Download PDF
CC BY-NC-ND 4.0 · South Asian J Cancer 2021; 10(04): 225-229
DOI: 10.1055/s-0041-1733316
Original Article: Cancer Epidemiology, Screening and Diagnosis

Assessment of Knowledge, Awareness and Attitude towards Oral Precancer and Cancer among Narikuravar Population in Pondicherry State

Sivaramakrishnan Muthanandam
1   Department of Oral Pathology & Microbiology, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth (Deemed to be) University, Pondicherry, India
,
Bontha V. Babu
2   Socio-Behavioural & Health Systems Research (SB&HSR), Division, Indian Council of Medical Research, New Delhi, India
,
Jananni Muthu
3   Department of Periodontology, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth (Deemed to be) University, Pondicherry, India
,
R. Suganya
1   Department of Oral Pathology & Microbiology, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth (Deemed to be) University, Pondicherry, India
,
N. Vezhavendhan
1   Department of Oral Pathology & Microbiology, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth (Deemed to be) University, Pondicherry, India
,
M. Kishore
4   Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth (Deemed to be) University, Pondicherry, India
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Objective Literature revealed that oral health status and awareness about oral hygiene measures of Narikuravar tribes were very poor. There was also an increased prevalence of tobacco usage among this population. Considering this, incidence and prevalence of oral precancerous and cancerous lesions are expected to be high in this population. Surprisingly, the literature search revealed a lack of data on the awareness, knowledge, and prevalence of oral cancer and precancer in this group. The primary objective of this survey is to assess knowledge, awareness and attitude toward oral precancer and cancer among the Narikuravar tribal population in Pondicherry state.

Materials and Methods This questionnaire survey is a part of the Model for Oral Cancer Eradication project conducted among the Narikuravar population in Pondicherry, which is funded by Indian Council of Medical Research (ICMR). A total of 153 participants were recruited for the survey. A prevalidated questionnaire was used for the survey.

Results The results indicated that 47% of the participants were aware of what is oral precancer and cancer. As much as 62% knew that chewing tobacco causes oral cancer and 44% thought that the growth of tissue in the mouth could be a sign of oral cancer. Almost 100% did not think that the presence of a red lesion, white lesion, or limitation of mouth opening could be signs of cancer or precancer. Only 16% thought that oral cancer is preventable.

Conclusion Awareness about oral cancer and precancer is inadequate among the Narikuravar population of Pondicherry. Majority of the population is not aware of the risks, signs, or treatment options of oral precancer and cancer. The National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) identified the people’s knowledge gaps, and improving awareness is one of the strategies of the program.

Keywords

Oral cancer - awareness - knowledge - tribal population - Narikuravar tribe


Publication History

Article published online:
11 November 2021

© 2021. MedIntel Services Pvt Ltd. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Sankaranarayanan R, Ramadas K, Thomas G. et al Trivandrum Oral Cancer Screening Study Group. Effect of screening on oral cancer mortality in Kerala, India: a cluster-randomised controlled trial. Lancet 2005; 365 (9475) 1927-1933
    CrossrefPubMedGoogle Scholar
  • 2 Patrick DL, Lee RS, Nucci M, Grembowski D, Jolles CZ, Milgrom P. Reducing oral health disparities: a focus on social and cultural determinants. BMC Oral Health 2006; 6 (Suppl. 01) S4
    CrossrefPubMedGoogle Scholar
  • 3 Atheeque M, Nishanthi R. Explanatory analysis of life style of Narikurava community in Pudukkottai district. International Journal of Advanced Research and Development 2016; 1: 21-24
    Google Scholar
  • 4 Kumar S. To assess the oral health status and awareness about the oral hygiene measures of the jackal people (Narikuravar tribes) - A cross sectional study. Int J Curr Res 2017; 9: 50720-50723
    Google Scholar
  • 5 Zafiu M; Joseph Wharton Scholars. Health Access for Vulnerable Groups: A Study on the “Gypsy” Narikuravar Community in Tamil Nadu, India. Available at: http://repository.upenn.edu/joseph_wharton_scholars/36. Accessed May 5, 2021
  • 6 Dhivya LN, Prabhu D, Raj Mohan. et al Accessibility and barriers to oral health care among gypsy tribes in Chennai: a cross sectional study. Indian J Public Health Res Dev 2019; 10: 233-237
    CrossrefGoogle Scholar
  • 7 Mathai EK, Vijayakumar K; SIL International. A Sociolinguistic Survey among the Vaagri Booli Speakers of South India. Available at: https://www.sil.org/system/ files/reapdata/ 15/02/66/150266533956350183149970295715866453851/silesr2018_005.pdf. Accessed May 5, 2021
  • 8 Jayachitra J. Life style and major issues pertaining to the Narikuravar (Nomads) Community in Tamil Nadu. Ind J Res 2016; 5: 412-413
    Google Scholar
  • 9 Dragoir CL, Zafiu M. Vulnerable populations’ access to health care: a study of the nomadic ‘gypsy’ Narikuravars in Tamil Nadu, India. International Journal of Roma Studies 2019; 1: 58-83
    CrossrefGoogle Scholar
  • 10 Jayachitra J. A study on Narikuravar (Nomads) community in Palamalai Nagar, Sivagangai district, Tamilnadu. GJRA - Glob J Res Anal 2016; 5: 28-30
    Google Scholar
  • 11 Alex G, Folk healing and the negotiation of shifting social identities in Tamil Nadu, India. MMG Working Paper, Munich, Germany: Max Planck Institute for the Study of Religious and Ethnic Diversity; 2009; Retrieved from http://www.mmg.mpg.de/fileadmin/user_upload/documents/wp/WP_09-05_Alex_Folk-healing.pdf
  • 12 Prabhu D, Nirmala S, Aurlene N. Tobacco menace and challenges in quitting tobacco in an indigenous population of Tamil Nadu: a cross-sectional survey. J Clin Diagn Res 2019; 13 (04) ZC15-ZC20
    Google Scholar
  • 13 Government of India. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). Available at: http://www.nrhmhp.gov.in/sites/default/files/files/NCD_Guidelines.pdf. Accessed May 5, 2021