The Association between Diet and Oral Precancer Lesions in Indigenous Communities of the Southern Pingtung

• Main Authors: Chiu-Chin Chen, 陳秋琴
• Other Authors: Yi-Hsin Yang
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/35790054921574693026

碩士 === 高雄醫學大學 === 口腔衛生科學研究所碩士在職專班 === 98 === Abstract Background: Oral mucosal lesions and betel quid chewing, drinking, smoking, and their associations have been intensively studied in the past; in addition, despite many reports of various nutrients related to the incidence of oral carcinoma from abroad. Limited studies have been investigated the relationship of dietary habits and oral mucosal lesions in Taiwan. Study objective: To examine the eating habits of indigenous communities and the association with precancer lesions. Methods: In this study, the Department of Health, Executive Yuan, Pingtung County’s 94 Integrated Mountain Islands region residents aged over 30 were screened, with screening areas in Pingtung County of four mountain areas (Lai-yi, Tai-wu, Chuen-zi, Shih-zih);each gave public acceptance of dental oral examination and questionnaire interview, for a total effective sample of 1477 people. Statistical methods included Chi-square test and logistic regression analysis, and JMP statistical software was used. Results: In terms of oral mucosal lesions, there were 21.19% (313) patients with oral precancer lesions and 8.80% (130) patients with oral benign lesions.In those subjects consuming less fruit, milk or tea, or consuming more betel quid, alcohol and smoking had significantly higher proportions of oral precancers lesions. However in linear regression analysis with adjustment of gender, age, betel quid chewing, smoking habit and drinking habit, education, place of work, monthly payments, various food consumption frequency, none of the regression coefficients was significant. Conclusion: The study found that people in Indigenous Communities of the Southern Pingtung area who had increased consumption frequency every week of fruit, milk, tea had related lower frequency of oral precancer lesions, but after adjustment by linear regression, this was not significant; this shows that diet frequency does not have an influence on the significant related factors of oral precancer lesions. Previous studies have demonstrated betel quid is the main cause of disease, therefore, through health promotion concepts, community residents could be led to understand the incidence of oral mucosal lesions can be minimized through a physical therapy program impacting betel quid chewing, smoking and drinking.