1. Prevalence of Oral Potentially Malignant Lesions, Tobacco use, and Effect of Cessation Strategies among Solid Waste Management workers in Northern India: a pre-post intervention study
- Author
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Divya Khanna, Tulika Shruti, Manish Tiwari, Priyanka Sharma, Aqusa Khan, Sudhir Ranjan, P. Balasundaram, Naveen Khargekar, Pankaj Chaturvedi, and Aseem Mishra
- Subjects
Oral cancer ,Smokeless tobacco ,Occupational health ,Tobacco cessation ,Nicotine dependence ,Behavioral interventions ,Dentistry ,RK1-715 - Abstract
Abstract Background India bears the highest global burden of oral cancer, despite having an operational tobacco cessation framework. Occupational groups like solid waste management personnel face significant health challenges due to prevalent tobacco use, leading to oral potentially malignant lesions and oral cancer. Enhanced tobacco control strategies are essential for these groups. Methods A pre-post interventional, community-based study enrolled 1200 municipal workers in Varanasi, India, from July 2022 to August 2023. 858 tobacco users underwent screening and were randomly assigned to one of three interventions: Very Brief Advice, Individual Behavioral Counseling, or Group Behavioral Therapy. Follow-up was conducted one year after the baseline interventions Effectiveness was measured by nicotine dependence reduction using the Fagerstrom Test for Nicotine Dependence (FTND) scores and cessation rates defined as at least 6-month abstinence. Appropriate statistical tests assessed the burden of tobacco use, oral potentially malignant lesions, and pre-post differences in FTND scores within and between groups. A p-value of
- Published
- 2024
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