Racial and Ethnic Disparity in Oral Cancer Awareness and Examination: 2003 New York State BRFSS

Oh, Junhie; Kumar, Jayanth; Cruz, Gustavo D.

doi:10.1111/j.1752-7325.2007.00075.x

Cited by 21 publications

(51 citation statements)

References 19 publications

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“…These findings, combined with those of several earlier studies, 8,10–13 suggest a pattern of increased awareness of and receipt of mouth and throat cancer examinations. The rural north Florida data indicated that 46% of all respondents and 48% of those aged 40 and older had received at least 1 lifetime examination.…”

Section: Discussionsupporting

confidence: 76%

“…Data from the 2003 administration of the New York State Behavioral Risk Factor Surveillance System survey indicated that 35% of participants aged 18 years and older and 40% of respondents aged 40 years and older reported having had an examination in their lifetime. 13 This trend toward an increase of mouth and throat cancer examinations between 1992 and 2010 is encouraging. Prostate cancer examinations measuring prostate-specific antigen (PSA) levels have also shown a pattern of increase, although over a shorter period, 37 which may show a greater general awareness of the importance of cancer screening.…”

Section: Discussionmentioning

confidence: 95%

“…8,9 Statewide surveys in Maryland, North Carolina, New York, and Florida have also assessed self-reported mouth and throat cancer examinations, with rates varying from 28% to 38% for lifetime prevalence. 10–13 …”

mentioning

confidence: 99%

“…With the exception of levels of educational attainment 10–13 or having a regular source of dental or preventive medical care, 11,12 psychosocial variables have not been tested for associations with receipt of an examination. The literature for prostate cancer, breast cancer, and cervical cancer provides some support for risk factors such as depression for women 14–16 or social support for men 17,18 and women.…”

mentioning

confidence: 99%

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Psychosocial Factors Associated With Mouth and Throat Cancer Examinations in Rural Florida

Riley

Dodd²,

Muller³

et al. 2012

Am J Public Health

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Objectives We examined the knowledge and prevalence of mouth and throat cancer examinations in a sample drawn from rural populations in north Florida. Methods Telephone interviews were conducted across rural census tracts throughout north Florida in 2009 and 2010, in a survey that had been adapted for cultural appropriateness using cognitive interviews. The sample consisted of 2526 respondents (1132 men and 1394 women; 1797 Whites and 729 African Americans). Results Awareness of mouth and throat cancer examination (46%) and lifetime receipt (46%) were higher than reported in statewide studies performed over the past 15 years. Only 19% of the respondents were aware of their examination, whereas an additional 27% reported having the examination when a description was provided, suggesting a lack of communication between many caregivers and rural patients. Surprisingly, anticipated racial/ethnic differences were diminished when adjustments were made for health literacy and several measures of socioeconomic status. Conclusions These findings support the notion that health disparities are multifactorial and include characteristics such as low health literacy, lack of access to care, and poor communication between patient and provider.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Psychosocial Factors Associated With Mouth and Throat Cancer Examinations in Rural Florida

Riley

Dodd²,

Muller³

et al. 2012

Am J Public Health

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“…During community oral cancer screening events, there is also an additional value of providing education and general awareness about oral cancer risk factors [27], since population knowledge levels are suboptimal [28–32], and knowledge level has been shown to be associated with oral cancer screening practices [33–37]. Other than community mass oral cancer screenings, there have also been other studies from Florida, Maryland, North Carolina, and New York that employed telephone-based surveys to elicit awareness of oral cancer, as well as knowledge of oral cancer risk factors (tobacco and alcohol) among whites, blacks, and other racial/ethnic groups [28,33,38,39]. …”

Section: Introductionmentioning

confidence: 99%

Characteristics and predictors of oral cancer knowledge in a predominantly African American community

et al. 2017

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PurposeTo characterize smoking and alcohol use, and to describe predictors of oral cancer knowledge among a predominantly African-American population.MethodsA cross-sectional study was conducted between September, 2013 among drag racers and fans in East St. Louis. Oral cancer knowledge was derived from combining questionnaire items to form knowledge score. Covariates examined included age, sex, race, marital status, education status, income level, insurance status, tobacco and alcohol use. Adjusted linear regression analysis measured predictors of oral cancer knowledge.ResultsThree hundred and four participants completed questionnaire; 72.7% were African Americans. Smoking rate was 26.7%, alcohol use was 58.3%, and mean knowledge score was 4.60 ± 2.52 out of 17. In final adjusted regression model, oral cancer knowledge was associated with race and education status. Compared with Caucasians, African Americans were 29% less likely to have high oral cancer knowledge (β = -0.71; 95% CI: -1.35, -0.07); and participants with a high school diploma or less were 124% less likely to have high oral cancer knowledge compared with college graduates (β = -1.24; 95% CI: -2.44, -0.41).ConclusionsThere was lower oral cancer knowledge among African Americans and those with low education. The prevalence of smoking was also very high. Understanding predictors of oral cancer knowledge is important in future design of educational interventions specifically targeted towards high-risk group for oral cancer.

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Association of social vulnerability on survival, treatment, and presentation in oral cavity cancer

Sharma

Patel

et al. 2023

Head & Neck

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ObjectiveThis study utilized a population database to investigate how social environments are associated with outcomes including stage at diagnosis, multimodal treatment, and disease‐specific survival for oral cavity squamous cell carcinomas.MethodsRetrospective analysis of adults with oral cavity squamous cell carcinoma between 2007 and 2016 from the Surveillance, Epidemiology, End Results (SEER) registry was performed. The CDC's social vulnerability index (SVI) was used to characterize social vulnerability at the county level. Predictors of disease‐specific survival, stage at diagnosis, and use of multimodal therapy were identified using Cox regression and logistic regression.ResultsOur analysis included 17 043 patients. On adjusted models, patients in the highest SVI quartile (most social vulnerability) exhibited worse disease‐specific survival compared to the lowest quartile (HR 1.24, 95% CI 1.12–1.37, p < 0.001), and were more likely to be diagnosed at later stages (OR 1.24, 95% CI 1.11–1.38, p < 0.001) and less likely to receive multimodal therapy (OR 0.84, 95% CI 0.77–0.99, p = 0.037).ConclusionHigh social vulnerability was associated with worse disease‐specific survival and disease presentation in oral cavity cancer patients.

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Racial and Ethnic Disparity in Oral Cancer Awareness and Examination: 2003 New York State BRFSS

Cited by 21 publications

References 19 publications

Psychosocial Factors Associated With Mouth and Throat Cancer Examinations in Rural Florida

Psychosocial Factors Associated With Mouth and Throat Cancer Examinations in Rural Florida

Characteristics and predictors of oral cancer knowledge in a predominantly African American community

Association of social vulnerability on survival, treatment, and presentation in oral cavity cancer

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