无烟烟草使用和口腔癌风险:孟加拉国的一项医院病例控制研究
Md Zahid Ullah1, Jennifer Nw Lim1, Marc Chrysanthou1
1Faculty of Education, Work and Health, University of Wolverhampton, Wolverhampton, UK.
Tobacco use insights
|October 6, 2025
概括
无烟烟草 (SLT) 的使用在孟加拉国显著增加了口腔癌的风险,特别是在女性和双重烟草使用者中. 这凸显了迫切需要有针对性的预防策略,以减少大量人口负担.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 无烟烟草 (SLT) 的使用在南亚普遍存在,与口腔癌有很强的联系.
- 关于在孟加拉国使用SLT与口腔癌之间的特定关联的证据有限.
- 了解这种联系对于该地区的公共卫生干预至关重要.
研究的目的:
- 调查孟加拉国成年人中无烟烟草使用和口腔癌之间的联系.
- 估计孟加拉国因SLT使用而导致的口腔癌的人口负担.
主要方法:
- 在孟加拉国达卡进行的一项基于医院的病例控制研究,涉及169例口腔癌病例和338例对照.
- 通过对SLT使用,吸烟,饮酒,BMI和社会人口统计数据进行结构化采访收集的数据.
- 使用无条件逻辑回归来估计调整的赔率比率 (OR) 和人口归因分数 (PAF).
主要成果:
- SLT使用与口腔癌有很强的关联 (调整后OR:8.78).
- 妇女 (OR: 14.33) 和SLT和吸烟烟草的双重使用者 (OR: 17.23) 的风险明显更高.
- 据估计,SLT使用占男性口腔癌病例的41%,女性口腔癌病例的76%.
结论:
- 无烟烟草 (SLT) 是孟加拉国口腔癌的主要可改变的风险因素,特别影响女性和双重烟草使用者.
- 调查结果强调需要加强监管,针对性别的教育和有针对性的SLT控制举措.
- 当地证据对于为国家和国际口腔癌预防政策提供信息至关重要.
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