Objectives: Previous studies have shown that US adults are not well informe
d about oral cancers and only 15 percent ever have had an oral cancer exami
nation. This study sought to determine the quantity and adequacy of educati
onal materials designed to inform or educate US adults about risks for, and
signs and symptoms of, oral cancer and the need for an oral cancer examina
tion. Methods: Letters requesting copies of oral cancer educational materia
ls produced by the organization or agency-leaflets, fact sheets, pamphlets,
videos, posters--were sent to 172 national and state organizations or agen
cies. To determine the adequacy of the items, a previously developed, teste
d, and used form based on current science was adapted for this study. In ad
dition, the SMOG index was used to determine readability for printed items.
Results: Seventy-seven percent or 132 of the selected organizations respon
ded to queries. A total of 59 it ems were received that focused on or inclu
ded the topic of oral cancer. Twenty of these 59 items focused specifically
on oral cancer; the balance, on other topics, but mentioned oral cancer. T
he readability ranged from sixth to 13th grade. Conclusions: This study dem
onstrates a dearth of educational materials about oral and pharyngeal cance
rs; most are written at too high a grade level for the general public. Thes
e findings may help to explain why the public is so uninformed about these
neoplasms.