中东地区的文化习惯和口腔癌风险:系统性审查
Omar Museedi1, Bashar Abdullah1, Saman Warnakulasuriya2,3
1Department of Diagnostic Sciences, College of Dentistry, University of Baghdad, Baghdad, Iraq.
Oral diseases
|August 5, 2025
概括
在中东,文化上根深蒂固的无烟烟草 (shammah) 和卡特显著增加了口腔癌的风险. 预防必须解决这些习惯,考虑文化背景,性别和社会经济因素.
科学领域:
- 口腔瘤学和公共卫生研究.
- 头部和部癌症的流行病学.
- 文化对健康行为的影响.
背景情况:
- 口腔状细胞癌 (OSCC) 在中东带来了重大的健康负担.
- 了解文化习惯在OSCC病因学中的作用对于有针对性的预防至关重要.
- 现有的研究往往忽略了特定区域的文化风险因素.
研究的目的:
- 系统地审查和综合文化习惯对中东人口的OSCC风险的影响的证据.
- 确定特定的文化习惯,这些习惯是该地区OSCC的重大风险因素.
- 为OSCC预防提供文化敏感的公共卫生干预信息.
主要方法:
- 一个符合PRISMA的系统审查和元分析.
- 搜索了PubMed,Scopus和地区数据库 (1990年至2024年12月).
- 40项研究的定性综合和20项研究的随机效应元分析.
主要成果:
- 无烟烟草 (shammah) 和卡特是主要的OSCC风险因素 (OR分别为3.9和2.7),显示剂量反应关系.
- 水管和香烟吸烟也显著增加了OSCC的风险 (OR分别为2.6和3.7).
- 较低的教育水平 (OR 2.6) 增加了风险,而地中海饮食显示了保护 (OR 0.6);在高shammah地区的性别比率发生了变化.
结论:
- 文化上嵌入,剂量依赖的烟草和卡特使用是中东OSCC的主要驱动因素.
- 预防策略需要调整全球烟草控制框架,以包括无烟烟草和混合物质使用.
- 以文化背景为基础,以性别和公平为导向的方法对于该地区有效的OSCC预防至关重要.
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