,Knowledge of risk factors for oral cancer
among adults ||Latest update||
,TABLE OF CONTENTS
LIST OF TABLES .............................................................................................................vii
LIST OF ABBREVIATIONS .............................................................................................ix
CHAPTER I INTRODUCTION .............................................................................1
Research Questions and Hypotheses .........................................................4
Policy Implications....................................................................................4
CHAPTER II LITERATURE REVIEW ...................................................................6
Oral Pharyngeal Cancer ....................................................................................6
Dental (Oral Cancer Exam) Utilization Nationally ...........................................8
Knowledge, Opinions And Practices Regarding OC Prevention ....................11
Barriers ....................................................................................................11
North Carolina Study ..............................................................................14
Maryland Studies ....................................................................................16
Oral Cancer Awareness ...........................................................................19
Health Literacy ................................................................................................ 21
General Health Literacy ..........................................................................21
Oral Health Literacy................................................................................25
Summary .........................................................................................................28
CHAPTER III METHODS .....................................................................................30
Chew Health Literacy Questions ............................................................ 32
Sample Size Calculations ........................................................................35
Data Analysis ..........................................................................................35
Funding and IRB Status ..........................................................................36
CHAPTER IV RESULTS ........................................................................................38
Telephone Responses ..............................................................................38
Univariate Analysis .........................................................................................39
Demographics .........................................................................................40
Behavioral Health Practices ....................................................................40
Source of Health Advice .........................................................................40
Information about Oral Canccer ............................................................. 40
Knowledge of Oral Cancer Exams ..........................................................43
Oral Cancer Exam Sites ..........................................................................43
Knowledge of Oral Cancer Risk Factors ................................................45
Knowledge of Oral Early Sign of Oral Cancer .......................................47
Health Literacy ........................................................................................47
Bivariate Analysis ........................................................................................... 50
Demographics .........................................................................................50
Behavioural Health Practices ..................................................................51
Source of Health Advice .........................................................................53
Information about Oral Cancer ............................................................... 53
Knowledge of Oral Cancer Exams ..........................................................54
Oral Cancer Exam Sites ..........................................................................54
v
, Oral Cancer Risk Factors ....................................................................... 60
Knowledge of Oral Early Sign of Oral Cancer ...................................... 60
Health Literacy ....................................................................................... 60
Logistic Regression Analysis ......................................................................... 64
CHAPTER V DISCUSSION ................................................................................ 69
Phone Response Summary ..................................................................... 69
Demographics: Iowa Study vs. Iowa State Population .......................... 70
Sources of Health Advice ...................................................................... 72
Information about Oral Cancer .............................................................. 73
Knowledge of Oral Cancer Exams ......................................................... 75
NHIS Studies ......................................................................................... 76
Maryland Study ...................................................................................... 78
North Carolina Study ............................................................................. 79
Misconceptions and OC Risk Factor Scoring ........................................ 80
Health Literacy ....................................................................................... 82
Strengths and Limitations ...................................................................... 85
Recommendations .................................................................................. 85
APPENDIX KNOWLEDGE OF RISK FACTOS FOR ORAL CANCER
AMONG ADULT IOWANS .......................................................... 88
REFERENCES .................................................................................................................. 97
vi
among adults ||Latest update||
,TABLE OF CONTENTS
LIST OF TABLES .............................................................................................................vii
LIST OF ABBREVIATIONS .............................................................................................ix
CHAPTER I INTRODUCTION .............................................................................1
Research Questions and Hypotheses .........................................................4
Policy Implications....................................................................................4
CHAPTER II LITERATURE REVIEW ...................................................................6
Oral Pharyngeal Cancer ....................................................................................6
Dental (Oral Cancer Exam) Utilization Nationally ...........................................8
Knowledge, Opinions And Practices Regarding OC Prevention ....................11
Barriers ....................................................................................................11
North Carolina Study ..............................................................................14
Maryland Studies ....................................................................................16
Oral Cancer Awareness ...........................................................................19
Health Literacy ................................................................................................ 21
General Health Literacy ..........................................................................21
Oral Health Literacy................................................................................25
Summary .........................................................................................................28
CHAPTER III METHODS .....................................................................................30
Chew Health Literacy Questions ............................................................ 32
Sample Size Calculations ........................................................................35
Data Analysis ..........................................................................................35
Funding and IRB Status ..........................................................................36
CHAPTER IV RESULTS ........................................................................................38
Telephone Responses ..............................................................................38
Univariate Analysis .........................................................................................39
Demographics .........................................................................................40
Behavioral Health Practices ....................................................................40
Source of Health Advice .........................................................................40
Information about Oral Canccer ............................................................. 40
Knowledge of Oral Cancer Exams ..........................................................43
Oral Cancer Exam Sites ..........................................................................43
Knowledge of Oral Cancer Risk Factors ................................................45
Knowledge of Oral Early Sign of Oral Cancer .......................................47
Health Literacy ........................................................................................47
Bivariate Analysis ........................................................................................... 50
Demographics .........................................................................................50
Behavioural Health Practices ..................................................................51
Source of Health Advice .........................................................................53
Information about Oral Cancer ............................................................... 53
Knowledge of Oral Cancer Exams ..........................................................54
Oral Cancer Exam Sites ..........................................................................54
v
, Oral Cancer Risk Factors ....................................................................... 60
Knowledge of Oral Early Sign of Oral Cancer ...................................... 60
Health Literacy ....................................................................................... 60
Logistic Regression Analysis ......................................................................... 64
CHAPTER V DISCUSSION ................................................................................ 69
Phone Response Summary ..................................................................... 69
Demographics: Iowa Study vs. Iowa State Population .......................... 70
Sources of Health Advice ...................................................................... 72
Information about Oral Cancer .............................................................. 73
Knowledge of Oral Cancer Exams ......................................................... 75
NHIS Studies ......................................................................................... 76
Maryland Study ...................................................................................... 78
North Carolina Study ............................................................................. 79
Misconceptions and OC Risk Factor Scoring ........................................ 80
Health Literacy ....................................................................................... 82
Strengths and Limitations ...................................................................... 85
Recommendations .................................................................................. 85
APPENDIX KNOWLEDGE OF RISK FACTOS FOR ORAL CANCER
AMONG ADULT IOWANS .......................................................... 88
REFERENCES .................................................................................................................. 97
vi
