Objectives: Global cancer statistical data show that India has one of the highest incidence rates of oralcancer worldwide. Early detection is extremely important as it results in lower morbidity and death rates.The present study was undertaken to assess awareness of oral cancer and knowledge of its early signs and riskfactors in the general public of the semi-urban Gorakhpur area of Uttar Pradesh (India). It was also intendedto educate the same population for early detection by increasing their ability to recognize signs and risk factors. Method: A questionnaire-based household survey was conducted over a period of one month in different parts ofGorakhpur district, a region where tobacco use is apparently very high. A total of 2,093 persons participated inthe survey. The collected data were analyzed using SPSS software to assess and associate oral cancer awarenesswith the prevalence, and abstract risk factors, as well as other confounding variables. Results: The generalawareness, knowledge of signs and risk factors of oral cancer were found to be proportionate to the literacylevel with the highest rate of awareness being among high school and graduates and lowest among illiterates. Itwas also observed that on most of these dimensions the younger age groups (<30 years) were significantly moreknowledgeable. Conclusion: Overall, the awareness of oral cancer in the high-risk population of Gorakhpur wasnot satisfactory, pointing to a need for further dissemination of information on this issue and its associated risks.This is especially important for the youngsters, as this may possibly help them keep away from the deleterioushabit of tobacco indulgence in any form. If necessary risk factor cessation counselling should be provided.
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