Oral ve Maksillofasiyal Cerrahi Hastalarında Ağ ız Kanseri Farkındalığ ının Değ erlendirilmesi

Ağız kanseri, her yıl bildirilen kanser hastalarının sayısının artmasıyla ciddi bir küresel halk sağlığı sorunu olarak kabul edilmektedir. Bu çalışmanın amacı, bir diş hekimliği fakültesinde ağız, diş ve çene cerrahisi kliniğine başvuran hastaların ağız kanseri farkındalığını değerlendirmektir. Afyonkarahisar Sağlık Bilimleri Üniversitesi, ağız, diş ve çene cerrahisi kliniğindeki bir hasta örneği arasında kesitsel bir araştırma yapılmıştır. Hastaların ağız kanseri hakkındaki farkındalığını değerlendirmek için yapılandırılmış, önceden test edilmiş 30 maddelik bir anket tasarlanmıştır ve 200 hastaya uygulanmıştır. Veriler SPSS programı ile değerlendirilmiştir. Hastalardan 148 geçerli anket elde edilmiştir. Bu çalışmada hastaların %32.43'ü sigara içiyor ve %12.16'sı alkol kullanıyordu. Hastaların büyük çoğunluğu ağız kanseri risk faktörlerinden habersizdi. Hastaların % 13.5'i oral kanserin bulaşıcı olduğuna ve %14.9'u oral kanserin antibiyotiklerle tedavi edileceğine inanıyordu. Hastaların sadece %5.4'ü oral kanser kesin tanısının biyopsi ile yapılabileceğini biliyordu. Ayrıca, hastaların %87.8'i oral kanser hakkında yeterli bilgiye sahip olmadıklarını ifade etti. Çalışma, hastalar arasında oral kanser farkındalığının oldukça düşük olduğunu ortaya koymuştur. Toplumda ağız kanseri bilincini ve bilgisini arttırmak için yerel ve ulusal düzeyde halk sağlığını geliştirme, eğitim girişimleri ve bilinçlendirme kampanyaları uygulanmalıdır.

Evaluation of Oral Cancer Awareness Amonğ Patients with Oral and Maxillofacial Surğery

Oral cancer is considered a serious global public health problem with the increasing number of cancer patients reported each year. The aim of this study was to assess the oral cancer awareness of patients attending the oral and maxillofacial surgery clinic in a dental faculty. A cross-sectional based survey was carried out amongst a sample of a patient in the oral and maxillofacial surgery clinic, Afyonkarahisar Health Sciences University. A structured, pre-tested, 30-item questionnaire was designed to assess the awareness of patients about oral cancer and was applied to 200 patients. Data were evaluated using statistical package for social sciences (SPSS version 22). 148 valid questionnaires were attained from patients. In this study, 32.43% of the patients were smoking and 12.16% were using alcohol. The vast majority of patients were unaware of oral cancer risk factors. 13.5% of patients believed that oral cancer was contagious and 14.9% believed that oral cancer would be treated with antibiotics. Only 5.4% of the patients knew that a definitive diagnosis of oral cancer could be done by biopsy. Also, 87.8% of the patients stated that they did not have enough information about oral cancer. The study revealed that awareness of oral cancer among patients was found to be quite low. Public health promotion, education initiatives, and awareness campaigns should be applied on a local and national level to increase oral cancer awareness and knowledge in society.

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1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010:15;127:2893–917.
2. Kazmi F. Chaudhary MA. Mumtaz M. et al. Oral cancer knowledge and awareness amongst undergraduate dental students of Lahore-Pakistan. Pakistan Oral and Dental Journal, 2011;31(1):64- 7.
3. Kujan O, Farah CS, Johnson NW. Oral and oropharyngeal cancer in the Middle East and North Africa. Transl Res Oral Oncol. 2017;(2):1- 9.
4. Ogden GR, Mahboobi N. Oral cancer awareness among undergraduate dental students in Iran. J Cancer Educ. 2011;26:380–5.
5. Düzlü M, Karamert R, Bakkal FK, Cevizci R, Tutar H, Zorlu ME, et al. The demographics and histopathological features of oral cavity cancers in Turkey. Turkish J Med Sci. 2016;46:1672–6.
6. Rodriguez T, Altieri A, Chatenoud L, Gallus S, Bosetti C, Negri E, et al. Risk factors for oral and pharyngeal cancer in young adults. Oral Oncol. 2004;40:207–13.
7. Petersen PE. Oral cancer prevention and control - The approach of the World Health Organization. Vol. 45, Oral Oncology. 2009. p. 454–60.
8. Llewellyn CD, Johnson NW, Warnakulasuriya KA. Risk factors for squamous cell carcinoma of the oral cavity in young people--a comprehensive literature review. Oral Oncol. 2001;37(5):401-18.
9. Freedman ND, Park Y, Subar AF, Hollenbeck AR, Leitzmann MF, Schatzkin A, et al. Fruit and vegetable intake and head and neck cancer risk in a large United States prospective cohort study. Int J Cancer. 2008;122(10):2330-6.
10. Meurman JH. (2010), Infectious and dietary risk factors of oral cancer. Vol. 46, Oral Oncology. p. 411–3.
11. Silverman S, Kerr AR, Epstein JB. (2010), Oral and pharyngeal cancer control and early detection. In: Journal of Cancer Education. p.279–81.
12. Warnakulasuriya S. (2009), Global epidemiology of oral and oropharyngeal cancer. Vol. 45, Oral Oncology. Oral Oncol. p. 309–16.
13. Rogers SN, Hunter R, Lowe D. Awareness of oral cancer in the Mersey region. Br J Oral Maxillofac Surg. 2011;49:176–81.
14. Warnakulasuriya KAAS, Harris CK, Scarrott DM, Watt R, Gelbier S, Peters TJ, et al. An alarming lack of public awareness towards oral cancer. Br Dent J. 1999;187:319–22.
15. Gómez I, Warnakulasuriya S, Varela-Centelles PI, López-Jornet P, Suárez-Cunqueiro M, Diz-Dios P, et al. Is early diagnosis of oral cancer a feasible objective? Who is to blame for diagnostic delay?. Oral Dis. 2010;16(4):333-42.
16. Sargeran K, Murtomaa H, Safavi SMR, Vehkalahti MM, Teronen O. Survival after diagnosis of cancer of the oral cavity. Br J Oral Maxillofac Surg. 2008;46:187–91.
17. Chandu A, Smith ACH, Rogers SN. Healthrelated quality of life in oral cancer: A review. J Oral Maxillofac Surg. 2006;64:495–502.
18. Formosa J, Jenner R, Nguyen-Thi MD, Stephens C, Wilson C, Ariyawardana A. Awareness and knowledge of oral cancer and potentially malignant oral disorders among dental patients in Far North Queensland, Australia. Asian Pacific J Cancer Prev. 2015;16:4429–34.
19. Hassona Y, Scully C, Abu Ghosh M, Khoury Z, Jarrar S, Sawair F. Mouth cancer awareness and beliefs among dental patients. Int Dent J. 2015;65(1):15-21.
20. Agrawal M, Pandey S, Jain S, Maitin S. Oral cancer awareness of the general public in Gorakhpur city, India. Asian Pacific J Cancer Prev. 2012;13:5195–9.
21. Ariyawardana A, Vithanaarachchi N. Awareness of oral cancer and precancer among patients attending a hospital in Sri Lanka. Asian Pac J Cancer Prev. 2005;6(1):58-61.
22. Al-Maweri SA, Addas A, Tarakji B, Abbas A, AlShamiri HM, Alaizari NA, et al. Public awareness and knowledge of oral cancer in Yemen. Asian Pacific J Cancer Prev. 2014;15:10861–5.
23. Tomar SL, Logan HL. Florida adults’ oral cancer knowledge and examination experiences. J Public Health Dent. 2005;65:221–30.
24. Villa A, Kreimer AR, Pasi M, Polimeni A, Cicciù D, Strohmenger L, et al. Oral cancer knowledge: A survey administered to patients in dental departments at large italian hospitals. J Cancer Educ. 2011;26:505–9.
25. Al-Shammari KF, Moussa MA, Al-Ansari JM, AlDuwairy YS, Honkala EJ. Dental patient awareness of smoking effects on oral health: Comparison of smokers and non-smokers. J Dent. 2006;34:173–8.
26. Saleh A, Yang YH, Abd Ghani WMNW, Abdullah N, Doss JG, Navonil R, et al. Promoting oral cancer awareness and early detection using a mass media approach. Asian Pacific J Cancer Prev. 2012;13:1217–24.
27. Horowitz AM, Drury TF, Goodman HS, Yellowitz JA. Oral pharyngeal cancer prevention and early detection: Dentists’ opinions and practices. J Am Dent Assoc. 2000;131:453–62.
28. Conway DI, Petticrew M, Marlborough H, Berthiller J, Hashibe M, Macpherson LMD. Socioeconomic inequalities and oral cancer risk: A systematic review and meta-analysis of casecontrol studies. Int J Cancer. 2008;122:2811–9.
29. Cheng T. Chemical evaluation of electronic cigarettes. Tob Control. 2014;23 Suppl 2:ii11-ii17.