Association Between Socioeconomic Status and Severity of Oral Epithelial Dysplasia Using a Taiwanese Nationwide Oral Mucosal Screening Program: a Retrospective Analysis

Overview

Journal BMC Oral Health

Publisher Biomed Central

Specialty Dentistry

Date 2022 Mar 5

PMID 35246076

Authors

Tien-En Chiang

Yu-Chun Lin

Chi-Tsung Wu

Sheng-Tang Wu

Yuan-Wu Chen

Affiliations

Soon will be listed here.

Abstract

Background: The study aimed to investigate the association between socioeconomic status and severity of oral epithelial dysplasia (OED) using current data from the Taiwanese Nationwide Oral Mucosal Screening Program (TNOMSP).

Methods: This retrospective analysis was conducted in the Department of Oral and Maxillofacial Surgery at a general hospital in Taipei, Taiwan. A total of 134 participants were analysed from a previous study database of 150 patients. The inclusion criteria included age > 20 years and a history of either tobacco or betel nut use. Background information, including para-habits such as betel and tobacco use, was analysed using the Pearson chi-square (χ) test; furthermore, the correlation of background information with OED severity was investigated using logistic regression (mild or moderate/severe).

Results: High school education level (P < 0.001), poor self-awareness (P = 0.002), current betel use (P < 0.001), and tobacco use (P = 0.003) were highly correlated with moderate- and severe OED (P < 0.05). The odds ratio (OR) of education status above senior high school was 0.03 (95% confidence interval [CI] 0.01-0.15, P < 0.001), while that of junior high school was 1. Current betel chewing (OR 6.57 [95% CI 1.17-37.0], P = 0.033) was significantly associated with OED severity compared with never or ex-use of betel.

Conclusions: We found a strong correlation between the severity of OED and current betel use and low education status. The current study revealed that the socioeconomic status, poor self-awareness, and para-habit history of the patients with OED should be evaluated to identify high-risk individuals using TNOMSP.

Citing Articles

Factors in oral-related quality of life of betel quid users receiving oral mucosal screening: a cross‑sectional study in Taiwan.

Chiu S, Kang C, Chen S BMC Oral Health. 2023; 23(1):88.

PMID: 36782200 PMC: 9924842. DOI: 10.1186/s12903-023-02800-x.

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