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，许多是可以治愈的 在早期诊断时， 北卡罗来纳州（NC）是第11大 人口众多的州，在OPC的年龄调整死亡率中排名第13位。 在NC， 非裔美国人承受着这种恶性肿瘤的不成比例的负担， 被诊断为区域或远距离传播的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， 由于这种疾病可以在早期发现和治疗， 制定和实施公共卫生干预措施， 影响这种疾病。 然而，由于各国在流行病学方面可能存在差异， 口腔癌，公众暴露于危险因素及其对 疾病，健康提供者的知识，意见和做法， 疾病，以及可用于预防和控制 疾病，国家需要具体的计划。 在这个项目中，NC OPC 监测数据将用于描述该州的OPC特征 负担 对一般成年人的电话调查将确定 公众对OPC风险、风险预防、体征和症状的认识，以及 获得护理。 卫生保健提供者调查和焦点小组将确定 如何态度，知识和行为有关OPC预防和早期 检测影响诊断阶段。 新诊断为OPC的患者将 访谈记录和描述导致其诊断的事件。 一个咨询委员会将审查研究结果， 全国干预。 此NC应用程序的假设是， 通过需求评估和建立 一个组织基础设施，负责开发、实施和 评估全州范围内促进预防和早期发现的计划， 口腔癌的发病率和死亡率，OPC在NC，特别是 少数民族可以减少。

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.