Tobacco use, oral cancer screening, and oral disease burden in Indian women
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Updated: Feb 16, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Immanuel Joseph1, Thavarajah Rooban1, Kannan Ranganathan1
1Department of Oral and Maxillofacial Pathology, Ragas Dental College and Hospital, Chennai, Tamil Nadu, India.
Introduction:
India lacks data on national level adaptation of oral cancer screening measures and burden of oral diseases. We intend to address the issue through a secondary data analysis of existing data and reports.
Materials And Methods:
Data were acquired from the National Family Health Survey-4 (2015-2016). Of the 699,686 responses, representing 99% of India's women population living in all of India, the following data from the age group of 15-49 years were mined - any tobacco use, desire to quit tobacco use, and oral cavity screening for cancers. Data from Central Health Intelligence Bureau 2016 was used to identify population served by dentists in each state. The state-level data of the District Level Household and Facility Survey-4 (2012-2013) were mined for household population having symptoms of chronic illness including mouth/dental illness persisting for more than 1 month and had sought treatment.
Statistical Analysis Used:
SPSS version 20; Descriptive statistics for values in proportions; Pearson's correlation test assessed between the various factors.
Results:
Tobacco use in any form was highly prevalent among the North Eastern states, and there was also a lack of willingness to quit the habit. There was unequal distribution of dentists in different states. No significant statistical correlation was found between the proportions.
Conclusion:
There is disparity existing in treating seeking behavior of the general population as well as the need for dental treatment. The skewedness in dentists' distribution among the nation as compared with oral burden of diseases needs to be correlated before oral health policies are planned.
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