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陈法, 何保昌, 刘芳萍, 黄江峰, 林李嵩, 郑晓燕, 蔡琳. 男性口腔癌与膳食因素关系病例对照研究[J]. 中国公共卫生, 2016, 32(6): 811-814. DOI: 10.11847/zgggws2016-32-06-23
引用本文: 陈法, 何保昌, 刘芳萍, 黄江峰, 林李嵩, 郑晓燕, 蔡琳. 男性口腔癌与膳食因素关系病例对照研究[J]. 中国公共卫生, 2016, 32(6): 811-814. DOI: 10.11847/zgggws2016-32-06-23
CHEN Fa, HE Bao-chang, LIU Fang-ping.et al, . Association between diet and oral cancer in males:a case-control study[J]. Chinese Journal of Public Health, 2016, 32(6): 811-814. DOI: 10.11847/zgggws2016-32-06-23
Citation: CHEN Fa, HE Bao-chang, LIU Fang-ping.et al, . Association between diet and oral cancer in males:a case-control study[J]. Chinese Journal of Public Health, 2016, 32(6): 811-814. DOI: 10.11847/zgggws2016-32-06-23

男性口腔癌与膳食因素关系病例对照研究

Association between diet and oral cancer in males:a case-control study

  • 摘要: 目的 探讨膳食因素与男性口腔癌发病的关系,为口腔癌的防治提供参考依据。方法 采用以医院为基础病例对照研究方法对2010年9月—2014年12月在福建医科大学附属第一医院口颌面外科就诊的313例新发男性口腔癌患者及同期在该医院进行健康体检和在其他科室就诊的575例男性非口腔相关疾病患者进行面访调查。结果 病例组患者食禽类频率≥1次/天、食鱼类频率≥1次/天、食海鲜频率≥1次/天、食绿叶蔬菜频率≥1次/天、食非绿叶蔬菜频率≥1次/天、规律补充保健品、规律补充维生素片、饮用咖啡、食水果频率<1和≥1次/天的比例分别为1.28%、15.65%、7.35%、74.44%、69.97%、3.83%、2.56%、0.96%、46.01%和11.50%,均低于对照组患者的6.78%、43.48%、24.87%、94.61%、93.22%、12.17%、10.61%、4.52%、51.48%和34.43%,病例组患者饮食喜好较咸的比例(46.64%)高于对照组患者(43.82%),差异均有统计学意义(均P < 0.05);多因素条件logistic回归分析结果显示,饮食喜好较咸是男性口腔癌发病的危险因素,食鱼类频率≥1次/天、食海鲜频率≥1次/天、食绿叶蔬菜频率≥1次/天、食非绿叶蔬菜频率≥1次/天、规律补充维生素片、规律补充保健品、食水果频率<1和≥1次/天是男性口腔癌发病的保护因素。结论 食用鱼类、海鲜、水果、绿叶和非绿叶蔬菜、规律补充维生素片和保健品、饮食喜好较咸等膳食因素对男性口腔癌的发病产生一定影响。

     

    Abstract: Objective To evaluate the relationship between diet and oral cancer in males.Methods A case-control study was carried out between September 2010 and December 2014,in which 313 male oral cancer patients confirmed by pathological diagnosis and 575 controls were matched in gender and age.All participants were personally interviewed with a standard questionnaire.Results The cases had significantly lower proportions of consuming following food at the frequency of <1 time/day than the controls:poultry (1.28% vs.6.78%),fish (15.65% vs.43.68%),seafood (7.35% vs.24.87%),green vegetables (74.44% vs.94.61%),non-green leafy vegetables (69.97% vs.93.22%),and fruits (11.50% vs.34.43%) and without regular intake of health care products (3.83% vs.12.17%),without regular intake of vitamin supplements (2.56% vs.10.61%),drinking coffee (0.96% vs.4.52%),and eating fruits at the frequency of <1 time/day (46.01% vs.51.48%),respectively (P < 0.05 for all).Multivariate unconditional logistic regression analysis showed that eating fish ≥1 time/day,eating seafood ≥1 time/day,eating green vegetables ≥1 time/day,eating green vegetables ≥1 time/day,eating fruits<1 time/day,eating fruits≥1 time/day,regular intake of health care products,and regular intake of vitamin supplements were the protective factors for oral cancer in the males,while dietary preference to salty food was a risk factors.Conclusion Consumption of fish,seafood,green leafy and non-green leafy vegetables,fruits,health care products and vitamin supplements and dietary preference to salty food may have impact on the incidence of oral cancer in males at a certain extent.

     

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