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Tobacco Use and Oral Leukoplakia: Cross-sectional Study among the Gond Tribe in Madhya Pradesh

  • Kumar, Surendra (National Institute for Research in Tribal Health (Indian Council of Medical Research)) ;
  • Muniyandi, Malaisamy (National Institute for Research in Tribal Health (Indian Council of Medical Research))
  • Published : 2015.03.09

Abstract

Background: Leukoplakia is an asymptomatic and potentially malignant change in the oral mucosa and high frequencies have been reported among smokers. The present study concerned the prevalence of tobacco use and leukoplakia and also associations between the two. Study design: This cross sectional survey was conducted amongst the Gond tribal population of Kundam Block, Jabalpur district, Madhya Pradesh state, Central India during 2007 to 2009. Screening for leukoplakia was conducted by a medical officer with two mouth mirrors. It is only based on visual inspection and oral pathology was not performed. A semi-structured questionnaire was used to collect information on socio-demographic and smoking habits. Prevalence of leukoplakia among users and non-users of tobacco was calculated in terms of percentages. Results: Of 1,552 individuals aged more than 12 years of age who were screened, 144 (9.3%) were found to have oral leukoplakia. The prevalence of leukoplakia was significantly elevated among tobacco users as compared to non-users (11% vs 2.5%; p<0.001). The percentage of leukoplakia was almost similar in both tobacco smokers and chewers (9% vs 11%; p=0.304). However, the percentage of leukoplakia was especially high among those chewers who also smoked tobacco (21.9%). Conclusions: The findings of the present study showed a positive effect of tobacco use and prevalence of leukoplakia. Also the prevalence was very high among Gond tribe, a marginalized population living in central India. There is a need for effective screening and treatment of leukoplakia in this area.

Keywords

Tobacco use;Leukoplakia;tribe;marginalized population;India

References

  1. Agrawal S, Karan A, Selvaraj S, et al (2013). Socio-economic patterning of tobacco use in Indian states. Int J Tuberc Lung Dis, 17, 1110-7. https://doi.org/10.5588/ijtld.12.0916
  2. Cocelho KR (2012). Challenges of the oral cancer Burden in India. J Cancer Epidemiol, 2012:701932.
  3. Critchley JA, Unal B (2003). Health effects associated with smokeless tobacco: a systematic review. Thorax, 58, 435-43. https://doi.org/10.1136/thorax.58.5.435
  4. Dhekale DN, Gadekar RD, Kolhe CG (2011). Prevalence of tobacco consumption among the adolescents of the tribal areas in Maharashtra. J Clinical Diagnostic Res, 5, 1060-3.
  5. Gupta PC, Mehta FS, Pindborg JJ, et al (1986). Intervention study for primary prevention of oral cancer among 36,000 Indian tobacco users. Lancet, 1, 1235-8.
  6. Gupta PC, Mehta FS, Pindborg JJ, et al (1992). Primary prevention trial of oral cancer in India: a 10 year follow up study. J Oral Pathol Med, 21, 433-9. https://doi.org/10.1111/j.1600-0714.1992.tb00970.x
  7. International Agency for Research on Cancer (1984). IARC monographs on the evaluation of the carcinogenic risk of chemicals to humans: tobacco habits other than smoking; betel-quid and areca-nut chewing; and some related nitrosamines (Vo. 37). Lyon: IARC.
  8. International Institute for Population Sciences & Ministry of Health and Family Welfare, Government of India (2010). Global adult tobacco survey, India 2009-10. IIPS; Mumbai, India.
  9. Khanna S (2012). The interaction between tobacco use and oral health among tribes in central India. Tobacco Induced Diseases, 10, 16-7. https://doi.org/10.1186/1617-9625-10-16
  10. Kumar A, Cascarini L, McCaul JA, et al (2013). How should we manage oral leukoplakia? Br J Oral Maxillofac Surg, 51, 377-83. https://doi.org/10.1016/j.bjoms.2012.10.018
  11. Kumar S, Kumar D, Muniyandi M, et al (2013). Poverty does not limit tobacco consumption among tribal population: Evidence from central India. Asian Pac J Cancer Prev, 14, 6195-6. https://doi.org/10.7314/APJCP.2013.14.10.6195
  12. Pindborg JJ, Joyce K, Gupta PC, et al (1967). Studies in oral leukoplakias: prevalence of leukoplakia among 10000 persons in Lucknow, India, with special reference to use of tobacco and betel nut. Bull Wid Hlthi Org, 37, 109-16.
  13. Reddy KS, Gupta PC (2004). Report on tobacco control in India. Ministry of Health and Family Welfare, Government of India, New Delhi.
  14. Sinor PN, Gupta PC, Bhonsle RB, et al (1990). A case control study of oral submucous fibrosis with special reference to the etiologic role of areca nut. J Oral Pathol Med, 19, 94-8. https://doi.org/10.1111/j.1600-0714.1990.tb00804.x
  15. Tiwari RV, Megalamanegowdru J, Gupta A, et al (2014a). Knowledge, attitude and practice of tobacco use and its impact on oral health status of 12 and 15 year-old school children of Chhattisgarh, India. Asian Pac J Cancer Prev, 15, 10129-5.
  16. Tiwari RV, Megalamanegowdru J, Parakh A, et al (2014b). Prisoners' perception of tobacco use and cessation in Chhattisgarh, India-the truth from behind the bars. Asian Pac J Cancer Prev, 15, 413-7. https://doi.org/10.7314/APJCP.2014.15.1.413
  17. World Health Organization (2004). IARC Monographs on the evaluation of carcinogenic risks to humans. World Health Organization, International Agency for Research On Cancer, Lyon, France, 83&89.
  18. World Health Organization (2008). WHO report on the global tobacco epidemic 2008. Geneva: World Health Organization [Accessed Jan 2015].
  19. Zahiruddin QS, Gaidhane A, Bawankule S, et al (2011). Prevalence and pattern of tobacco use among tribal adolescents: Are tobacco prevention messages reaching the tribal people in India? Ann Trop Med Public Health, 4, 74-80. https://doi.org/10.4103/1755-6783.85756

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