Factors associated with snuff dipper’s lesion among snuff users in Peshawar, Pakistan

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Research Paper 01/01/2019
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Factors associated with snuff dipper’s lesion among snuff users in Peshawar, Pakistan

Zarghuna Zeb, Irfan Ali Khan, Sahib Zada
Int. J. Biosci. 14(1), 112-120, January 2019.
Copyright Statement: Copyright 2019; The Author(s).
License: CC BY-NC 4.0

Abstract

Among smokeless tobacco (SLT), snuff is mostly used SLT in Peshawar and associated with Snuff dipper’s lesion (SDL). This study was aimed to investigate the association of socio-demographic and other factors with snuff dipper’s lesions. This cross-sectional study was carried out in district Peshawar, Pakistan. Total of 224 snuff dippers were included in this study. The sampling technique employed was convenient sampling. Subjects using snuff and having snuff dippers lesions diagnosed by their physicians were only included in this study, while all other types of lesions were excluded. The study was carried through a proforma sheet which intended to know the age, education, type of snuff, history of snuff use, duration of snuff contact with oral mucosa, and grading of the lesion identified by physician. The age range of patients suffered with snuff dipper’s lesion was from 15-76 years. The SDL frequency was higher in males as compared to females. Among all the subjects, 92 (37.7%) were educated and 154 (62.3%) were uneducated. The mean value of the history of snuff usage in years was found to be 12.4+11.1.The most frequent grade of lesion was found to be the grade 1 (n=93, 38.1%). Mean duration of the snuff contact with oral mucosa was reported to be 5.87+2.5 minutes. The common type of snuff used by patients in this study was loose snuff. This study recommends further prospective studies to include histopathological changes and association of other factors with snuff dipper’s lesions.

Ahmed H, Idris AM, Ibrahim SO. 2003. Study of oral epithelial atypia among Sudanese tobacco users by exfoliative cytology. Anticancer Research 23(2C), 1943-1949.

Andersson G, Axéll T, Larsson Å. 1991. Clinical classification of Swedish snuff dippers’ lesions supported by histology. Journal of Oral Pathology & Medicine 20(6), 253-257.

Andersson G, Axèll T. 1989. Clinical appearance of lesions associated with the use of loose and portion‐bag packed Swedish moist snuff: a comparative study. Journal of Oral Pathology and Medicine 18(1), 2-7.

Ayo-Yusuf O, Swart T, Ayo-Yusuf I. 2000. Prevalence and pattern of snuff dipping in a rural South African population. SADJ: journal of the South African Dental Association= tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging 55(11), 610-614.

Bile K, Shaikh J, Afridi H, Khan Y. 2010. Smokeless tobacco use in Pakistan and its association with oropharyngeal cancer. The Eastern Mediterranean Health Journal. 16.

Boffetta P, Hecht S, Gray N, Gupta P, Straif K. 2008. Smokeless tobacco and cancer. The Lancet Oncology 9(7), 667-675.

Chitroda PK, Shah JT, Katti G, Ghali S. 2011. A correlative study of smokeless tobacco-induced lesion and smoke-induced leukoplakia in various aspects. Journal of Indian Academy of Oral Medicine and Radiology 23(2), 86-91.

Critchley JA, Unal B. 2003. Health effects associated with smokeless tobacco: a systematic review. Thorax 58(5), 435-443.

Greenberg MSGM. 2008. Burket’s oral medicine: Diagnosis & Treatment. . Spain: BC Decker.

Hirsch JM, Heyden G, Thilander H. 1982. A clinical, histomorphological and histochemical study on snuff‐induced lesions of varying severity. Journal of Oral Pathology and Medicine 11(5), 387-398.

Kaugars GE, Mehailescu WL, Gunsolley JC. 1989. Smokeless tobacco use and oral epithelial dysplasia. Cancer 64(7), 1527-1530.

Khan Z. 2016. A gaping gap (smokeless tobacco control in Pakistan). Tobacco Induced Diseases 14(1), 36. https://doi.org/10.1186/s12971-016-0102-y

Lee PN, Hamling J. 2009. Systematic review of the relation between smokeless tobacco and cancer in Europe and North America. BMC Medicine 7(1), 36. https://doi.org/10.1186/1741-7015-7-36.

Lesan S, Nosratzehi T, Ousia M, Arbabikalati F, Pourmardan E. 2014. The Correlation between the Frequency of Oral Lesions and the Amount of Smokeless Tobacco Usage in Patients Referred to Oral Medicine Department of Zahedan Dental School. Journal of dentistry (Shiraz, Iran) 15(2), 81-85.

Mörnstad H, Axéll T, Sundström B. 1989. Clinical picture of snuff dipper’s lesion in Swedes. Community Dentistry and Oral Epidemiology 17(2), 97-101.

Nisar MI, Iqbal R. 2011. Letter to the Editor-Smokeless tobacco use prevention and cessation (S-TUPAC): A need of the time. JPMA-Journal of the Pakistan Medical Association 61(7), 711.

Rasool S, Kamal M, Gardezi S, Ali A. 2013. Tobacco Associated Oral Cancer amongst Pakistani Group. Journal of Dow University of Health Sciences 7(3), 112-116.

Reddy SS, Prashanth R, Devi BY, Chugh N, Kaur A, Thomas N. 2015. Prevalence of oral mucosal lesions among chewing tobacco users: A cross-sectional study. Indian Journal of Dental Research 26(5), 537-541. https://doi.org/10.4103/0970-9290.172083.

Regezi JA, Jordan RC. 2016. Oral pathology: Clinical pathologic correlations. 7th Edition. USA: Saunders.

Riaz F, Nazir HA, Tariq H, Sohail H, Khattak SG, Ali H. 2015. Risk factors of oral cancer in Lahore, Pakistan: A case control design. Proceeding SZPGMI 29(1), 47-54.

Secretan B, Straif K, Baan R, Grosse Y, El Ghissassi F, Bouvard V. 2009. A review of human carcinogens—Part E: tobacco, areca nut, alcohol, coal smoke, and salted fish. The Lancet Oncology 10(11), 1033-1034. https://doi.org/10.1016/S1470-2045(09)70326-2

Singh A, Thomas S, Dagli R, Bhateja GA, Hans R, Sharma A. 2014. Prevalence oral mucosal lesions among moist snuff users in Jodhpur, India. Journal of Health Research and Reviews 1(2), 54-58.

Sreeramareddy CT, Pradhan PMS, Mir IA, Sin S. 2014. Smoking and smokeless tobacco use in nine South and Southeast Asian countries: prevalence estimates and social determinants from Demographic and Health Surveys. Population Health Metrics 12(1), 22. https://doi.org/10.1186/s12963-014-0022-0.

Substance Abuse and Mental Health Services Administration (SAMHSA). 2015. Results from the 2014 National Survey on Drug Use and Health: Detailed Tables. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality; 2015.

Taybos G. 2003. Oral changes associated with tobacco use. The American Journal of the Medical Sciences 326(4), 179-182.

Tomar SL. 2007. Epidemiologic perspectives on smokeless tobacco marketing and population harm. American Journal of Preventive Medicine. 33(6), S387-S397.

US Department of Commerce CB. 2007. National Cancer Institute and Centers for Disease Control and Prevention Co-Sponsored Tobacco Use Supplement to the Current Population Survey.

Wallström M, Kjelsberg M, Johannessen AC, Hirsch JM. 2011. The reversibility of snuff-induced lesions: a clinical and histomorphological study. International Journal of Oral and Maxillofacial Pathology 2(4), 4-10.

Winn DM. 2001. Tobacco use and oral disease. Journal of Dental Education 65(4), 306-312.

Wolfe MD, Carlos JP. 1987. Oral health effects of smokeless tobacco use in Navajo Indian adolescents. Community Dentistry and Oral Epidemiology 15(4), 230-235.

Wray A, McGuirt WF. 1993. Smokeless tobacco usage associated with oral carcinoma: incidence, treatment, outcome. Archives of Otolaryngology–Head & Neck Surgery 119(9), 929-933.

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