Assessment of the oral cancer control activities through care seeking behavior of hospital attendees and their level of awareness

Abstract

Oral cancer is the most common cancer among males in the Sri Lankan population. The aim of this study was to assess the health seeking behaviors and associated factors for OPMD.A hospital based descriptive cross-sectional study was conducted among Out Patients Department attendees of the Institute of Oral Health, Maharagama, from July 1, 2018 to December 31, 2019 by administering a questionnaire followed by an intra oral examination.The total number of 110 OPMD/oral cancer patients were identified. Awareness on OPMD was that 40 ​%. Majority were unaware of the danger of areca nut and alcohol use. Out of the identified cases during oral examination, 47.3 ​% were incidental findings while only 7.3 ​% were referred by the General Medical Practitioners (GMP). None were referred by the Primary Health Care (PHC) staff.The level of awareness on OPMD and its risk factors were very low. Incidental findings during the dental screening being the main mode of detection of OPMD, highlights the importance of conducting opportunistic screening at dental settings. Implementation of the Risk Factor Model (RFM) approach for the early detection of oral cancer through PHC staff and GMP is validated to encourage more early referrals.