Betel Quid, Smoking and Alcohol Dependency among Patients with Oral Potentially Malignant Disorders and Oral Cancer in Sri Lanka; A Preliminary Case-control Study
Introduction: Oral cancer and Oral Potentially Malignant Disorders (OPMDs) arising due to risk habits like betel quid (BQ) chewing, smoking and alcohol use are preventable despite the high prevalence and poor survival rates. However, dependence to risk habits has become a barrier to prevent OPMDs an...
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| Format: | Article |
| Language: | English |
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West Asia Organization for Cancer Prevention
2021-09-01
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| Series: | Asian Pacific Journal of Cancer Biology |
| Subjects: | |
| Online Access: | http://www.waocp.com/journal/index.php/apjcb/article/view/693 |
| _version_ | 1827370293319958528 |
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| author | Sumali R. Sumithrarachchi W.A.Udari.C. Pemasiri A.M.S. Deepanie. Pathiranage Primali R. Jayasooriya |
| author_facet | Sumali R. Sumithrarachchi W.A.Udari.C. Pemasiri A.M.S. Deepanie. Pathiranage Primali R. Jayasooriya |
| author_sort | Sumali R. Sumithrarachchi |
| collection | DOAJ |
| description | Introduction: Oral cancer and Oral Potentially Malignant Disorders (OPMDs) arising due to risk habits like betel quid (BQ) chewing, smoking and alcohol use are preventable despite the high prevalence and poor survival rates. However, dependence to risk habits has become a barrier to prevent OPMDs and oral cancer.
Objectives: This study was conducted to determine the dependence to risk habits among patients with such oral lesions, and the quitting among dependent users after diagnosis.
Materials and method: A case-control study was conducted among 100 participants, 50 diagnosed with OPMDs and oral cancer from two Oral and Maxillo Facial clinics in Sri Lanka and a similar control group without any oral lesions. All participants practiced one or more risk habits such as BQ chewing, smoking and/or alcohol use. Dependence was assessed using Sinhala language translations of standardized scales such as Betel Quid Dependence Scale for BQ chewers, Fagerstrom Test for Nicotine Dependence for tobacco smokers and CAGE (“Cut down”, “Annoyed”, “Guilty” and “Eye opener”) scale for alcohol users.
Results: Dependence on habits was more among the case group (BQ-93%; smoking-14%; alcohol-66%). Quitting rates of BQ and alcohol among those who were diagnosed with oral cancer [BQ (89%), alcohol (89%)] were higher (p<0.05) than those with OPMDs [BQ (50%), alcohol (22%)]. Lack of awareness due to low socio-economic status (97%) was a significant association for BQ dependence (p=0.01).
Conclusion: In conclusion, development of OPMDs and oral cancer increases with dependence to BQ chewing, smoking and alcohol use. Increased awareness about OPMDs and its risk of malignancy is needed among public. Prevention of dependence to these risk habits also becomes essential. |
| first_indexed | 2024-03-08T10:11:53Z |
| format | Article |
| id | doaj.art-95aaab78e30d44e38102a049c4d4ee1b |
| institution | Directory Open Access Journal |
| issn | 2538-4635 |
| language | English |
| last_indexed | 2024-03-08T10:11:53Z |
| publishDate | 2021-09-01 |
| publisher | West Asia Organization for Cancer Prevention |
| record_format | Article |
| series | Asian Pacific Journal of Cancer Biology |
| spelling | doaj.art-95aaab78e30d44e38102a049c4d4ee1b2024-01-29T07:28:54ZengWest Asia Organization for Cancer PreventionAsian Pacific Journal of Cancer Biology2538-46352021-09-016320721210.31557/apjcb.2021.6.3.207-212693Betel Quid, Smoking and Alcohol Dependency among Patients with Oral Potentially Malignant Disorders and Oral Cancer in Sri Lanka; A Preliminary Case-control StudySumali R. Sumithrarachchi0W.A.Udari.C. Pemasiri1A.M.S. Deepanie. Pathiranage2Primali R. Jayasooriya3Department of Oral Pathology, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri LankaDepartment of Nursing, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, Sri LankaDepartment of Nursing, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, Sri Lanka.Department of Oral Pathology, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri LankaIntroduction: Oral cancer and Oral Potentially Malignant Disorders (OPMDs) arising due to risk habits like betel quid (BQ) chewing, smoking and alcohol use are preventable despite the high prevalence and poor survival rates. However, dependence to risk habits has become a barrier to prevent OPMDs and oral cancer. Objectives: This study was conducted to determine the dependence to risk habits among patients with such oral lesions, and the quitting among dependent users after diagnosis. Materials and method: A case-control study was conducted among 100 participants, 50 diagnosed with OPMDs and oral cancer from two Oral and Maxillo Facial clinics in Sri Lanka and a similar control group without any oral lesions. All participants practiced one or more risk habits such as BQ chewing, smoking and/or alcohol use. Dependence was assessed using Sinhala language translations of standardized scales such as Betel Quid Dependence Scale for BQ chewers, Fagerstrom Test for Nicotine Dependence for tobacco smokers and CAGE (“Cut down”, “Annoyed”, “Guilty” and “Eye opener”) scale for alcohol users. Results: Dependence on habits was more among the case group (BQ-93%; smoking-14%; alcohol-66%). Quitting rates of BQ and alcohol among those who were diagnosed with oral cancer [BQ (89%), alcohol (89%)] were higher (p<0.05) than those with OPMDs [BQ (50%), alcohol (22%)]. Lack of awareness due to low socio-economic status (97%) was a significant association for BQ dependence (p=0.01). Conclusion: In conclusion, development of OPMDs and oral cancer increases with dependence to BQ chewing, smoking and alcohol use. Increased awareness about OPMDs and its risk of malignancy is needed among public. Prevention of dependence to these risk habits also becomes essential.http://www.waocp.com/journal/index.php/apjcb/article/view/693alcohol dependence, betel quid dependence, oral cancer, oral potentially malignant disorders, smoking dependence |
| spellingShingle | Sumali R. Sumithrarachchi W.A.Udari.C. Pemasiri A.M.S. Deepanie. Pathiranage Primali R. Jayasooriya Betel Quid, Smoking and Alcohol Dependency among Patients with Oral Potentially Malignant Disorders and Oral Cancer in Sri Lanka; A Preliminary Case-control Study Asian Pacific Journal of Cancer Biology alcohol dependence, betel quid dependence, oral cancer, oral potentially malignant disorders, smoking dependence |
| title | Betel Quid, Smoking and Alcohol Dependency among Patients with Oral Potentially Malignant Disorders and Oral Cancer in Sri Lanka; A Preliminary Case-control Study |
| title_full | Betel Quid, Smoking and Alcohol Dependency among Patients with Oral Potentially Malignant Disorders and Oral Cancer in Sri Lanka; A Preliminary Case-control Study |
| title_fullStr | Betel Quid, Smoking and Alcohol Dependency among Patients with Oral Potentially Malignant Disorders and Oral Cancer in Sri Lanka; A Preliminary Case-control Study |
| title_full_unstemmed | Betel Quid, Smoking and Alcohol Dependency among Patients with Oral Potentially Malignant Disorders and Oral Cancer in Sri Lanka; A Preliminary Case-control Study |
| title_short | Betel Quid, Smoking and Alcohol Dependency among Patients with Oral Potentially Malignant Disorders and Oral Cancer in Sri Lanka; A Preliminary Case-control Study |
| title_sort | betel quid smoking and alcohol dependency among patients with oral potentially malignant disorders and oral cancer in sri lanka a preliminary case control study |
| topic | alcohol dependence, betel quid dependence, oral cancer, oral potentially malignant disorders, smoking dependence |
| url | http://www.waocp.com/journal/index.php/apjcb/article/view/693 |
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