ABSTRACT
OBJECTIVE: To evaluate the prevalence of actinic cheilitis in rural workers and factors associated with the development of this condition. METHODS: A cross-sectional study was conducted in a city in Northeastern Brazil. Data were collected by clinical examination and use of a questionnaire validated with 300 rural workers. The χ2 test was employed to identify possible associations between the presence of actinic cheilitis and clinical and demographic variables. Multiple logistic regression analysis was performed using forward stepwise selection. A p value of 0.05 was considered significant. RESULTS: The prevalence of actinic cheilitis was 12.0% in the sample. The highest prevalence of actinic cheilitis was observed in white males, with low educational level, and an approximately 40-year history of sun exposure. Chronic lesions were commonly found in the lower lip and were characterized by scaling, dryness, and mild edema. Skin color, sex, educational level of patients, and cumulative sun exposure (in years), were identified as predictors of development of actinic cheilitis. CONCLUSION: Our results suggest the need to implement educational health strategies aimed to orient the population about risk factors and preventive measures of the disease. Appropriate clinical management of patients with actinic cheilitis is important for prevention of lip cancer.
Subject(s)
Cheilitis , Cheilitis/diagnosis , Cheilitis/epidemiology , Cheilitis/etiology , Cross-Sectional Studies , Humans , Male , Prevalence , Rural PopulationABSTRACT
ABSTRACT Objective To evaluate the prevalence of actinic cheilitis in rural workers and factors associated with the development of this condition. Methods A cross-sectional study was conducted in a city in Northeastern Brazil. Data were collected by clinical examination and use of a questionnaire validated with 300 rural workers. The χ2 test was employed to identify possible associations between the presence of actinic cheilitis and clinical and demographic variables. Multiple logistic regression analysis was performed using forward stepwise selection. A p value of 0.05 was considered significant. Results The prevalence of actinic cheilitis was 12.0% in the sample. The highest prevalence of actinic cheilitis was observed in white males, with low educational level, and an approximately 40-year history of sun exposure. Chronic lesions were commonly found in the lower lip and were characterized by scaling, dryness, and mild edema. Skin color, sex, educational level of patients, and cumulative sun exposure (in years), were identified as predictors of development of actinic cheilitis. Conclusion Our results suggest the need to implement educational health strategies aimed to orient the population about risk factors and preventive measures of the disease. Appropriate clinical management of patients with actinic cheilitis is important for prevention of lip cancer.
ABSTRACT
Este estudo objetivou avaliar a inserção da disciplina de Pacientes com Necessidades Especiais (PNE)na estrutura curriculardos cursos de Odontologia em funcionamento no estado do Rio Grande do Norte (RN). Trata-se de estudo transversal, exploratório e descritivo com abordagem quantitativa. As informações foram coletadas nos sítios web dos cursos. Foram encontrados dez cursos em funcionamento e cinco deles ofertavam a disciplina, sendo apenas um em modo optativo. A nomenclatura da disciplina e o semestre de oferta variou entre as instituições. Dois cursos possuem uma abordagem teórico/prática, um deles clínica e o restante teórica. Conclui-se que apenas as quatro instituições privadas oferecem de forma obrigatória o componente curricular relacionados a PNE durante a graduação, enquanto entre as públicas apenas umaoferta a disciplina, porém, de maneira optativa. Assim, éevidente a necessidade da inserção de conteúdos relacionados à assistência de pacientes especiais nos cursos de graduação emOdontologia do RN, atendendo às DiretrizesCurriculares Nacionais no tangente à formação de um profissional generalista (AU).
This study aimed to evaluate the insertion of the Patients with Special Needs (PSN) discipline in the syllabus of Dentistry courses in operation in the state of Rio Grande do Norte (RN). This is a cross-sectional, exploratory and descriptive study with a quantitative approach. The information was collected from the courses' websites. There were ten courses in operation, with five of them offering the discipline, only one in optional mode. The nomenclature of the discipline and the semester of offer varied among the institutions. Two courses have a theoretical/practical approach, one of them clinical and the remaining theoretical. Only the four private institutions offer compulsorily the curricular component related to PSN during graduation, while the only one public institution offers the discipline, but in an optional way. Thus, it is evident the need for the insertionof contents related to the care of special patients in undergraduate Dentistry courses in RN, meeting the National Curriculum Guidelines concerning the training of a generalist professional (AU).
