North Carolina Needs Assessment for Oral Cancer Control

描述(由申请人提供)： 大多数口腔癌和咽癌(OPC)是可以预防的，而且许多是可以治愈的 在早期诊断时。北卡罗来纳州排在第11位。 该州人口众多，在门诊诊所的年龄调整死亡率中排名第13位。在NC中， 非裔美国人背负着不成比例的这种恶性肿瘤的负担，他们 被诊断为地区性或远距离播散性OPC的可能性是白人的两倍。 因为吸烟和饮酒是导致大多数口腔癌的原因，而且 由于这种疾病可以在早期阶段被发现和治疗，它应该 有可能制定和实施公共卫生干预措施，以 对这种疾病的影响。然而，由于各州在艾滋病的流行病学方面可能有所不同 口腔癌、公众对危险因素的暴露及其对口腔癌的认识 疾病、健康提供者关于以下方面的知识、意见和做法 疾病，以及可用于预防和控制 疾病，需要州政府的具体计划。在本项目中，NC OPC 监控数据将用于描述该州OPC的特征 负担。对一般成年人口的电话调查将确定 公众对OPC风险、风险防范、征兆和症状的认识，以及 获得护理的途径。医疗保健提供者调查和焦点小组将确定 关于OPC预防和早期的态度、知识和行为 检测影响诊断阶段。新诊断为OPC的患者将是 采访以记录和描述导致他们诊断的事件。 一个咨询委员会将审查研究结果并指导 全州范围的干预。此NC应用程序的假设是通过 通过需求评估和通过创建 组织基础架构负责开发、实施和 评估促进预防和早期发现的全州计划 在口腔癌方面，北卡罗来纳州OPC的发病率和死亡率，特别是 在少数族裔中，可以减少。

DESCRIPTION (provided by applicant): Most oral and pharyngeal cancers (OPC are preventable, and many are curable when diagnosed at an early stage. North Carolina (NC) is the 11th most populous state and ranks 13th in age-adjusted mortality rate for OPCs. In NC, African Americans carry a disproportionate burden of this malignancy and are twice as likely to be diagnosed with regional or distant spread OPC as whites. Because tobacco and alcohol use are responsible for most oral cancers, and because the disease can be detected and treated at an early stage, it should be possible to develop and implement public health interventions that will impact this disease. However, since states may differ in the epidemiology of oral cancer, the public's exposure to risk factors and its awareness of the disease, health providers' knowledge, opinions, and practices regarding the disease, and the resources available for preventing and controlling the disease, state-specific plans are needed. In this project, NC OPC surveillance data will be used to characterize features of the state's OPC burden. Phone surveys of the general adult population will identify levels of public awareness about OPC risks, risk prevention, signs and symptoms, and access to care. Health care provider surveys and focus groups will identify how attitudes, knowledge and behavior regarding OPC prevention and early detection affect diagnosis stage. Patients newly diagnosed with OPC will be interviewed to document and characterize events leading to their diagnosis. An advisory committee will review research findings and guide development of statewide intervention. The hypothesis for this NC application is that by gaining state-specific information through needs assessments and by creating an organizational infrastructure responsible for developing, implementing, and evaluating a statewide plan for promoting the prevention and early detection of oral cancer, the incidence and mortality rates for OPC in NC, particularly among minorities, can be reduced.