ArticleInternational journal of epidemiology2012
Betel quid chewing in rural Bangladesh: prevalence, predictors and relationship to blood pressure.
Article in International journal of epidemiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 83 citations in OpenAlex.
- Socioeconomic status and non-communicable disease behavioural risk factors in low-income and lower-middle-income countries: a systematic review.The Lancet. Global health · 2017Pooled it
- Prevalence of Risk Factors for Cardiovascular Diseases in Bangladesh: A Systematic Review and Meta-Analysis.PloS one · 2016Pooled it
- Chewing betel quid and the risk of metabolic disease, cardiovascular disease, and all-cause mortality: a meta-analysis.PloS one · 2013Pooled it
- Exploring the prevalence of gestational diabetes mellitus and associated factors among pregnant women attending tertiary antenatal hospitals in Bangladesh: a cross-sectional survey-based approach.BMC pregnancy and childbirth · 2026Article
- Inverse Association Between Betel Quid Use and Diabetes in Rural Bangladesh.American journal of human biology : the official journal of the Human Biology Council · 2026Article
- An evolutionary perspective on the use of betel nut and its effects on health outcomes.Evolution, medicine, and public health · 2026Article
- Prevalence of betel nut chewing and its pattern of distribution across the Bangladeshi socio-demographics.Scientific reports · 2025Article
- Stroke in Bangladesh: A Narrative Review of Epidemiology, Risk Factors and Acute Stroke Services.Journal of cardiovascular development and disease · 2025Review
- Conventional and regionally distinctive risk factors for first-onset myocardial infarction: the Bangladesh Risk of Acute Vascular Events (BRAVE) case-control study.The Lancet regional health. Southeast Asia · 2025Article
- Maternal betel quid use during pregnancy and child growth: a cohort study from rural Bangladesh.Global health action · 2024Article
- Betel quid use is associated with anemia among both men and women in Matlab, Bangladesh.PLOS global public health · 2023Article
- Mapping white matter structural and network alterations in betel quid-dependent chewers using high angular resolution diffusion imaging.Frontiers in psychiatry · 2022Article
- Association between Betel Nut and Presence of Diverticulum in Male: A Cross-Sectional Study.BioMed research international · 2021Article
- Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2020Review
- Areca Nut Chewing and the Risk of Re-hospitalization and Mortality Among Patients With Acute Coronary Syndrome in Pakistan.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2018Article
- Patient pathways and perceptions of hypertension treatment, management, and control in rural Bangladesh: a qualitative study.Patient preference and adherence · 2018Article
- The association between socioeconomic status and subclinical atherosclerosis in a rural Bangladesh population.Preventive medicine · 2017Article
- Smokeless tobacco and public health in Bangladesh.Indian journal of public health · 2017Review
- Adverse Health Effects of Betel Quid and the Risk of Oral and Pharyngeal Cancers.BioMed research international · 2017Review
- Betel quid use and mortality in Bangladesh: a cohort study.Bulletin of the World Health Organization · 2015Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundBetel quid is chewed by 600 million people worldwide and it has been linked to obesity and cardiovascular disease. The purpose of our study was to examine the prevalence and predictors of betel quid chewing in a rural area of Bangladesh, and determine its effects on body mass index (BMI) and blood pressure.
methodsIn this population-based prospective study, we analysed data on 19 934 Bangladeshi adults. Linear and multivariate logistic regression was used to determine the socio-demographic predictors of betel quid chewing and the effect of betel quid on change in BMI and on systolic and diastolic blood pressure, pulse pressure, arterial pressure, overweight or obesity, and hypertension.
resultsAt baseline, betel quid was chewed by 33.2% of the cohort (35.5% of men, 31.6% of women). In a subsample in which we collected methods of use, 17.5% chewed it without tobacco and 82.5% chewed it with tobacco. In multivariate analysis, betel quid chewing was associated with female sex, older age, tobacco smoking and lower socio-economic status, as measured by fewer years of formal education and not owning land. Betel quid was chewed more times per day among women and older persons. At follow-up, persons who chewed betel quid without tobacco had higher systolic blood pressure, diastolic blood pressure and arterial pressure in comparison with never users. After controlling for other explanatory variables, chewing betel quid without tobacco was associated with general hypertension [odds ratio (OR) 1.48, 95% confidence interval (CI) 1.04-2.10] and systolic hypertension (OR 1.55, 95% CI 1.01-2.37). We did not observe associations of betel quid chewing with BMI or overweight.
conclusionsBetel quid chewing is likely contributing to high blood pressure in Bangladesh, particularly among women.
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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.