Determinants of oral cancer at the national level: just a question of smoking and alcohol drinking prevalence?

Odontology
Stefano Petti, C Scully

Abstract

In addition to individual-based prevention strategies, the burden of oral cancer could be decreased by controlling its national level determinants. Population-based studies have found smoking, drinking, and wealth to be associated with oral cancer incidence and mortality rates. However, these studies merely reported trends, or did not account for confounders or for intercorrelation between predictor variables. This ecologic study sought to investigate oral cancer determinants at the country level. The male, age-standardized mortality rate was the dependent variable. The explanatory variables, obtained from reliable international agencies, were life expectancy, frequency of physicians, gross national product (GNP), expenditure on health, literacy rate, human immunodeficiency virus (HIV) prevalence, smoking prevalence, alcohol drinking prevalence, drinking modality, average daily calorie consumption, and average calorie intake from fruit and vegetables. Common factor analysis was used to generate a new dimension that incorporated all of the strongly intercorrelated variables. These were life expectancy, physician frequency, GNP, expenditure on health, literacy rate, calorie consumption, smoking prevalence, and drinking modality. ...Continue Reading

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Mar 17, 2016·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Jarielle Oliveira Mascarenhas AndradeMárcio Campos Oliveira
Apr 23, 2013·Dental Update·Keith D Hunter, Christine M Yeoman
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Mar 12, 2016·Dental Update·Nicholas Kalavrezos, Crispian Scully

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