Burden of premalignant and malignant oral lesions in rural field practice area of tertiary care hospital: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20260706Keywords:
Tobacco, Oral cancer, Prevalence, RuralAbstract
Background: Head and neck cancers rank third in most common malignancies encountered in both genders globally. Known risk factors of oral cancer or precancer include tobacco smoking, alcohol consumption, smokeless tobacco use. Several studies among rural, semi-urban and urban populations, have proven the higher likelihood of tobacco consumption in rural settlements.
Methods: A hospital based cross sectional study was conducted in rural health training centre, Paithan under government medical college, Chhatrapati Sambhajinagar. The objectives of the study being to estimate burden of oral cancerous lesions and to determine other factors related to tobacco consumption.
Results: A total of 166 individuals were included in the study. Sociodemographic details of all participants are shown in Table 1. Mean age of all participants was calculated as 47.4±17.19 years. Prevalence of oral premalignant lesions was estimated to be 37.3%, and of oral squamous cell carcinoma 3%.
Conclusions: India being the second largest consumer of tobacco products in the world, the need to heighten our concern about tobacco usage being a leading cause of death and debilitating disease in our country.
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References
International Agency for Research on Cancer. Oral cancer prevention. IARC Handb Cancer Prev. 2023;19:1-358.
Bavle RM, Venugopal R, Konda P, Muniswamappa S, Makarla S. Molecular Classification of Oral Squamous Cell Carcinoma. J Clin Diagn Res. 2016;10:18-21. DOI: https://doi.org/10.7860/JCDR/2016/19967.8565
Mishra A, Meherotra R. Head and neck cancer: global burden and regional trends in India. Asian Pacific J Canc Preven. 2014;15:537-50. DOI: https://doi.org/10.7314/APJCP.2014.15.2.537
Murthy NS, Mathew A. Cancer epidemiology, prevention and control. Curr Sci. 2004;86:518-27.
Grover S, Anand T, Kishore J, Tripathy JP, Sinha DN. Tobacco use among the youth in India: Evidence from global adult tobacco survey-2 (2016-2017). Tobacco Use Insights. 2020;13:11791. DOI: https://doi.org/10.1177/1179173X20927397
Mahadevia G, Vikas M. International institute for population sciences (IIPS) and ICF. 2017. National family health survey (NFHS-4), 2015-16: India. Mumbai: IIPS. Int Sci J Environ Sci. 2012;21:7-15.
Saraswati TR, Ranganathan K, Shanmugam S, Sowmya Ramesh, Narasimhan PD, Gunaseelan R. Prevalence of oral lesions in relation to habits: Cross sectional study in south India. Indian J Dent Res. 2006;17:121-5. DOI: https://doi.org/10.4103/0970-9290.29877
Kaur J, Jain DC. Tobacco control policies in India: Implementation and challenges. Indian J Public Health. 2011;55:220-7. DOI: https://doi.org/10.4103/0019-557X.89941
Gupta VK, Kankane N, Malhotra S. Practice of offering a small pouch of tobacco for free with a big pouch of pan masala: a strategic move to circumvent Gutkha regulations. Int J Health Policy Manag. 2025;14:9537. DOI: https://doi.org/10.34172/ijhpm.9537
Singh R. Compliance with higher education-related tobacco control law provisions by institutions of national importance in India. Cureus. 2023;15(7):736. DOI: https://doi.org/10.7759/cureus.42129
Pratik P, Desai VD. Prevalence of habits and oral mucosal lesions in Jaipur, Rajasthan. Indian J Dent Res. 2015;26:196-9. DOI: https://doi.org/10.4103/0970-9290.159166
Shalini H, Shubha B, Vidya GS. Socio economic status assessment in India: history and updates. Int J Comm Med Publ Heal. 2024;11(3):1369-77. DOI: https://doi.org/10.18203/2394-6040.ijcmph20240648
Chockalingam K, Vedhachalam C, Rangasamy S, Sekar G, Adinarayanan S, Swaminathan S, Menon PA. Prevalence of tobacco use in urban, semi urban and rural areas in and around Chennai City, India. PLoS One. 2013;8(10):76005. DOI: https://doi.org/10.1371/journal.pone.0076005
Agrawal S, Karan A, Selvaraj S, Bhan N, Subramanian SV, Millett C. Socio-economic patterning of tobacco use in Indian states. Int J Tuberc Lung Dis. 2013;17(8):1110-7. DOI: https://doi.org/10.5588/ijtld.12.0916
Sheiham, A. Periodontal Disease and Oral Cleanliness in Tobacco Smokers. J Periodontol. 1971;42:259-63. DOI: https://doi.org/10.1902/jop.1971.42.5.259
Riley III JL, Tomar SL, Gilbert GH. Smoking and smokeless tobacco: increased risk for oral pain. J Pain. 2004;5(4):218-25. DOI: https://doi.org/10.1016/j.jpain.2004.03.003
Pednekar MS, Gupta PC, Yeole BB, Hébert JR. Association of tobacco habits, including bidi smoking, with overall and site-specific cancer incidence: Results from the Mumbai cohort study. Cancer Causes Control. 2011;22:859-68. DOI: https://doi.org/10.1007/s10552-011-9756-1
Sarode SC, Anand R, Sarode GS. Unsuccessful ban on gutkha in India needs authentication. Lancet. 2024;403(10433):1238. DOI: https://doi.org/10.1016/S0140-6736(23)01894-9
Welding K, Saraf S, Iacobelli M, Smith KC, Puntambekar N. Beyond Gutka: Evidence of Illegal Smokeless Tobacco in Rural and Semi-urban Areas in India. Nicotine Tob Res. 2022;24(6):929-32. DOI: https://doi.org/10.1093/ntr/ntab251
Stanfill SB, Connolly GN, Zhang L, Jia LT, Henningfield JE. Global surveillance of oral tobacco products: total nicotine, unionised nicotine and tobacco-specific N-nitrosamines. Tobacco Cont. 2011;20(3):64. DOI: https://doi.org/10.1136/tc.2010.037465
National Cancer Institute and Centers for Disease Control and Prevention. Smokeless tobacco and public health: a global perspective. US Department of Health and Human Services. 2014.
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