Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Association between Shammah Use and Oral Leukoplakia-like Lesions among Adult Males in Dawan Valley, Yemen

  • Published : 2016.01.11
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Abstract

Background: Shammah is a traditional form of snuff dipping tobacco (a smokeless tobacco form) that is commonly used in Yemen. Oral mucosal changes due to the use of shammah can usually be observed in the mucosal surfaces that the product touches. The aim of this study was to determine the association between shammah use and oral leukoplakia-like lesions. Other associated factors were also determined. Materials and Methods: A cross sectional study was conducted on 346 randomly selected adult males. Multi-stage random sampling was used to select the study location. After completing the structured questionnaire interviews, all the participants underwent clinical exanimation for screening of oral leukoplakia-like lesions Clinical features of oral leukoplakia-like lesion were characterized based on the grades of $Ax{\acute{e}}ll$ et al (1976). Univariable logistic regression and multivariable logistic regression were used to assess the potential associated factors. Results: Out of 346 male participants aged 18 years and older, 68 (19.7%) reported being current shammah users. The multivariable analysis revealed that age, non-formal or primary level of education, former shammah user, current shammah user, and frequency of shammah use per day were statistically associated with the presence of oral leukoplakia-like lesions [Adjusted odds ratio (AOR) = 1.03; 95% confidence interval (CI) : 1.01, 1.06; P=0.006], (AOR=8.65; 95% CI: 2.81, 26.57; P=0.001), (AOR=3.65; 95% CI: 1.40, 9.50; P=0.008), (AOR=12.99; 95% CI: 6.34, 26.59; P=0.001), and (AOR=1.17; 95% CI: 1.02, 1.36; P=0.026), respectively. Conclusions: The results revealed oral leukoplakia-like lesions to be significantly associated with shammah use. Therefore, it is important to develop comprehensive shammah prevention programs in Yemen.

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References

  1. Al-Attas SA, Ibrahim SS, Amer HA, et al (2014). Prevalence of potentially malignant oral mucosal lesions among tobacco users in Jeddah, Saudi Arabia. Asian Pac J Cancer Prev, 15, 757-62. https://doi.org/10.7314/APJCP.2014.15.2.757
  2. Al Agili D, Park H (2013). Oral health status of male adolescent smokeless tobacco users in Saudi Arabia. East Mediterr Health J, 19, 711-9. https://doi.org/10.26719/2013.19.8.711
  3. Amer M, Bull C, Daouk M, et al (1985). Shamma usage and oral cancer in Saudi Arabia. Ann Saudi Med, 5, 135-41. https://doi.org/10.5144/0256-4947.1985.135
  4. Axell T, Mornstad H, Sundstrom B (1976). The relation of the clinical picture to the histopathology of snuff dipper's lesions in a Swedish population. J Oral Pathol, 5, 229-36. https://doi.org/10.1111/j.1600-0714.1976.tb01769.x
  5. GonUl M, GUl U, Kaya I, et al (2011). Smoking, alcohol consumption and denture use in patients with oral mucosal lesions. J Dermatol Case Rep, 5, 64-8. https://doi.org/10.1186/1752-1947-5-64
  6. Halawany HS, Jacob V, Abraham NB, et al (2013). Oral cancer awareness and perception of tobacco use cessation counseling among dental students in four Asian countries. Asian Pac J Cancer Prev, 14, 3619-23. https://doi.org/10.7314/APJCP.2013.14.6.3619
  7. Hashibe M, Sankaranarayanan R, Thomas G, et al (2000). Alcohol drinking, body mass index and the risk of oral leukoplakia in an Indian population. Int J Cancer, 88, 129-34. https://doi.org/10.1002/1097-0215(20001001)88:1<129::AID-IJC20>3.0.CO;2-U
  8. Hassona Y, Scully C, Almangush A, et al (2014). Oral potentially malignant disorders among dental patients: a pilot study in Jordan. Asian Pac J Cancer Prev, 15, 10427-31
  9. Lee C, Ko Y, Huang H, et al (2003). The precancer risk of betel quid chewing, tobacco use and alcohol consumption in oral leukoplakia and oral submucous fibrosis in southern Taiwan. Br J cancer, 88, 366-72. https://doi.org/10.1038/sj.bjc.6600727
  10. Lin H, Corbet E, Lo E (2001). Oral mucosal lesions in adult Chinese. J Dent Res, 80, 1486-90. https://doi.org/10.1177/00220345010800052001
  11. Little SJ, Stevens VJ, LaChance PA, et al (1992). Smokeless tobacco habits and oral mucosal lesions in dental patients. J Public Health Dent, 52, 269-76. https://doi.org/10.1111/j.1752-7325.1992.tb02288.x
  12. Loyha K, Vatanasapt P, Promthet S, et al (2012). Risk factors for oral cancer in northeast Thailand. Asian Pac J Cancer Prev, 13, 5087-90. https://doi.org/10.7314/APJCP.2012.13.10.5087
  13. Samman MA, Bowen ID, Taiba K, et al (1998). Mint prevents shamma-induced carcinogenesis in hamster cheek pouch. Carcinogenesis, 19, 1795-1801. https://doi.org/10.1093/carcin/19.10.1795
  14. Scheifele C, Nassar A, Reichart P (2007). Prevalence of oral cancer and potentially malignant lesions among shammah users in Yemen. Oral Oncol, 43, 42-50. https://doi.org/10.1016/j.oraloncology.2005.12.028
  15. Sinalkar D, Kunwar R, Bagal R (2012). Tobacco consumption and its association with education among women residing in a rural area of Maharashtra: A cross-sectional study. Med J Armed forces india, 68, 335-8. https://doi.org/10.1016/j.mjafi.2012.03.002
  16. Tiwari RV, Megalamanegowdru J, Gupta A, et al (2014). 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, 10129-35.
  17. Zhang X, Schmitz W, Gelderblom H, et al (2001). Shammahinduced oral leukoplakia-like lesions. Oral Oncol, 37, 609-12. https://doi.org/10.1016/S1368-8375(00)00123-8