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. 2018 May 9;13(1):16.
doi: 10.1186/s13011-018-0154-5.

Reasons for betel quid chewing amongst dependent and non-dependent betel quid chewing adolescents: a school-based cross-sectional survey

Azmina Hussain  1 , Sidra Zaheer  2 , Kashif Shafique  2   3
Affiliations

Reasons for betel quid chewing amongst dependent and non-dependent betel quid chewing adolescents: a school-based cross-sectional survey

Azmina Hussain et al. Subst Abuse Treat Prev Policy. .

Abstract

Background: Betel quid (BQ) chewing in children is initiated in their adolescence. It is pivotal to understand adolescents' reasons behind chewing BQ. In this study, we aimed to evaluate the reasons for BQ chewing amongst adolescents using reasons for betel quid chewing scale (RBCS) and their associated dependency on it.

Methods: This is a cross-sectional school based survey. Out of 2200 adolescents from 26 schools of Karachi, 874 BQ chewers were assessed for their reasons of BQ chewing and dependency on it. Regression analyses were employed to report crude and adjusted (after adjusting for all reasons of BQ chewing) effect sizes with 95% confidence interval and P-value was set significant at < 0.05.

Results: Students who believed that BQ chewing relaxes them (stimulation construct) were twice as likely to be dependent on BQ (OR = 2.36, 95% CI (1.20-4.65) as compared with others. Participants who thought it eases their decision making (stimulation construct), were sizably more likely to be dependent on BQ (OR = 9.65, 95% CI (4.15-22.43) than those who did not consider ease in decision making important. Adolescents who considered not chewing as rude (social/cultural construct), were thrice more likely to be dependent on BQ (OR = 2.50, 95% CI (1.11-5.63) than others.

Conclusions: Stimulation remained fundamental chewing reason followed by social/cultural trigger amongst adolescents. Any future intervention may get favorable results if it addresses ways to overcome stimulation and social/cultural barriers that are strongly associated with BQ chewing and dependency.

Keywords: Adolescents; Betel quid dependence scale; Dependency; Reasons for betel quid chewing.

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Competing interests

The authors declare that they have no competing interests.

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References

    1. Auluck A, Hislop G, Poh C, Zhang L, Rosin M. Areca nut and betel quid chewing among south Asian immigrants to western countries and its implications for oral cancer screening. Rural Remote Health. 2009;9(2):1118. - PMC - PubMed
    1. Sorensen G, Gupta PC, Sinha DN, Shastri S, Kamat M, Pednekar MS, et al. Teacher tobacco use and tobacco use prevention in two regions in India: qualitative research findings. Prev Med. 2005;41(2):424–432. doi: 10.1016/j.ypmed.2004.09.047. - DOI - PubMed
    1. Boucher BJ, Mannan N. Metabolic effects of the consumption of Areca catechu. Addict Biol. 2002;7(1):103–110. doi: 10.1080/13556210120091464. - DOI - PubMed
    1. Warnakulasuriya S, Peters T. Introduction: biology, medical and socio-economic aspects of areca nut use. Addict Biol. 2002;7(1):75–76. doi: 10.1080/13556210020091428. - DOI - PubMed
    1. Mazahir S, Malik R, Maqsood M, Merchant KA, Malik F, Majeed A, et al. Socio-demographic correlates of betel, areca and smokeless tobacco use as a high risk behavior for head and neck cancers in a squatter settlement of Karachi, Pakistan. Subst Abuse Treat Prev Policy. 2006;1(1):10. doi: 10.1186/1747-597X-1-10. - DOI - PMC - PubMed