Prevalence of oral soft tissue lesions in alcohol and tobacco users in slums of Jammu city
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20202532Keywords:
Slums, Substance abuse, Oral mucosal lesionsAbstract
Background: There is a range of negative consequences on the oral mucosa caused by the tobacco and alcohol from inceptive light mucosal changes to a full-blown malignancy. The purpose of this study was to assess the risk of oral lesions resulting from the habits of addiction and prevalence of oral soft tissues changes with alcohol consumption, smoking, chewing and both type habits in individual residing in slums.
Methods: This cross-sectional study was carried out in the slums of Jammu city. A questionnaire was used to obtain the information on substance abuse habits followed by oral clinical examination in selected population of 1200 individuals >15 years of age. The data collected were statistically analysed using chi-square test.
Results: Of the 1200 study population, 816 were males and 384 were females and 72% were addicted to one or the other form of tobacco and alcohol. 32.6% showed oral mucosal changes, out of these, smoker’s melanosis was found in 10.4%, leukoplakia in 9.1%, oral submucus fibrosis in 6.6%, oral lichen planus in 2.8%, chewer’s mucosa in 2%, lichenoid oral lesion in 1.2%, erythroplakia in 0.5%.
Conclusions: The increased production and use of tobacco in India have led to increased prevalence of oral mucosal lesions. Community preventive and control programmes should be aimed at high risk individuals based on the epidemiological data gathered through such studies to reduce the burden of illness caused due to substance abuse.
References
Sudamani S, Rubi R. Quality of life in slums of Jammu city. IJSRR. 2018;7(4):356-67.
Kaur J, Jain DC. Tobacco control policies in India: Implementation and challenges. Indian J Public Health. 2011;55:220-7.
World Health Organization (WHO). Fresh and alive: MPOWER, WHO report on the global tobacco epidemic, Geneva, Switzerland: WHO; 2008.
Bhawana G. Burden of tobacco consumption in rural/urban areas of India (GATS-India) 2009-2010. Asian Pacific J Cancer Prev. 2010;14(5):3323-9.
Neufeld KJ, Peters DH, Rani M, Bonu S, Brooner RK. Regular use of alcohol and tobacco in India and its association with age, gender, and poverty. Drug Alcohol Depend. 2005;77:283-91.
Mishra A, Sharma D, Tripathi GM, Adhikari P, Kabirpanthi V, Kumar M. Pattern and prevalence of tobacco use and associated oral mucosal lesions: A hospital based cross sectional study at a tertiary care hospital in central India. Int J Res Med Sci. 2015;3:2169-73.
Harris CK, Warnakulasuriya KA, Cooper DJ, Peters TJ, Gelbier S. Prevalence of oral mucosal lesions in alcohol misusers in south London. J Oral Pathol Med. 2004;33:253-9.
Wickholm S, Galanti MR, Soder B, Gilljam H. Cigarette smoking, snuff use and alcohol drinking: Coexisting risks behaviors for oral health in young males. Community Dent Oral Epidemiol. 2003;3:269-74.
Zain RB. Cultural and dietary risk factors of oral cancer and precancer: a brief overview. Oral Oncol. 2001;37:205-10.
Byakodi R, Byakodi S, Hiremath S. Oral cancer in india: an epidemiologic and clinical review. J Community Hlth. 2012;37:316-9.
Gupta B, Ariyawardana A, Johnson NW. Oral cancer in India continues in epidemic proportions: evidence base and policy initiatives. Int Dent J. 2013;63:12-25.
Lodha RS, Priya A, Toppo M, Pal DK, Lodha KM. Prevalence of oral soft tissue lesions and risk behaviour in Slum inhabitants of Bhopal city. Natl J Community Med. 2015;6:592-6.
Patil PB, Bathi R, Chaudhari S. Prevalence of oral mucosal lesions in dental patients with tobacco smoking, chewing, and mixed habits: a cross- sectional study in South India. J Family Community Med. 2013;20(2):130-5.
Aishwarya KM, Reddy MP, Kulkarni S, Doshi D, Reddy BS, Satyanarayana D, et al. Effect of frequency and duration of tobacco use on oral mucosal lesions a cross-sectional study among tobacco users in Hyderabad, India. Asian Pac J Cancer Prev. 2017;18:2233-8.
Hedin CA, Pindborg JJ, Axell T. Disappearance of smoker’s melanosis after reducing smoking. J Oral Pathol Med. 1993;22:228-30.
Saraswathi TR, Ranganathan K, Shanmugam S, Sowmya R, Narasimhan PD, Gunaseelan R, et al. Prevalence of oral lesions in relation to habits: Cross-sectional study in South India. Indian J Dent Res. 2006;17:121-5.
Bhowate RR, Rao SP, Hariharan KK, Chinchkhede DH, Bharambe MS. New Delhi: Allied Publishers Limited. Oral mucosal lesions among tobacco chewers: a community-based study. Preventive section in XVI International Cancer Congress, Abstract Book-1; 1994: 435.
Campisi G, Margiotta V. Oral mucosal lesions and risk habits among men in an Italian study population. J Oral Pathol Med. 2001;30:22-8.
Lay KM, Sein K, Myint A, Ko SK, Pindborg JJ. Epidemiologic study of 6000 villagers of oral precancerous lesions in Bilugyum: Preliminary report. Commun Dent Oral Epidemiol. 1982;10:152-5.
Chung CH, Yang YH, Wang TY, Shieh TY, Warnakulasuriya S. Oral precancerous disorders associated with areca quid chewing, smoking, and alcohol drinking in southern Taiwan. J Oral Pathol Med. 2005;34:460-6.
Axell T, Zain RB, Siwamogstham P, Tantiniran D, Thampipit J. Prevalence of oral soft tissue lesions in out-patients at two Malaysian and Thai dental schools. Commun Dent Oral Epidemiol. 1990;18:95-9.
