Factors Associated with Oral Cancerous and Precancerous Lesions in an Underserved Community

A Cross-Sectional Study

Datos Bibliográficos

ID15464366
AutoresParvaneh Badri (0000-0001-8626-8275, University of Alberta), Hollis Lai (0000-0002-5531-6622, University of Alberta), Seema Ganatra (University of Alberta), Vickie E Baracos (0000-0002-9609-1001, University of Alberta), Maryam Amin (0000-0003-2249-5465, University of Alberta, autor de correspondencia)
Año2022
Volumen19
Número3
Páginas1297-1297
Fecha de publicación2022-01-24
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19031297
PMID35162318
OpenAlexW4210656954
IdiomaEN
Referencias citadas8

Street-involved people with limited access to regular healthcare have an increased risk of developing oral cancer and a lower survival rate. The objective of this study was to measure the prevalence of oral cancerous/precancerous lesions and determine their associated risk factors in a high-risk, underserved population. In this cross-sectional study, English-speaking adults aged 18 years and older living in a marginalized community in Edmonton were recruited from four non-profit charitable organizations. Data were collected through visual oral examinations and a questionnaire. Descriptive statistics, chi-squared tests, and logistic regressions were applied. In total, 322 participants with a mean (SD) age of 49.3 (13.5) years completed the study. Among them, 71.1% were male, 48.1% were aboriginal, and 88.2% were single. The prevalence of oral cancerous lesions was 2.4%, which was higher than the recorded prevalence in Canada (0.014-1.42: 10,000) and in Alberta (0.011-1.13: 10,000). The clinical examinations indicated that 176 (54.7%) participants had clinical inflammatory changes in their oral mucosa. There was a significant association between clinical inflammatory oral lesions and oral cancerous/precancerous lesions ( p p -value: 0.021). In the multiple logistic regression analysis, the risk of oral cancerous/precancerous lesions was 1.68 times higher in participants living in a shelter or on the street vs. living alone after accounting for multiple predictors (OR = 1.67; 95% CI: 1.19-2.37; p -value: 0.022). The results demonstrated a high prevalence of cancerous/precancerous lesions among the study participants, which was significantly associated with clinical inflammatory oral lesions. The evidence supports the need for developing oral cancer screening and oral health promotion strategies in underserved communities

Cross-sectional study · Environmental health · Pathology · Cancer Diagnosis and Treatment · Head and Neck Cancer Studies · Medicine · Oral Health Pathology and Treatment