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Oral Cancer Screening in a High-Risk Underserved Community: Vancouver Downtown Eastside
The objective of this study was to evaluate a clinic-centered oral cancer screening initiative in one of the poorest communities in Canada, assessing the need for screening and the acceptance of screening and identifying hindrances to both screening and follow-up. The study group included 204 people...
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| Published in: | Journal of health care for the poor and underserved 2007-11, Vol.18 (5), p.767-778 |
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| Main Authors: | , , , , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c394t-992decfb6ec8c1f446ac12ab4276b69c8085e39ec9002ada0beeac73e6f249c73 |
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| container_end_page | 778 |
| container_issue | 5 |
| container_start_page | 767 |
| container_title | Journal of health care for the poor and underserved |
| container_volume | 18 |
| creator | Poh, Catherine F Hislop, Gregory Currie, Brenda Lee, Rick Sikorski, Sean Zed, Chris Zhang, Lewei MacAulay, Calum Rosin, Miriam Pearl |
| description | The objective of this study was to evaluate a clinic-centered oral cancer screening initiative in one of the poorest communities in Canada, assessing the need for screening and the acceptance of screening and identifying hindrances to both screening and follow-up. The study group included 204 people in the Vancouver Downtown Eastside (DTES). This was shown to be a high-risk community based on risk factors, lack of access to care, and the high frequency of oral mucosal anomalies. Acceptance of screening was high (98%); however, acceptance of biopsy for abnormal findings and follow-up was low. Among the 12 patients with clinical leukoplakia who were biopsied, 10 showed cancer or precancer. In summary, these data show a need for screening in this population and an ability to recruit patients to screening. They support a future expansion of this initiative to create a more comprehensive strategy for outreach to this underserved community that extends to screening, diagnostic work-up, and treatment. |
| doi_str_mv | 10.1353/hpu.2007.0106 |
| format | article |
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The study group included 204 people in the Vancouver Downtown Eastside (DTES). This was shown to be a high-risk community based on risk factors, lack of access to care, and the high frequency of oral mucosal anomalies. Acceptance of screening was high (98%); however, acceptance of biopsy for abnormal findings and follow-up was low. Among the 12 patients with clinical leukoplakia who were biopsied, 10 showed cancer or precancer. In summary, these data show a need for screening in this population and an ability to recruit patients to screening. 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The study group included 204 people in the Vancouver Downtown Eastside (DTES). This was shown to be a high-risk community based on risk factors, lack of access to care, and the high frequency of oral mucosal anomalies. Acceptance of screening was high (98%); however, acceptance of biopsy for abnormal findings and follow-up was low. Among the 12 patients with clinical leukoplakia who were biopsied, 10 showed cancer or precancer. In summary, these data show a need for screening in this population and an ability to recruit patients to screening. They support a future expansion of this initiative to create a more comprehensive strategy for outreach to this underserved community that extends to screening, diagnostic work-up, and treatment.</description><subject>Adult</subject><subject>Affordable housing</subject><subject>Aged</subject><subject>Biopsy</subject><subject>Biopsy - utilization</subject><subject>British Columbia</subject><subject>Canada</subject><subject>Cancer</subject><subject>Community Health Centers - utilization</subject><subject>Community service</subject><subject>Female</subject><subject>Health Services Accessibility</subject><subject>Health Services Needs and Demand - statistics & numerical data</subject><subject>High risk</subject><subject>HIV</subject><subject>Hotels & motels</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Mass Screening - utilization</subject><subject>Medical research</subject><subject>Medical treatment</subject><subject>Medically Underserved Area</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Mouth Neoplasms - diagnosis</subject><subject>Mouth Neoplasms - prevention & control</subject><subject>Oral cancer</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Patients</subject><subject>Poverty</subject><subject>Poverty Areas</subject><subject>Prescription drugs</subject><subject>Program Development</subject><subject>Program Evaluation</subject><subject>Public Health Dentistry</subject><subject>Risk Factors</subject><subject>Screening</subject><subject>Socioeconomic Factors</subject><subject>Underserved people</subject><subject>Urban Health Services - utilization</subject><issn>1049-2089</issn><issn>1548-6869</issn><issn>1548-6869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2S</sourceid><recordid>eNqFkUtv1DAQgC0EoqVw5IosDtyyjB_xgxtaCkWqVKmlcLQcZ9Jm2ThbOynqv8dRV7Ti0sNo5vDNjGY-Qt4yWDFRi4_Xu3nFAfQKGKhn5JDV0lTKKPu81CBtxcHYA_Iq5w0ACCHFS3LAtDWcgzokv86S39K1jwETvQgJMfbxivaRenrSX11X533-TS9jiyljusWWrsdhmGM_3X2iP0vbON-Wzi_jnziVoMc-T7lv8TV50fltxjf7fEQuvx7_WJ9Up2ffvq8_n1ZBWDlV1vIWQ9coDCawTkrlA-O-kVyrRtlgwNQoLAYLwH3roUH0QQtUHZe2FEfkw_3cXRpvZsyTG_occLv1Ecc5O2WkVmDrJ8Fac664ZQV8_x-4GecUyxGuvKw20hhRoOoeCmnMOWHndqkffLpzDNzixRUvbvHiFi-Ff7cfOjcDtg_0XkQB5L-tGwzTMGd8vJhrzdzFIndxC1qCVlqLv2vRmPE</recordid><startdate>20071101</startdate><enddate>20071101</enddate><creator>Poh, Catherine F</creator><creator>Hislop, Gregory</creator><creator>Currie, Brenda</creator><creator>Lee, Rick</creator><creator>Sikorski, Sean</creator><creator>Zed, Chris</creator><creator>Zhang, Lewei</creator><creator>MacAulay, Calum</creator><creator>Rosin, Miriam Pearl</creator><general>Johns Hopkins University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BSCPQ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>UXAQP</scope><scope>7X8</scope></search><sort><creationdate>20071101</creationdate><title>Oral Cancer Screening in a High-Risk Underserved Community: Vancouver Downtown Eastside</title><author>Poh, Catherine F ; Hislop, Gregory ; Currie, Brenda ; Lee, Rick ; Sikorski, Sean ; Zed, Chris ; Zhang, Lewei ; MacAulay, Calum ; Rosin, Miriam Pearl</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-992decfb6ec8c1f446ac12ab4276b69c8085e39ec9002ada0beeac73e6f249c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Affordable housing</topic><topic>Aged</topic><topic>Biopsy</topic><topic>Biopsy - 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The study group included 204 people in the Vancouver Downtown Eastside (DTES). This was shown to be a high-risk community based on risk factors, lack of access to care, and the high frequency of oral mucosal anomalies. Acceptance of screening was high (98%); however, acceptance of biopsy for abnormal findings and follow-up was low. Among the 12 patients with clinical leukoplakia who were biopsied, 10 showed cancer or precancer. In summary, these data show a need for screening in this population and an ability to recruit patients to screening. They support a future expansion of this initiative to create a more comprehensive strategy for outreach to this underserved community that extends to screening, diagnostic work-up, and treatment.</abstract><cop>United States</cop><pub>Johns Hopkins University Press</pub><pmid>17982206</pmid><doi>10.1353/hpu.2007.0106</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1049-2089 |
| ispartof | Journal of health care for the poor and underserved, 2007-11, Vol.18 (5), p.767-778 |
| issn | 1049-2089 1548-6869 1548-6869 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68476095 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Project Muse:Jisc Collections:Project MUSE Journals Agreement 2024:Premium Collection; Social Science Premium Collection (Proquest) (PQ_SDU_P3); Sociology Collection |
| subjects | Adult Affordable housing Aged Biopsy Biopsy - utilization British Columbia Canada Cancer Community Health Centers - utilization Community service Female Health Services Accessibility Health Services Needs and Demand - statistics & numerical data High risk HIV Hotels & motels Human immunodeficiency virus Humans Male Mass Screening - methods Mass Screening - utilization Medical research Medical treatment Medically Underserved Area Middle Aged Mortality Mouth Neoplasms - diagnosis Mouth Neoplasms - prevention & control Oral cancer Patient Acceptance of Health Care - statistics & numerical data Patients Poverty Poverty Areas Prescription drugs Program Development Program Evaluation Public Health Dentistry Risk Factors Screening Socioeconomic Factors Underserved people Urban Health Services - utilization |
| title | Oral Cancer Screening in a High-Risk Underserved Community: Vancouver Downtown Eastside |
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