Associated factors with health-compromising behaviors among patients treated for oral cancer

  1. Rocío Barrios Rodríguez 1
  2. José Antonio Gil Montoya 2
  3. Javier Montero Martín 3
  4. Eva Rosel Gallardo 4
  5. Manuel Bravo Pérez 5
  1. 1 Universidad de Granada
    info

    Universidad de Granada

    Granada, España

    ROR https://ror.org/04njjy449

  2. 2 PhD, Tenured Lecturer of Special Care in Dentistry and Gerodontology. School of Dentistry. University of Granada. C/ Campus Cartuja s/n, 18071, Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain
  3. 3 PhD, Tenured Lecturer of Prosthodontics. School of Medicine. University of Salamanca. C/ Alfonso X El Sabio s/n. 37007, Salamanca, Spain
  4. 4 PhD, Assistant Professor of Prosthetic Dentistry. School of Dentistry. University of Granada. C/ Campus Cartuja s/n, 18071, Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain
  5. 5 PhD, Professor of Preventive and Community Dentistry. School of Dentistry. University of Granada. C/ Campus Cartuja s/n, 18071, Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain
Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2019

Volumen: 24

Número: 1

Páginas: 4

Tipo: Artículo

DOI: 10.4317/MEDORAL.22655 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Resumen

To improve eradication strategies of health-compromising behaviors between oral cancer survivors, this study aimed to explore the extent of clustering of risk behaviors and to assess possible factors associated. A cross-sectional study was carried out among oral cancer patients at least 6 months after treatment. They completed a questionnaire about smoking, alcohol consumption, oral hygiene habits and dental visits. Presence of clusters was evaluated through pairwise Pearson correlations and principal component analysis. Factors associated with each identified cluster were analyzed with multivariate models. Among 142 patients, 14.8% smoked, 51.7% consumed alcohol, 52.1% performed oral hygiene less than twice a day, and 74.6% visited to dentist when there was a problem or never. There were two distinct clusters: smoking-alcohol consumption (general risk behaviors cluster) and oral hygiene-dental attendance (oral risk behaviors cluster). Multivariate analysis showed significant associations between males and both clustering patterns of health compromising behaviors, patients with clinical stage I or with longer follow-up and the presence of general risk behaviors cluster and worse social class and the presence of oral risk behaviors cluster. A high proportion of patients treated for oral cancer presented health-compromising behaviors occurring in clusters which reinforce the need for health promotion strategies to target multiple behaviors. Factors analyzed suggest that chances of having detrimental behavioral clustering are higher in male, patients with clinical stage I, with lower social class and those with longer follow-up after treatment.

Referencias bibliográficas

  • Ferlay, J,Soerjomataram, I,Ervik, M,Dikshit, R,Eser, S,Mathers, . (2013). International Agency for Research on Cancer. Lyon.
  • Gatta, G,Botta, L,Sánchez, MJ,Anderson, LA,Pierannunzio, D,Licitra, . (2015). Prognoses and improvement for head and neck cancers diagnosed in Europe in early 2000s: The EUROCARE-5 population-based study. Eur J Cancer. 51. 2130
  • Gleber-Netto, FO,Braakhuis, BJ,Triantafyllou, A,Takes, RP,Kelner, N,Rodrigo, J. (2015). Molecular events in relapsed oral squamous cell carcinoma: Recurrence vs. secondary primary tumor. Oral Oncol. 51. 738
  • Radoï, L,Paget-Bailly, S,Cyr, D,Papadopoulos, A,Guida, F,Schmaus, . (2013). Tobacco smoking, alcohol drinking and risk of oral cavity cancer by subsite: results of a French population-based case-control study, the ICARE study. Eur J Cancer Prev. 22. 268
  • Bezerra, NV,Leite, KL,de Medeiros, MM,Martins, ML,Cardoso, AM,Alves, P. (2018). Impact of the anatomical location, alcoholism, and smoking on prevalence of advanced oral cancer in Brazil. Med Oral Patol Oral Cir Bucal. 23. 295-301
  • Cadoni, G,Giraldi, L,Petrelli, L,Pandolfini, M,Giuliani, M,Paludetti, . (2017). Prognostic factors in head and neck cancer: a 10-year retrospective analysis in a single-institution in Italy. Acta Otorhinolaryngol Ital. 37. 458
  • Gupta, B,Bray, F,Kumar, N,Johnson, N. (2017). Associations between oral hygiene habits, diet, tobacco and alcohol and risk of oral cancer: A case-control study from India. Cancer Epidemiol. 51. 7-14
  • Smith, DK,Castellanos, EH,Murphy, B. (2018). Financial and socio-economic factors influencing pre- and post-cancer therapy oral care. Support Care Cancer. 26. 2143
  • Chen, AM,Vazquez, E,Courquin, J,Donald, PJ,Farwell, . (2014). Tobacco use among long-term survivors of head and neck cancer treated with radiation therapy. Psychooncology. 23. 190
  • León, X,del Prado Venegas, M,Orús, C,López, M,García, J,Quer, . (2009). Influence of the persistence of tobacco and alcohol use in the appearance of second neoplasm in patients with a head and neck cancer. A case-control study. Cancer Causes Control. 20. 645
  • Singh, A,Rouxel, P,Watt, RG,Tsakos, . (2013). Social inequalities in clustering of oral health related behaviors in a national sample of British adults. Prev Med. 57. 106
  • Geller, K,Lippke, S,Nigg, C. (2017). Future directions of multiple behavior change research. J Behav Med. 40. 194-202
  • Noble, N,Paul, C,Turon, H,Oldmeadow, . (2015). Which modifiable health risk behaviours are related? A systematic review of the clustering of Smoking, Nutrition, Alcohol and Physical activity ('SNAP') health risk factors. Prev Med. 81. 16-41
  • Allison, P. (2001). Factors associated with smoking and alcohol consumption following treatment for head and neck cancer. Oral Oncol. 37. 513
  • McAloney, K,Graham, H,Law, C,Platt, . (2013). A scoping review of statistical approaches to the analysis of multiple health-realted behaviours. Prev Med. 56. 365
  • Hashim, D,Sartori, S,Brennan, P,Curado, MP,Wünsch-Filho, V,Divaris, . (2016). The role of oral hygiene in head and neck cancer: results from International Head and Neck Cancer Epidemiology (INHANCE) consortium. Ann Oncol. 27. 1619
  • Burke, L,Miller, LA,Saad, A,Abraham, . (2009). Smoking behaviors among cancer survivors: an observational clinical study. J Oncol Pract. 5. 6-9
  • Ostroff, JS,Jacobsen, PB,Moadel, AB,Spiro, RH,Shah, JP,Strong, E. (1995). Prevalence and predictors of continued tobacco use after treatment of patients with head and neck cancer. Cancer. 75. 569
  • Lambert, MT,Terrell, JE,Copeland, LA,Ronis, DL,Duffi, S. (2005). Cigarettes, alcohol, and depression: characterizing head and neck cancer survivors in two systems of care. Nicotine Tob Res. 7. 233
  • Poveda-Roda, R,Bagán, JV,Jiménez-Soriano, Y,Margaix-Muñoz, M,Sarrión-Pérez, . (2010). Changes in smoking habit among patients with a history of oral squamous cell carcinoma (OSCC). Med Oral Patol Oral Cir Bucal. 15. 721
  • Montero, PH,Patel, PD,Palmer, FL,Patel, SG,Shah, JP,Hayes, R. (2012). Changing trends in smoking and alcohol consumption in patients with oral cancer treated at Memorial Sloan-Kettering Cancer Center from 1985 to 2009. Arch Otolaryngol Head Neck Surg. 138. 817
  • Badr, H,Lipnick, D,Gupta, V,Miles, . (2017). Survivorship challenges and information needs after radiotherapy for oral cancer. J Cancer Educ. 32. 799-807
  • Park, ER,Ostroff, JS,Perez, GK,Hyland, KA,Rigotti, NA,Borderud, . (2016). Integrating tobacco treatment into cancer care: Study protocol for a randomized controlled comparative effectiveness trial. Contemp Clin Trials [Internet]. 50. 54-65
  • Pateman, KA,Ford, PJ,Batstone, MD,Farah, C. (2015). Coping with an altered mouth and perceived supportive care needs following head and neck cancer treatment. Support Care Cancer. 23. 2365
  • Escoda-Francolí, J,Rodríguez-Rodríguez, A,Pérez-García, S,Gargallo-Albiol, J,Gay-Escoda, . (2011). Dental implications in oral cancer patients. Med Oral Patol Oral Cir Bucal. 16. 508
  • Frydrych, AM,Slack-Smith, . (2011). Dental attendance of oral and oropharyngeal cancer patients in a public hospital in Western Australia. Aust Dent J. 56. 278
  • Awojobi, O,Scott, SE,Newton, . (2012). Patients' perceptions of oral cancer screening in dental practice: a cross-sectional study. BMC Oral Health. 12. 55
  • Brenan, DS,Spencer, AJ,Roberts-Thomson, K. (2011). Dental self-care and visiting behaviour in relation to social inequality in caries experience. Community Dent Health. 28. 216
  • Chandu, A,Stulner, C,Bridgeman, AM,Smith, A. (2002). Maintenance of mouth hygiene in patients with oral cancer in the immediate post-operative period. Aust Dent J. 47. 170