Prevalence and determinants of oral potentially malignant lesions using mobile health in a rural block, northeast India
| Autor: | Rohan Ramesh, Sanjana Patrick, Atsung Aier, Azole, Praveen Birur N, Zubemo Lotha |
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| Rok vydání: | 2021 |
| Předmět: |
Tobacco
Smokeless business.industry Public Health Environmental and Occupational Health India Paan Early detection Oral Medicine Specialist Logistic regression Telemedicine Infectious Diseases Smokeless tobacco Environmental health Prevalence Humans Medicine Mouth Neoplasms business Alcohol consumption mHealth Areca Male gender |
| Zdroj: | Tropical Doctor. 52:53-60 |
| ISSN: | 1758-1133 0049-4755 |
| Popis: | In a rural block in North East India, community health workers (CHW) empowered with a mobile phone-based application screened a total of 2,686 participants for Oral Potentially Malignant Lesions (OPMLs), and an oral medicine specialist recommended treatment remotely. Independent risk factors were determined using independent multiple logistic regression models. Nearly 700 (26%) participants were identified with OPMLs. The sensitivity, specificity, positive predictive values, negative predictive values and accuracy of the CHW was 70.3, 88.4, 66.8, 89.9% and 83.7% respectively. Male gender, married status, smokeless tobacco, paan, areca-nut and alcohol consumption were independent predictors of OPMLs, the burden of which in North East India can be attributed to the high consumption of tobacco and non-tobacco products. Such programmes, with the recommendations from remote specialists, will facilitate early detection in remote settings. |
| Databáze: | OpenAIRE |
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