 参加口腔癌特设工作组。

Oral soft tissue lesions, precancerous and cancers are among the most serious, and in the case of oral cancer, life-threatening, oral conditions. Risk factors for many of these cancers clearly are identified as co-morbidities with medical conditions and treatments and with high risk behaviors such as tobacco and alcohol use. These cancers and the risks leading to them are targets for health promotion and disease prevention. The Branch is pursuing research which identifies correlates of knowledge, opinions and practices associated with these oral conditions and brings focus to intervention research which could improve strategies to reduce the incidence of and prevalence of these conditions and associated risk behaviors. Staff have analyzed the 1990 and 1992 NHIS data regarding knowledge of risks, signs and symptoms of oral cancer and having had oral cancer examinations. Both analyses were published. Staff are collaborating with several investigators from the Maryland Department of Health and the University of Maryland regarding statewide surveys of the knowledge, opinions and practices of the public and health care providers (dentists, dental hygienists, nurse practitioners and physicians) regarding oral cancers. These and other data will be used to plan educational interventions that could serve as a state model for oral cancer prevention and early detection. In addition, national surveys of dental and medical schools assessing risk factors of patients for oral cancer have been conducted; one has been published, the other has been accepted for publication. Staff have collaborated with other agencies to conduct two national surveys of dentists and dental hygienists regarding their knowledge and practices of oral cancers. Staff prepared one of the background papers for use at the national strategic planning conference for the prevention and control of Oral and Pharyngeal cancers which was sponsored by the Centers for Disease Control and Prevention, NIDR and the American Dental Association. Staff currently are members of and participate on the Ad Hoc Oral Cancer Workgroup.