Exposure to tobacco and betel nut content on social media, risk perceptions, and susceptibility to peer influence among early adolescents in Guam

Dalisay, Francis; Pokhrel, Pallav; Buente, Wayne; Kawabata, Yoshito

doi:10.1016/j.abrep.2021.100405

Cited by 6 publications

(2 citation statements)

References 38 publications

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“…Second, all the studies analysed in this review are from three Asian countries, possibly limiting their generalizability. Although betel quid is frequently consumed in some Pacific Island countries and especially India, we were unable to find studies from these areas that met our inclusion criteria [3, 6, 35, 36]. Third, almost all the cohort studies were conducted in Taiwan, potentially skewed towards Taiwan.…”

Section: Discussionmentioning

confidence: 99%

Association between habitual betel quid chewing and risk of adverse cardiovascular outcomes: A systematic review

Itaki,

Taufa

2024

Tropical Med Int Health

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IntroductionHabitual betel quid chewing, a tobacco product, is a leading cause of oral cancer in Asia–Pacific countries where this practice is most prevalent. However, it is not well understood whether betel quid chewing is also a cause of adverse cardiovascular outcomes. To address this gap, we conducted a systematic literature review of peer‐reviewed published studies evaluating the association between habitual betel quid use on the risk of adverse cardiovascular outcomes.MethodsWe searched PubMed for studies assessing the correlation between betel quid chewing and cardiovascular health. We included studies if (i) they included human subjects; (ii) were peer‐reviewed articles in indexed journals; and (iii) were in English. We extracted data from eligible studies and stratified them by geographical location, study designs and cardiovascular outcomes. Finally, we did a narrative synthesis of the data to identify adverse cardiovascular outcomes associated with chronic betel quid use.FindingsWe reviewed data from 19 studies that met the inclusion criteria. Habitual betel quid chewing was associated with hypertension, atherosclerosis, inflammation and ischaemic heart disease. In addition, betel quid use was a risk factor for arrhythmias. Interestingly, betel quid use was an independent risk factor for cardiovascular disease in women. Long‐term betel quid consumption was associated with higher risks for all‐cause mortality and increased overall cardiovascular risk.ConclusionsHabitual betel quid chewing is an important cardiovascular risk factor in populations where the practice is prevalent.

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Section: Discussionmentioning

confidence: 99%

Association between habitual betel quid chewing and risk of adverse cardiovascular outcomes: A systematic review

Itaki,

Taufa

2024

Tropical Med Int Health

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“…Betel quid is also consumed in some Pacific Island countries and India, but our review did not encompass studies from these regions (3,6,40,41). Thirdly, almost all the cohort studies were conducted in Taiwan, potentially skewed towards Taiwan.…”

Section: Discussionmentioning

confidence: 99%

Impact of habitual betel quid chewing on cardiovascular risk and outcomes: a systematic review

Itaki,

Taufa

2023

Preprint

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ObjectivesHabitual betel quid chewing is a leading cause of oral cancer in Asia-Pacific countries where this practice is prevalent. While health policies have focused on countering betel quid chewing concerning cancer, current policies and health promotion strategies overlook the emerging link to adverse cardiovascular outcomes. This oversight could be due to inadequate studies demonstrating the association between betel quid chewing and cardiovascular risk. To address this gap, we conducted a systematic literature review and narrative synthesis of peer-reviewed published studies showing habitual betel quid use as a cardiovascular risk factor.MethodsWe searched PubMed for studies assessing betel quid chewing and its impact on cardiovascular health. We included primary research on human subjects. Next, we extracted data from eligible studies and stratified by geographical location, study designs and cardiovascular outcomes. Finally, we did a narrative synthesis of the data to identify adverse cardiovascular outcomes associated with chronic betel quid use. We did not do a meta-analysis because of the different study designs, cardiovascular outcomes, and statistical measures.ResultsWe reviewed data from 19 studies that met the inclusion criteria. Habitual betel quid chewing is associated with ischemic heart disease, obstructive coronary artery disease, acute coronary syndrome, and re-hospitalisation following an acute coronary event. Additionally, betel quid use is a risk factor for atrial fibrillation and premature ventricular contractions. Long-term betel quid consumption was associated with elevated risks of all-cause mortality, cancer-related mortality, cardiovascular diseases, and cerebrovascular diseases. Moreover, habitual betel quid users had a higher overall cardiovascular risk. The regular use of betel quid was positively correlated with arterial wall stiffness and was independently associated with heart disease in women. Habitual betel quid use is associated with hypertension.ConclusionsHabitual betel quid chewing is an important cardiovascular risk factor in populations where the practice is prevalent.

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Viral Vaping: A systematic review and meta analysis of e-cigarette and Tobacco-Related social media content and its influence on youth behaviours and attitudes

Rutherford,

Lim,

Cheng

et al. 2023

Addictive Behaviors

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Exposure to tobacco and betel nut content on social media, risk perceptions, and susceptibility to peer influence among early adolescents in Guam

Cited by 6 publications

References 38 publications

Association between habitual betel quid chewing and risk of adverse cardiovascular outcomes: A systematic review

Association between habitual betel quid chewing and risk of adverse cardiovascular outcomes: A systematic review

Impact of habitual betel quid chewing on cardiovascular risk and outcomes: a systematic review

Viral Vaping: A systematic review and meta analysis of e-cigarette and Tobacco-Related social media content and its influence on youth behaviours and attitudes

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