ORAL SPOT PLATES (OSPS) TO INDUCE A BEHAVIOURAL CHANGE IN TOBACCO USERS AND ITS UTILITY AS A PREVENTION TOOL IN THE COMMUNITY

Dr K L Bansal, Dr Manoj Kr Dhingra, Dr Nisha Dahiya, Dr Nikita, Dr Arjun Dhingra, Dr Brig Ajoy Mahen, Dr Maj Gen P K Singh

Abstract


As Dr Poonam Khetarpal Singh, The Regional Director WHO (South-East Asia Region) has rightly emphasized that there are four modifiable risk behaviors in South East Asia which once modified can decrease the overall prevalence of NCDs in this region, the most important among these is tobacco use.  OSPs (Oral Spot Plates) used in the community as mass media campaigns for tobacco cessation activities are highly effective interventions in public health which can save lives. These, if implemented comprehensively at grass root levels could markedly decrease DALYs associated with oral cancer and pay rich dividends to the health of any country where tobacco consumption is high such as India. However, lack of surveillance and effectively ‘catching’ tobacco users and then  to induce a behavior change in them and ultimately de-addict them in early stages of oral cancer  is difficult but would pave way for a better and a healthier India.  Unfortunately, as observed in this article, in-spite having a plethora of smoking and smokeless tobacco (SLT) users in India; proactive screening of tobacco users remains a low priority in the Indian health scenario.

Oral Spot Plates (OSPs) are an effective screening and behavior tool available and is discussed in detail in this study. The total no of tobacco users enlisted in this pilot study was 25 of which 18 were males and 7 were females in this study. The mean age of the 60.72 years with a standard deviation of 3.535. The range of the age was 45 to 80 years. OSPs was able to induce a behavior change in 20% of the patients screened; although many of them were effectively educated about the hazards of smoking. Behavior change is a slow and a gradual process and requires repeated counselling. . It is however important to note here that a combination of behavior change counseling and deaddiction is crucial for the primordial and primary prevention of oral cancer  in India and especially in some states like Tripura, (where the overall prevalence of tobacco use has reached 64.5%  of the population as per the GATS-2 report); tobacco use has reached epidemic proportions in India and much needs to be done at  prevention of cancer developing because of tobacco use at an early stage.


Keywords


Tobacco use; Oral Spot Plates (OSPs); Behavioral change; Deaddiction

Full Text:

PDF

Refbacks

  • There are currently no refbacks.