Disparities in oral cancer screening among dental professionals: NHANES 2011–2016
American Journal of Preventive Medicine Aug 27, 2019
Gupta A, et al. - Among US adults with a recent dental visit, researchers assessed the rate and predictors of oral cancer screening exams. From the 2011–2016 National Health and Nutrition Examination Survey, people aged ≥ 30 years who received a dental visit in the last 2 years were examined in December 2018. Non-receipt of an oral cancer screening exam, despite a recent dental visit, was reported by a significantly higher proportion of minority race/ethnicity and low SES people. Smoking status when taken into account, no difference was found in the probability of being screened. The chance of being screened was more in alcohol consumers. Not only the non-compliance of this selective screening, by dental professionals, with guidelines was pointed out but also this practice raises concerns as there is more likelihood of these groups presenting with an advanced stage of oral cancer at diagnosis. For the development of effective interventions, an understanding of the causes of discriminatory oral cancer screening practices could be helpful.
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