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1.
Rev. Odontol. Araçatuba (Impr.) ; 41(2): 40-44, maio-ago.2020. tab, graf
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-1102694

ABSTRACT

O objetivo deste estudo foi avaliar o conhecimento de pacientes do Centro Universitário da Serra Gaúcha acerca do câncer oral. Foram aplicados questionários para idosos (n=60) de ambos os gêneros, diferentes etnias e graus de escolaridade. A análise dos dados foi realizada por meio do teste qui-quadrado com nível de confiança de 95%. Não houve relação estatisticamente significativa (p>0,05) entre gênero, estado civil e escolaridade. A presença de lesões bucais, ausência de dentes, visitas frequentes ao dentista, e uso de bebida alcoólica e tabagismo não influenciaram quanto ao conhecimento acerca do câncer bucal. Embora a maioria dos pacientes (85%) já tenha ouvido falar em câncer bucal, apenas a minoria relatou saber se prevenir (23%) e possuir o hábito de examinar a boca em casa (35%). Além disso, apesar de 55% dos pacientes visitarem regularmente o dentista, apenas 28,3% relatou ter recebido informações sobre o câncer bucal. Pôde-se concluir que mesmo sabendo da existência do câncer bucal, a população idosa não possui informações suficientes para o correto diagnóstico e prevenção da doença, sendo necessário melhorias nas orientações fornecidas pelos profissionais da área da saúde com relação a este tema(AU)


The aim of this study was to evaluate the knowledge of patients at Serra Gaucha University Center about oral cancer. Questionnaires were applied to the elderly (n = 60) of both genders, different ethnicities and educational levels. Data analysis was performed using the chi-square test with a 95% confidence level. There was no statistically significant relationship (p> 0.05) between gender, marital status and education. The presence of oral lesions, absence of teeth, frequent visits to the dentist, and the use of alcohol and smoking did not influence the knowledge about oral cancer. Although most patients (85%) have heard of oral cancer, only a minority reported knowing whether to prevent it (23%) and having the habit of examining their mouth at home (35%). In addition, although 55% of patients regularly visit the dentist, only 28.3% reported receiving oral cancer information. It can be concluded that even knowing the existence of oral cancer, the elderly population does not have enough information for the correct diagnosis and prevention of the disease, being necessary improvements in the guidance provided by health professionals regarding this theme(AU)


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Mouth Neoplasms , Mouth Neoplasms/diagnosis , Mouth Neoplasms/prevention & control , Health of the Elderly
2.
Rev. méd. Panamá ; 40(1): 9-13, ene.2020. ilus, tab
Article in Spanish | LILACS-Express | ID: biblio-1099567

ABSTRACT

Introducción: El Cáncer Bucal es una enfermedad de importancia en Salud Pública. En Panamá, se desconoce la incidencia y prevalencia de la enfermedad y no se dispone de información por tipo de patología, lesión, localización, ni estudios de conocimientos, ac­ titudes y prácticas, relacionados a los factores de riesgo. Objetivo General: analizar los conocimientos, actitudes y prácticas de prevención de Cáncer Bucal en la población mayor de 15 años. Materiales y Método: estudio descriptivo transversal, realizado en las Regiones Sanitarias de San Miguelito, Metropolitana y Panamá Oeste. Se realizó un muestreo por conveniencia en 42 instalaciones de salud del primer nivel de atención, a la población que acudió al servicio odontológico durante cuatro meses. Se aplicó una encuesta de Conocimiento, Actitudes y Prácticas de prevención de factores de riesgo al cáncer bucal, considerando variables de estilo de vida. Para el análisis estadístico, se utilizaron los programas Epi Info versión 7.2 y XLSTAT 2019 y presentados los datos en medidas paramétricas y no paramétricas. Resultados: se encuestó un total de 3,832 personas mayores de 15 años. La mayor proporción fueron mujeres en edades de 25 y 34 años. En relación al conocimiento, el 81% desconoce los factores de riesgo de cáncer bucal y según la actitud, el 63% no asiste al control odontológico periódicamente. Las prácticas reflejaron hábitos relaciona­ dos al consumo de tabaco y alcohol. Conclusión: La población mayor de 15 años del estudio, desconoce los factores de riesgo del cáncer bucal y manifiesta limitada actitud de práctica preventiva.


Introduction: Oral Cancer is an importance disease in Public Health. In Panama, the in­ cidence and prevalence of the disease is unknown and there is no information available by type of pathology, injury, location, or studies of knowledge, attitudes and practices re­ lated to risk factors. General Objective: to analyze the knowledge, attitudes and practi­ ces of prevention of Oral Cancer in the population over 15 years old. Materials and Methods: cross­sectional descriptive study, carried out in San Miguelito, Metropolitan and Panamá Oeste Health Regions. Sampling was carried out for convenience in 42 health facilities of the first level of health care, to the population that attended the dental service during four months. A survey of Knowledge, Attitudes and Practices of preven­ tion of risk factors to oral cancer was applied, considering Lifestyle variables. For the statistical analysis, the Epi Info version 7.2 and XLSTAT 2019 programs were used and the data presented in parametric and non­parametric measurements. Results: a total of 3,832 people over 15 years of age were surveyed. The highest propor­ tions were women between the ages of 25 and 34. In relation to knowledge, 81% do not know the risk factors for oral cancer and according to the attitude, 63%, do not attend pe­ riodically to a dental control. The practices reflected habits related to consumption of to­ bacco and alcohol. Conclusion: The population over 15 years old of the study ignores the risk factors of oral cancer and manifests a limited attitude of preventive practice.


Subject(s)
Humans , Female , Adult , Aged, 80 and over , Mouth Neoplasms/prevention & control , Mouth Neoplasms/psychology , Public Health Dentistry , Dental Health Surveys/methods , Population Studies in Public Health , Evaluation Studies as Topic
3.
Autops. Case Rep ; 9(4): e2019112, Oct.-Dec. 2019. ilus, tab
Article in English | LILACS (Americas) | ID: biblio-1024207

ABSTRACT

Renal transplant patients are treated with immunosuppressive drugs that decrease the effectiveness of the immune system, making them more prone to developing cancer. Skin and lip carcinomas are common malignancies encountered after transplantation, whereas oral carcinomas are rare. We report the case of a 51-year-old female Caucasian patient, with no history of smoking, who presented white lesions on the tongue and an ulcerated lesion on the lower lip beginning 4 months prior. Diagnosis of squamous cell carcinoma for both lesions was made following incisional biopsies. Interestingly, the patient reported a renal transplantation 23 years prior, and was maintained on a combination of cyclosporine, mycophenolate sodium and prednisone. The patient also presented a history of several basal and squamous cell carcinomas on sun-exposed areas of the skin. Both lesions were surgically excised. No sign of recurrence or new lesions in the oral cavity have been observed; however, new skin lesions are frequently diagnosed. This case report highlights that oral cancers may occur in transplant patients in the absence of classical risk factors. Thus, clinicians must be aware of the importance of thorough oral examination in transplant patients in routine follow-up.


Subject(s)
Humans , Female , Middle Aged , Mouth Neoplasms/etiology , Mouth Neoplasms/pathology , Mouth Neoplasms/prevention & control , Carcinoma, Squamous Cell/pathology , Kidney Transplantation/adverse effects , Immunosuppressive Agents/adverse effects
4.
Buenos Aires; GCBA. Gerencia Operativa de Epidemiología; 15 Marzo 2019. a) f: 12 l:15 p. graf.(Boletín Epidemiológico Semanal: Ciudad Autónoma de Buenos Aires, 4, 134).
Monography in Spanish | LILACS (Americas), InstitutionalDB, BINACIS, UNISALUD | ID: biblio-1102823

ABSTRACT

Desde la Subgerencia Operativa Red de Odontología en Hospitales, dependiente de la Dirección General de Hospitales del Ministerio de Salud del GCABA, conjuntamente con la Dirección Nacional de Salud Bucodental de la Secretaria de Salud de la Nación, y la Facultad de Odontología de la UBA, se realizaron diversas actividades de Promoción y Prevención del Cáncer Bucal promoviendo el diagnóstico precoz, las medidas de prevención y de control de esta patología. Se informa sobre los resultados de población encuestada, factores de riesgo y género, uso de protección solar, y consumo de bebidas.


Subject(s)
Mouth Neoplasms/diagnosis , Mouth Neoplasms/etiology , Mouth Neoplasms/prevention & control , Mouth Neoplasms/epidemiology , Oral Health , Public Health Dentistry , Health Promotion/supply & distribution
5.
Buenos Aires; GCBA. Gerencia Operativa de Epidemiología; 9 mar. 2018. a) f: 15 l:18 p. graf.(Boletín Epidemiológico Semanal: Ciudad Autónoma de Buenos Aires, 3, 81).
Monography in Spanish | LILACS (Americas), InstitutionalDB, BINACIS, UNISALUD | ID: biblio-1103355

ABSTRACT

El lunes 5 de diciembre se celebra el "Día Nacional de Lucha Contra el Cáncer Bucal", declarado por decreto Nº 955/16 del Poder Ejecutivo Nacional. La propuesta de implementar dicho evento, para la difusión de esta patología, resulta un hecho inédito a nivel Nacional y Provincial. Por tal motivo, desde la Subgerencia de Odontología en Hospitales, dependiente de la Dirección General de Hospitales del Ministerio de Salud CABA, conjuntamente con la Dirección Nacional de Salud Bucodental del Ministerio de Salud de la Nación, se realizaron diversas actividades de Promoción y Prevención del Cáncer Bucal promoviendo el diagnóstico precoz, las medidas de prevención y de control de esta patología. Se describen los recursos humanos y físicos utilizados en la campaña, y los resultados obtenidos


Subject(s)
Mouth Neoplasms/diagnosis , Mouth Neoplasms/etiology , Mouth Neoplasms/prevention & control , Mouth Neoplasms/epidemiology , Dental Health Surveys , Dental Health Surveys/instrumentation , Dental Health Surveys/statistics & numerical data , Oral Health , Public Health Dentistry , Health Promotion/supply & distribution
7.
Rev. Fundac. Juan Jose Carraro ; 22(42): 6-17, 2017. ilus
Article in Spanish | LILACS (Americas) | ID: biblio-908164

ABSTRACT

Cuando se realiza una intervención profesional para ayudar a los pacientes Cuando se realiza una intervención profesional para ayudar a los pacientes a dejar de fumar, el propósito fundamental es la abstinencia tabáquica. Para lograr esto, el pacientefumador debe avanzar en las fases de abandono a través de entrevistas motivacionales, ayuda conductual, farmacológica y psicológica. Todas las intervenciones en el tratamiento del tabaquismo van dirigidas a superar ladependencia física, psicológica y social y los síntomas que acompañan a la abstinencia del consumo de tabaco.Desde cualquier consulta de deshabituación tabáquica se pueden plantear diferentes niveles de actuación como son: 1. Intervención Mínima Sistematizada (IMS) 2. Educación para la Salud 3. Consejo Profesional 6. Reducción de daños7. Seguimiento del Fumador La intervención mínima está considerada como una de las intervenciones esenciales y más coste-efectivas en el tratamiento del tabaquismo. Los estudios publicados en las últimasdécadas indican que el consejo para dejar de fumar constituye un motivo importante para iniciar el proceso de abandono del consumo de tabaco. Un elemento primordial es la educación para la salud, que incluye el conjunto de consejos higiénico-dietético-sanitariosque se ofrecen y que el paciente, en cierta medida, debe asumir; para llevarla a cabo, es importante que el profesional conozca determinados aspectos del tabaquismo y asimismo, informe a los pacientes fumadores. El consejo profesional es función de cualquier profesional de la salud, independientemente de su especialidad, y debe ser incorporado asu actividad asistencial. Debe formar parte de cualquier intervención para la prevención y tratamiento del tabaquismo. El principal objetivo del abordaje del tabaquismo es adaptar el tratamiento a la situación particular de cada fumador, haciéndole progresar por las distintas fases de abandono deltabaco y posteriormente ayudar a consolidar su abstinencia...


Subject(s)
Male , Female , Humans , Evaluation of Results of Therapeutic Interventions/methods , Patients/psychology , Tobacco Use Cessation/methods , Tobacco Use Cessation/psychology , Algorithms , Health Education, Dental/methods , Motivation , Mouth Diseases/prevention & control , Mouth Neoplasms/prevention & control , Risk Factors
8.
Rev. Ciênc. Plur ; 3(1): 51-62, 2017. graf
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-848593

ABSTRACT

Introdução: O câncer de boca está entre o sexto e o oitavo tipo de câncer mais comum em todo o mundo. Dentre os principais fatores de risco relacionados aos tumores malignos orais encontram-se o tabaco, álcool e a radiação solar ultravioleta. A prevenção destes fatores de risco está entre os mais importantes desafios de saúde pública da atualidade. Objetivo: Analisar o conhecimento dos trabalhadores rurais, grupo de risco para câncer de boca, acerca da prevenção e diagnóstico precoce da neoplasia. Métodos: A amostra contou com 100 participantes, sendo os dados coletados através de questionário estruturado com perguntas relativas ao conhecimento sobre o câncer de boca, fatores de risco, diagnóstico precoce e prevenção. Resultados: Os resultados evidenciaram prevalência de indivíduos do sexo feminino, residentes na zona rural, expostos ao sol de 5 a 8 horas por dia. Sobre o conhecimento de câncer de boca, 40% relacionou-o com algum tipo de doença, 54% que o principal fator de risco seria a falta de higiene, e 44% respondeu que a forma de prevenir seria com cuidados de higiene. 29% dos participantes fazem uso de bebida alcoólica e 14% de cigarro. Dos entrevistados que utilizam formas de proteção, 71,27% utilizam apenas chapéu ou boné. Entre os participantes da pesquisa, 91% nunca realizou o autoexame. Conclusão: Os trabalhadores apresentam desconhecimento a respeito do câncer de boca e fatores de risco associados ao desenvolvimento desta neoplasia. Torna-se indispensável instituir um programa de prevenção e diagnóstico precoce desta doença em populações de risco (AU).


Introduction: Mouth cancer is between the sixth and the eighth most common type of cancer worldwide. Among the main risk factors related to oral malignant tumors are tobacco, alcohol and ultraviolet solar radiation. Prevention of these risk factors is among the most important public health challenges nowadays. Objectives: Analyze the level of knowledge of rural workers, risk group for oral cancer, about prevention and early diagnosis of this neoplasm. Material and Methods: The sample consisted of 100 rural workers, and the data were collected through structured questionnaire with questions regarding knowledge about oral cancer, its risk factors, early diagnosis and prevention of malignancy. Results: The results showed prevalence of females (52%), living in rural areas (86%), 44% exposed to the sun 5-8 hours daily. With respect to knowledge to oral cancer, 40% associated with some kind of disease, 54% answered that the main risk factor was the lack of hygiene, and 44% responded that the way to prevent it would be with hygiene care. It was detected that 29% of participants consume alcohol and 14% tobacco. Of the 94% of participants who use some form of protection, 71.27% only use hat or cap to protect from the sun. 91% had never conducted selfexamination. Conclusion: The results showed that rural workers present no knowledge about oral cancer and the risk factors associated with the development of this malignancy. Thus, it becomes essential to establish a program of prevention and early diagnosis of this disease in the risk population (AU).


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Brazil , Carcinoma, Squamous Cell/diagnosis , Early Diagnosis , Mouth Neoplasms/diagnosis , Mouth Neoplasms/prevention & control , Rural Workers , Cross-Sectional Studies/methods , Disease Prevention , Risk Factors
9.
Rev. APS ; 19(4): 661-664, out. 2016.
Article in Portuguese | LILACS (Americas) | ID: biblio-832252

ABSTRACT

Estimaram-se para o Brasil, no ano de 2014, 11.280 casos novos de câncer de cavidade oral em homens e 4.010 em mulheres. Este trabalho relata a experiência na implantação e execução do projeto de prevenção do câncer de boca, desenvolvido em uma Unidade Básica de Saúde da Família de Campina Grande − PB. Trata-se de um estudo descritivo, tipo relato de experiência, o qual apresenta as etapas realizadas na implementação do projeto de prevenção do câncer de boca, desenvolvido entre os anos de 2004 e 2013. Percebeu-se um aumento na busca pelo serviço de Odontologia, o qual favoreceu o diagnóstico precoce das alterações bucais predominantes na população.


It is estimated to Brazil in 2014, 11,280 new cases of oral cavity cancer in men and 4,010 in women. To report the experience of the implementation and execution of an oral cancer prevention strategy developed in a Primary Care Unit of Campina Grande-PB. This is a descriptive experience-report study presenting the steps that were taken in implementing an oral cancer prevention strategy developed between 2004 and 2013. An increase in the search for dental services was observed, especially in the male population, which favored the early detection of oral abnormalities prevalent in population.


Subject(s)
Mouth Neoplasms , Early Diagnosis , Mouth Neoplasms/prevention & control , Health Centers , Public Health Services
10.
Rev. cuba. estomatol ; 53(3): 128-145, jul.-set. 2016.
Article in Spanish | LILACS (Americas) | ID: lil-794135

ABSTRACT

Introducción: el cáncer bucal, una enfermedad con elevada morbilidad y mortalidad, se asocia a factores de riesgo, cuya compleja interrelación está sometida a debate científico. Objetivo: actualizar a los profesionales acerca de los factores de riesgo de cáncer bucal. Métodos: la revisión bibliográfica se realizó en SciELO Regional con los descriptores factores de riesgo y cáncer bucal; se encontraron 31 referencias a texto completo. En Clinical Key con cáncer de labio y cavidad bucal se hallaron 1 746; con los descriptores en inglés genes y oral cancer se obtuvieron 9 822 resultados. En PubMed con el descriptor oral cancer se encontraron 1 207 artículos. En EBSCO con el descriptor oral cancer se encontraron a texto completo de los últimos 5 años, 839 artículos. Se recuperaron 200 artículos en inglés y español, principalmente desde 2010 hasta 2015 y se acotaron 62 artículos. Resultados: en la carcinogénesis bucal se afectan los oncogenes y los genes supresores tumorales. Los factores de riesgo no genéticos son el hábito de fumar, consumo de bebidas alcohólicas, estados carenciales de nutrientes, factores ambientales como las radiaciones y los metales pesados y diferentes infecciones bacterianas, micóticas y virales. Estos factores se relacionan también con inmunodepresión, fricción mecánica por prótesis desajustadas y mala higiene bucal. Conclusiones: se describen los principales factores de riesgo de cáncer bucal. Los genes de susceptibilidad al cáncer interaccionan con factores de riesgo relacionados principalmente con estilos de vida y factores ambientales en una compleja red, cuya identificación y control en la atención primaria de salud es importante en la prevención del cáncer bucal por parte de los estomatólogos(AU)


Introduction: oral cancer is a disease with high morbidity and mortality, associated with risk factors whose complex interplay is subject to scientific debate. Objective: to upgrade to the professionals about the risk factors for oral cancer. Methods: the literature review was conducted in SciELO Regional with the descriptors risk factors and oral cancer, for which 31 full-text references were found. In Clinical Key, with the descriptor cancer of the lip and oral cavity, we found 1746; English descriptors with genes and oral cancer retrieved 9822 results. PubMed, with the descriptor "oral cancer", retrieved 1207 items. EBSCO, with the descriptor "oral cancer", offered full texts of 5 recent years (839 articles). 200 articles in English and Spanish were retrieved, mainly from 2010-2015, and 62 papers were used. Data analisys and integration: in the oral carcinogenesis, tumor suppressor genes and oncogenes are affected. The non-genetic risk factors are smoking, alcohol consumption, and nutrient deficiency states, environmental factors such as radiation and heavy metals and different bacterial, fungal and viral infections. These factors are also related to immunosuppression, mechanical friction by maladjusted dentures and poor oral hygiene. Conclusions: the main risk factors for oral cancer are described. Susceptibility genes to cancer interact with risk factors mainly related to lifestyle and environmental factors in a complex network, whose identification and control in primary health care is important in the prevention of oral cancer by dentists(AU)


Subject(s)
Humans , Carcinoma, Squamous Cell/mortality , Databases, Bibliographic/statistics & numerical data , Mouth Neoplasms/prevention & control , Risk Factors , Alcohol Drinking/adverse effects , Carcinogenesis , Life Style , Tobacco Use/adverse effects
11.
Rev. Soc. Bras. Clín. Méd ; 14(1): 57-62, jan.-mar. 2016.
Article in Portuguese | LILACS (Americas) | ID: biblio-32

ABSTRACT

Mesmo com o avanço das modalidades terapêuticas para o tratamento do câncer, o carcinoma epidermoide oral possui elevadas taxas de mortalidade. Este artigo teve por finalidade revisar e discutir essa questão. Grande parte dos casos diagnosticados da doença é detectada em sua fase avançada, em indivíduos de baixa renda, com pouca escolaridade e com limitado acesso aos serviços de saúde. No entanto, essa neoplasia pode ser prevenida por meio de ações que facilitem a identificação dos principais fatores de risco, que são, em sua maioria, de ordem socioambiental. Práticas de prevenção e promoção de saúde, que busquem o diagnóstico precoce de lesões suspeitas, possibilitam maiores chances de cura e de aumento da sobrevida dos pacientes, especialmente entre os idosos.


Even with the advance of therapeutic modalities for the treatment of cancer, the oral squamous cell carcinoma has high rates of mortality. This article aimed to review and discuss about this issue. A large part of diagnosed cases of the disease is detected in the advanced stage, in individuals of low income, with little education and limited access to health services. However, this neoplasm can be prevented through actions that facilitate the identification of the main risk factors, which are, in its majority, of socio-environmental causes. Practices of prevention and health promotion that seek the early diagnosis of suspicious lesions allow greater chances of cure and increased survival of the patients, especially among the elderly.


Subject(s)
Humans , Male , Female , Aged , Carcinoma, Squamous Cell , Mouth Neoplasms/prevention & control , Aged , Carcinoma, Squamous Cell/epidemiology , Health of the Elderly , Risk Factors
13.
Arq. odontol ; 52(4): 221-230, out.-dez. 2016. ilus, tab, graf
Article in Portuguese | LILACS (Americas), BBO | ID: biblio-906003

ABSTRACT

Objetivo: Avaliar a efetividade das Campanhas de Prevenção do Câncer Bucal na cidade de Ribeirão Preto nos anos de 2010-2014, inseridas durante as Campanhas de Vacinação contra a Gripe em idosos. Métodos: A partir do banco de dados da Secretaria Municipal de Ribeirão Preto, do Centro de Atendimento Especializado em Diagnóstico Oral (Faculdade de Odontologia de Ribeirão Preto, USP) e da Universidade de Ribeirão Preto, foram reunidas as informações para avaliação da resolutividade desta ação. Resultados: De 57.682 pacientes examinados, 1.121 foram encaminhados aos centros de referência para elucidação diagnóstica. Houve consistência na proporção de pacientes examinados e encaminhados. Foram diagnosticados 2,89% de pacientes com lesões malignas, 9,15% com lesões pré-malignas e 62,92% com lesões benignas. Análises específicas indicaram 74,96% de resolutividade. Conclusão: As estratégias usadas durante as campanhas de prevenção do câncer bucal apresentam resolutividade e recomendamos que passem a ser incluídas em Campanhas como a de vacinação contra gripe em idosos.(AU)


Objective: To evaluate the effectiveness of Oral Cancer Prevention Campaigns in the city of Ribeirão Preto, SP, Brazil, from 2010 to 2014, set during the campaigns of vaccination against influenza in the elderly. Material and Methods: Information was gathered from the City of Ribeirão Preto's database from the Center for Specialized Care in Oral Diagnoses (Ribeirão Preto School of Dentistry, USP) and the University of Ribeirão Preto. Results: Of the 57,682 patients examined, 1,121 were referred to reference centers for a laboratory diagnosis of oral cancer. A consistent proportion of patients were screened and forwarded; 2.89% were patients diagnosed with malignant lesions; 9.15% with pre-malignant lesions and 62.92% with benign lesions. Specific analysis indicated that 74.96% were successful in their resolutions. Conclusion: The strategies used during the oral cancer prevention campaigns are effective and should be included in campaigns such as influenza vaccination in the elderly.(AU)


Subject(s)
Humans , Male , Female , Early Detection of Cancer , Health Promotion , Mouth Neoplasms/prevention & control , Public Health Policy , Aged , Cost-Effectiveness Evaluation , Immunization Programs
15.
Ciênc. saúde coletiva ; 20(7): 2239-2253, 07/2015. tab, graf
Article in Portuguese | LILACS (Americas) | ID: lil-749937

ABSTRACT

Resumo Na promoção de saúde, as ações educativas são prioridade na Estratégia de Saúde da Família (ESF). Evidencia-se a eficácia dessas ações na adesão a comportamentos saudáveis e na redução nas taxas de morbimortalidade por câncer bucal. Objetivou-se identificar se o acesso a informações sobre como prevenir o câncer bucal é maior entre idosos residentes em domicílios cadastrados na ESF. Utilizou-se o SPSS® na obtenção de estimativas corrigidas pelo efeito do desenho amostral, considerando as magnitudes das associações do acesso a tais informações com os determinantes pessoais, uso dos serviços/custos com a saúde, comportamentos relacionados à saúde e desfechos da saúde. Dentre os 492 idosos, 58,9% relataram ter tido acesso a tais informações. Verificaramse maiores chances de acesso entre residentes em domicílios cadastrados na ESF; com maior renda per capita (2,01/1,18-3,43); não tabagistas (2,00/1,16-3,46); que realizaram autoexame bucal (6,35/3,46-11,64); e que não autoperceberam incômodo na boca, cabeça ou pescoço (2,06/1,024,17). O acesso foi maior entre os residentes em domicílios cadastrados na ESF. Determinantes pessoais, comportamentos relacionados à saúde e desfechos de saúde sofrem influência ou influenciam a oferta e o acesso a essas informações.


Abstract Educative actions are an important component of health promotion in Brazil's primary healthcare program, the Family Health Strategy (FHS). The efficacy of these actions is evidenced by compliance with healthy behaviors and in the reduction of rates of mortality and morbidity. The objective of this study was to identify whether access to information regarding the prevention of oral cancer is greater among elders whose residences are registered with the FHS. SPSS® was utilized to obtain estimates that were corrected for sample design, considering the magnitude of the associations between access to such information with personal determinants, the use and cost of healthcare, health-related behaviors and health outcomes. 58.9% of the 492 participating elders reported having access to such information. We verified that there was a greater chance for access among residents of houses registered by the FHS; those with greater per capita income (2.01/1.183.43); non-smokers (2.00/1.16-3.46); those that realized oral self-examination (6.35/3.46-11.64); and those that did not perceive discomfort in the mouth, head or neck (2.06/1.02-4.17). Access was greater among residents of homes registered by the FHS. Personal determinants of health, health-related behaviors and health outcomes are influenced or influence access to information regarding the prevention and management of oral diseases.


Subject(s)
Humans , Male , Female , Aged , Access to Information , Mouth Neoplasms/prevention & control , Primary Health Care , Cross-Sectional Studies
16.
Braz. j. otorhinolaryngol. (Impr.) ; 81(1): 44-49, Jan-Feb/2015. tab
Article in English | LILACS (Americas) | ID: lil-741328

ABSTRACT

Introduction: Oral cavity malignant neoplasms have a high mortality rate. For this reason, preventive campaigns have been developed, both to educate the population and to diagnose lesions at an early stage. However, there are studies that contest the validity of these endeavors, principally because the target audience of the campaigns may not conform to the group at highest risk for oral malignancy. Objective: To describe the profile of patients who avail themselves of the preventive campaign, identify the presence of oral lesions in that population, and compare that data with the epidemiological profile of patients with oral cancer. Methods: Cross-sectional historical cohort study performed by analysis of epidemiological data of the campaign "Abra a Boca para a Saúde" collected in the years from 2008 to 2013. Results: In the years analyzed, 11,965 people were treated and 859 lesions were diagnosed, all benign. There was a female predominance (52.7%), with mean age of 44 years (±15.4 years); 26% were smokers and 29% reported alcohol consumption. It is known that the group at highest risk to develop oral cancer is 60to 70-year-old men, who are alcoholic smokers. Conclusion: The population that seeks preventive campaigns is not the main risk group for the disease. This fact explains the low number of lesions and the lack of cancer detection. .


Introdução: As neoplasias malignas de cavidade oral possuem alta taxa de mortalidade. Por essa razão, existem diversas campanhas de prevenção do câncer bucal, visando orientar a população e diagnosticar lesões em estágio precoce. Contudo, vários estudos contestam a validade dessas iniciativas, uma vez que o público alvo atingido pode não representar o verdadeiro grupo de risco. Objetivo: Descrever o perfil dos pacientes que procuraram a campanha de prevenção, identificar a presença de lesões orais e comparar os dados com o perfil epidemiológico de pacientes portadores de câncer bucal. Método: Coorte histórica transversal. Foram levantados os dados epidemiológicos da campanha "Abra a boca para a saúde" dos anos de 2008 a 2013. Resultados: Nos anos avaliados, 11965 pessoas foram atendidas e 859 lesões diagnosticadas, todas benignas. A predominância foi do sexo feminino (52,7%), com média de idade de 44 anos (± 15,4 anos), 26% eram tabagistas e 29% relatavam uso de álcool. Sabe-se que o grupo de risco corresponde a homens, entre 60 e 70 anos, tabagistas e etilistas. Conclusão: A população que procura a campanha não é o principal grupo de risco para a doença, fato que explica o baixo número de lesões detectadas e nenhum câncer. .


Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Health Promotion/standards , Mouth Neoplasms/prevention & control , Cohort Studies , Cross-Sectional Studies , Educational Status , Mass Screening , Program Evaluation , Risk Factors
17.
J. oral res. (Impresa) ; 3(3): 190-197, Sept. 2014. tab
Article in English | LILACS (Americas) | ID: lil-730025

ABSTRACT

The Human Papilloma Virus (HPV) infection is now more common sexually transmitted diseases, with an incidence of 5.5 million worldwide, with 85 percent of the carrier of this virus adult population. Their oncogenic potential and increased oral lesions associated with oral HPV infection have led us to make a narrative of the literature on the role of HPV in oral cancer, especially types 16 and 18. Here we refer to the possible routes of infection, oncogenic mechanisms, both benign and potentially malignant oral lesions associated with the infection, different methods used for detection, prediction and prevention of infection. We stress the importance of the role of the dentist to identify individuals considered high risk and ease of performing detection in the oral cavity, through a quick and easy method as exfoliative cytology.


El Virus Papiloma Humano (VPH) en la actualidad constituye la infección por transmisión sexual más frecuente, presentando una incidencia de 5,5 millones en el mundo, siendo un 85 por ciento de la población adulta portadora de este virus. Su potencial oncogénico y el aumento de lesiones orales asociadas a infección oral por VPH nos han llevado a realizar una narración de la literatura referente al rol del VPH en el cáncer oral, especialmente de los subtipos 16 y 18. Nos referiremos a sus posibles vías de contagio, mecanismos oncogénicos, lesiones orales tanto benignas como potencialmente malignas asociadas a su infección, diferentes métodos utilizados para su detección, pronóstico y prevención de contagio. Destacamos la importancia del rol del odontólogo para identificar individuos considerados de alto riesgo y la facilidad de realizar su detección en la cavidad oral, a través de un método rápido y sencillo como es la citología exfoliativa.


Subject(s)
Humans , Carcinoma, Squamous Cell/epidemiology , Papillomavirus Infections/epidemiology , Mouth Neoplasms/epidemiology , Mouth Neoplasms/prevention & control , Mouth/virology , Papillomavirus Infections/complications , Papillomavirus Infections/diagnosis , Papillomavirus Infections/transmission , Mouth Neoplasms/etiology , Precancerous Conditions , Prognosis , /pathogenicity , /pathogenicity
19.
Rev. cuba. med. mil ; 43(1): 52-60, ene.-mar. 2014. Ilus, tab
Article in Spanish | LILACS (Americas), CUMED | ID: lil-721301

ABSTRACT

INTRODUCCIÓN: el cáncer bucal se puede detectar precozmente, si la población se educa para identificar los síntomas tempranos de la enfermedad, por ser la cavidad bucal una de las regiones del organismo que puede examinarse directamente. OBJETIVO: evaluar el nivel de conocimientos de los pacientes sobre el cáncer bucal. MÉTODOS: estudio descriptivo, de corte transversal mediante una entrevista individual. El universo estuvo conformado por 460 pacientes que acudieron a Consulta de Estomatología. RESULTADOS: se observó que 246 pacientes (53,5 %) tuvieron nivel medio de escolaridad, 288 (62,6 %) no conocían los factores de riesgo del cáncer bucal y solo el 2,2 % fue evaluado de "bien", en su nivel de conocimientos sobre cáncer bucal. CONCLUSIONES: el nivel de conocimientos sobre el cáncer bucal de la mayor parte de la población encuestada fue evaluado de "regular" y "mal".


INTRODUCTION: it is possible to detect oral cancer at an early stage provided that the population is trained to identify the initial symptoms of the disease, since the oral cavity is one of the sections of the human body which may be examined directly. OBJECTIVE: evaluate the level of knowledge about oral cancer among dental patients. METHODS: a descriptive cross-sectional study was conducted based on an individual interview. The study universe was composed of 460 patients seeking dental care. RESULTS: It was found that 246 patients (53.5 %) had completed high school, 288 (62.6 %) were not aware of the risk factors for oral cancer, and a mere 2.2 % had adequate knowledge about oral cancer. CONCLUSIONS: The level of knowledge about oral cancer among most of the population surveyed was evaluated as either fair or poor.


Subject(s)
Humans , Mouth Neoplasms/diagnosis , Mouth Neoplasms/prevention & control , Dental Health Surveys/statistics & numerical data , Risk Factors , Epidemiology, Descriptive , Cross-Sectional Studies
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