ArticleSubstance abuse treatment, prevention, and policy2006
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.
Article in Substance abuse treatment, prevention, and policy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 64 citations in OpenAlex.
- Effectiveness of a School Based Smokeless Tobacco Intervention: A Cluster Randomized Trial.Journal of community health · 2019Trial
- Profiling genetic mutations in the DNA damage repair genes of oral squamous cell carcinoma patients from Pakistan.Scientific reports · 2025Article
- Factors associated with the survival of oral cavity cancer patients: a single institution experience from Karachi, Pakistan.BMC oral health · 2024Article
- The Burden of Cancer, Government Strategic Policies, and Challenges in Pakistan: A Comprehensive Review.Frontiers in nutrition · 2022Review
- Efficacy of Gefitinib and Methorexate in Patients With Advanced Stage and Recurrent Head and Neck Cancer.Cureus · 2021Article
- Reasons for betel quid chewing amongst dependent and non-dependent betel quid chewing adolescents: a school-based cross-sectional survey.Substance abuse treatment, prevention, and policy · 2018Article
- Smokeless tobacco (Epidemiology and health · 2017Review
- Adverse Health Effects of Betel Quid and the Risk of Oral and Pharyngeal Cancers.BioMed research international · 2017Review
- Betel Quid and Oral Potentially Malignant Disorders in a Periurban Township in Myanmar.PloS one · 2016Article
- Prevalence of tobacco use among women: a cross sectional survey from a squatter settlement of Karachi, Pakistan.BMC research notes · 2015Article
- Estimation of lead in biological samples of oral cancer patients chewing smokeless tobacco products by ionic liquid-based microextraction in a single syringe system.Environmental science and pollution research international · 2015Article
- Smokeless tobacco use: a risk factor for hyperhomocysteinemia in a Pakistani population.PloS one · 2013Article
- Article
- The burden of stroke and transient ischemic attack in Pakistan: a community-based prevalence study.BMC neurology · 2009Article
- Investigating socio-economic-demographic determinants of tobacco use in Rawalpindi, Pakistan.BMC public health · 2008Article
- Use of smokeless tobacco among groups of Pakistani medical students - a cross sectional study.BMC public health · 2007Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHead and neck cancers are a major cancer burden in Pakistan. They share a common risk factor profile including regular consumption of products of betel, areca and tobacco. Use of paan, chaalia, gutka, niswar and tumbaku is acceptable in Pakistan and is considered a normal cultural practice. This cross-sectional study was carried out to understand the relation of socio-demographic factors for the consumption of paan, chaalia, gutka, niswar and tumbaku in Pakistani population. Through systematic sampling, 425 subjects from a squatter settlement in Karachi were interviewed using a structured questionnaire. High risk behavior was defined as Daily use of any of the above products.
resultsDaily use of all the substances except chaalia was higher among males compared to females. Chaalia use was higher among adolescents than adults while non-married consumed both chaalia and gutka more than married. Mohajir ethnicity had higher prevalence of paan, gutka and tumbaku use while Pathans had higher prevalence of niswar use.
conclusionPrevalence of use of chewable products is high in Pakistan with particularly high use of certain substances related with socio-demographic profiles. Industrially prepared products, chaalia and gutka, are gaining popularity among youth. Policies and focused interventions can be developed taking into consideration the preferred use of products among different socio-demographic groups.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.