36496
document
Which socio-demographic factors are associated with participation in oral cancer screening in the developing world ? Results from a population-based screening project in India . BACKGROUND This study examines socio-demographic determinants of participation in a population-based randomized controlled trial that proved that oral visual inspection was effective in reducing oral cancer mortality in high-risk individuals in India . METHODS Multivariate logistic regression was used to establish socio-demographic characteristics of participants versus non-participants in the intervention arm . Compliance with referral was analysed according to the socio-demographic characteristics of screen-positives . RESULTS Of 96,517 eligible subjects , 87,655 were screened , 8688 individuals never received the invitation and 174 refused screening . Compared to the non-screened , a higher proportion of screened individuals were women ( OR=4.51 ; CI : 4.28-4.75 ) , lived in better housing ( OR=1.35 ; CI : 1.25-1.41 ) , had television/radio ( OR=1.50 ; CI : 1.43-1.58 ) and were tobacco and alcohol users ( OR=2.75 ; CI : 2.57-2.95 ) . Being 65 and older decreased the chances of screening ( OR=0.39 ; CI : 0.37-0.42 ) , as well as living in high-size households ( OR=0.73 ; CI : 0.68-0.78 ) . Sixty-three percent of 5143 screen-positives complied with referral . Controlling for all other factors , individuals older than 44 , and those with more advanced lesions were more likely to comply with referral ( p < 0.001 ) . Individuals living in better housing were less likely to comply with referral ( OR=0.79 ; CI : 0.65-0.95 ) . CONCLUSIONS In summary , adequate coverage can be obtained in population-based oral screening in developing countries . The study underscores the important role of patient-provider communication in assuring high compliance with referral .
36497
Intervention_Physical
socio-demographic factors
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Intervention_Other
participation in oral cancer screening
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Intervention_Other
population-based screening
36500
Intervention_Physical
oral visual inspection
36501
Intervention_Physical
intervention
36502
Intervention_Other
referral
36503
Intervention_Physical
screened
36504
Intervention_Physical
screening
36505
Intervention_Physical
screened
36506
Intervention_Physical
screening
36507
Intervention_Other
referral
36508
Intervention_Physical
population-based oral screening
36509
Intervention_Educational
patient-provider communication
36510
Outcome_Mortality
oral cancer mortality
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Outcome_Mental
Compliance with referral
36512
Outcome_Other
screened
36513
Outcome_Other
chances of screening
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Outcome_Other
living in high-size households