Social and Cultural Context of Betel Quid Consumption in Taiwan and Implications for Prevention and Cessation Interventions

Lin, Cheng‐Chieh; Tamí-Maury, Irene; Ma, Wei‐Fen; Lam, Cho Y.; Tsai, Ming‐Hsui; Lin, Mi-Ting; Li, Chia‐Ing; Liu, Chiu-Shong; Li, Tsai‐Chung; Chiu, Chang-Fang; Lu, I-Ying; Gritz, Ellen R.

doi:10.1080/10826084.2016.1246572

Cited by 33 publications

(21 citation statements)

References 1 publication

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“…The initiation of BQ use is often a result of use among peers or family members. 36 In this study, BQ users with friends who chewed exhibited a higher likelihood of social impairment and developing mild BUD. By contrast, BQ users with family members who used BQ had a lower likelihood of social impairment (AOR, 0.6) but a higher likelihood of impaired control (AOR, 2.3) and significant levels of moderate to severe BUD, possibly because BQ use is accepted in certain family and social situations, whereas alcohol consumption and cigarette smoking may be deemed objectionable.…”

Section: Discussionmentioning

confidence: 58%

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Association of DSM-5 Betel-Quid Use Disorder With Oral Potentially Malignant Disorder in 6 Betel-Quid Endemic Asian Populations

Lee

Yang

et al. 2018

JAMA Psychiatry

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This international study gathered data about BQ users across 6 Asian populations, and it demonstrates that DSM-5 symptoms could fulfill a BUD construct. Most current Asian users of BQ already have BUD, which is correlated with risk of OPMD. Among individuals with moderate to severe BUD who used BQ, tolerance and a larger amount or longer history of BQ use are the key symptoms that correlated with enhanced risk of OPMD. These findings play an important role in providing a new indication of an additional psychiatric management plan for users of BQ who have BUD.

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Section: Discussionmentioning

confidence: 58%

“…The symptom of neglected major role of social impairment was associated with a lower risk of OPMD because sharing BQ in family and workplace environments can improve interpersonal relationships. 36…”

Section: Discussionmentioning

confidence: 99%

Association of DSM-5 Betel-Quid Use Disorder With Oral Potentially Malignant Disorder in 6 Betel-Quid Endemic Asian Populations

Lee

Yang

et al. 2018

JAMA Psychiatry

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“…Similarly, a study among Taiwan aboriginals reports that betel quid chewing initiates during the childhood and adolescent period and it associated with family and peer-related factors. 19 Although not related to betel quid, the literature on substance abuse generally reports that parental substance abuse, child perception that parents approve of their substance use, level of parental education and socio-economic backwardness 20 and peer influence 21 are associated with substance misuse. 20 A lion share of our study participants initiated betel quid below the age of 20 years, which regularly continued to date without any substantial remission.…”

Section: Results Major Themesmentioning

confidence: 99%

Factors influencing Betel quid chewing among indigenous tribal population in Wayanad, Kerala: A qualitative study

Sadath¹,

Jose²,

Km³

et al. 2019

KJP

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Background: Indigenous tribes are at higher risk of substance misuse, including betel quid. Available studies in this area focused on health hazards, while socio-behavioural aspects of betel quid practices are less studied, especially among the tribal population in India. Objectives: The study was conducted to explore the factors influencing betel quid use among indigenous tribes in Wayanad, Kerala Methods: Using a purposive sampling method, we selected 12 persons with betel quid use form Paniya and Kattunaicker tribal community at Wayanad. Qualitative in-depth interviews were used for data collection. The thematic analysis was done to understand the key themes and categories. Results: We identified that betel quid chewing among tribes often initiated at a young age, with the influence of the home environment, parental, peer and spouse related factors. Key themes that emerged were the trajectory of betel quid use, betel quid intake, dependency, access and availability of betel quid in tribal dominant areas. Conclusion: As our study result indicated many features of betel quid dependency, community level screening for identifying the potential cases and provision of treatment services might be required. Future studies to assess proper intervention for betel quid chewing can be undertaken.

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“…The researchers followed predefined themes for discussion and allowed novel themes to emerge freely in both the focus groups and the interviews. The detailed methods, including the primary data analysis procedures, have been published previously . The study was approved by the institutional review board of China Medical University Hospital in Taichung, Taiwan.…”

Section: Methodsmentioning

confidence: 99%

“…The detailed methods, including the primary data analysis procedures, have been published previously. 19 The study was approved by the institutional review board of China Medical University Hospital in Taichung, Taiwan.…”

Section: Study Participants Recruitment and Data Collectionmentioning

confidence: 99%

A qualitative study of attitudes to and perceptions of betel quid consumption and its oral health implications in Taiwan

Tamí-Maury

Lin

et al. 2018

Comm Dent Oral Epid

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Objectives Betel quid (BQ) chewing is extremely prominent in South and Southeast Asia because it considered by users to be of social, cultural and religious importance. BQ chewing has been recognized as a risk factor for oral premalignant lesions and oral cancer. Because BQ chewing has become a severe health risk in Taiwan, the development of prevention and cessation programmes is essential. The purpose of this study was to explore the attitudes and perceptions associated with BQ consumption and its oral health implications in an attempt to inform the development of health promotion initiatives and BQ cessation efforts in Taiwan, where the dental profession could have a pivotal role in preventing and controlling BQ use among persons at risk. Methods This qualitative study used data gathered from focus groups and individual interviews. A convenience sample of 41 adults from Jhushan and Lugu Townships (Nantou County) and Taichung City, Taiwan, participated in this study (27 men, 14 women; 31 Han, 10 aboriginals from the Paiwan tribe; mean age 40.3, SD 9.2 years). Results Among the seven themes that emerged from the original study, five (Initiation, Health Risk Perception, Health Consequences, Withdrawal Symptoms and Help from Healthcare Providers) had oral/dental implications. Conclusions Our study highlights research areas relevant to further investigation, such as incorporating brief BQ prevention and cessation counselling when early oral and dental signs associated with BQ consumption are detected. Undertaking behavioural interventions in dental settings might help to reduce the prevalence of BQ chewing in Taiwan.

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Social and Cultural Context of Betel Quid Consumption in Taiwan and Implications for Prevention and Cessation Interventions

Abstract: For the development of culturally relevant and effective cessation interventions for betel quid in Taiwan, it is critical to understand and address perceptions of betel quid chewing and barriers to cessation.

Cited by 33 publications

References 1 publication

Association of DSM-5 Betel-Quid Use Disorder With Oral Potentially Malignant Disorder in 6 Betel-Quid Endemic Asian Populations

Association of DSM-5 Betel-Quid Use Disorder With Oral Potentially Malignant Disorder in 6 Betel-Quid Endemic Asian Populations

Factors influencing Betel quid chewing among indigenous tribal population in Wayanad, Kerala: A qualitative study

A qualitative study of attitudes to and perceptions of betel quid consumption and its oral health implications in Taiwan

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