Factors affecting commencement and cessation of betel quid chewing behaviour in Malaysian adults

BMC Public Health

Research Article

Noriaki Ikeda¹  Yi-Hsin Yang²  Prakash C Gupta³  Yujiro Handa⁴  Tony Axell⁵  Ishak A Razak⁶  Rosnah B Zain⁶  Wan MN Ghani⁶  Norlida Abdullah⁷  Norain A Talib⁷ 

[1] Bureau of International Medical Cooperation, National Center for Global Health and Medicine, Tokyo, Japan;Department of Dental Hygiene, College of Dental Medicine, Kaohsiung Medical University, Taiwan;Healis - Sekhsaria Institute For Public Health, Navi Mumbai, India;Health Sciences University of Hokkaido, Tobetsu (Ishikari), Hokkaido, Japan;Maxillofacial Unit, Halmstad Hospital, Halmstad, Sweden;Oral Cancer Research & Coordinating Centre, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia;Oral Health Division, Ministry of Health, Malaysia;

关键词: Arecoline;    Oral Submucous Fibrosis;    Betel Quid;    Malaysian Population;    Hazard Rate Ratio;   

DOI  :  10.1186/1471-2458-11-82

 received in 2010-09-27, accepted in 2011-02-07,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundBetel quid chewing is a common habit widely practiced in Southern Asian populations. However, variations are seen in the content of a betel quid across the different countries. Factors associated with commencement and cessation of this habit has been numerously studied. Unfortunately, data on Malaysian population is non-existent. This study aims to determine the factors associated with the inception and also cessation of betel quid chewing behaviour among Malaysian adults.MethodThis study is part of a nationwide survey on oral mucosal lesions carried out among 11,697 adults in all fourteen states in Malaysia. The questionnaire included sociodemographic information and details on betel quid chewing habit such as duration, type and frequency. The Kaplan-Meier estimates were calculated and plotted to compare the rates for the commencement and cessation of betel quid chewing behaviour. Cox proportional hazard regression models were used to calculate the hazard rate ratios for factors related to commencement or cessation of this habit.ResultsOf the total subjects, 8.2% were found to be betel quid chewers. This habit was more prevalent among females and, in terms of ethnicity, among the Indians and the Indigenous people of Sabah and Sarawak. Cessation of this habit was more commonly seen among males and the Chinese. Females were found to be significantly more likely to start (p < 0.0001) and less likely to stop the quid chewing habit. Females, those over 40 years old, Indians and a history of smoking was found to significantly increase the likelihood of developing a quid chewing habit (p < 0.0001). However, those who had stopped smoking were found to be significantly more likely to promote stopping the habit (p = 0.0064). Cessation was also more likely to be seen among those who chewed less than 5 quids per day (p < 0.05) and less likely to be seen among those who included areca nut and tobacco in their quid (p < 0.0001).ConclusionFactors that influence the development and cessation of this behaviour are gender, age, ethnicity, and also history of smoking habit while frequency and type of quid chewed are important factors for cessation of this habit.

【 授权许可】

Unknown   
© Ghani et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.