ArticleHawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health2015
Sociocultural Factors that Affect Chewing Behaviors among Betel Nut Chewers and Ex-Chewers on Guam.
Article in Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Salivary Areca and tobacco alkaloids for bioverification in the Betel Nut Intervention Trial.Drug testing and analysis · 2023Trial
- 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
- Effectiveness ofInternational journal of clinical pediatric dentistry · 2026Article
- Cultural carcinogens in oral squamous cell carcinoma risk across global populations.Oncoscience · 2026Review
- Article
- Ethnic Disparities in Betel Nut Use: A Focus on Adolescents from Micronesia.International perspectives in psychology : research, practice, consultation · 2024Article
- What Motivates Betel Quid Chewers to Quit? An Analysis of Several Cessation-Relevant Variables.Substance use & misuse · 2024Article
- Types of Offers of Combustible Cigarettes, E-Cigarettes, and Betel Nut Experienced by Guam Youths.International journal of environmental research and public health · 2023Article
- Association of Metabolic Syndrome and Other Factors with the Presence of Diabetic Nephropathy in Type 2 Diabetic Patients.International journal of environmental research and public health · 2023Article
- Dental Health Utilization in Palau: Feasibility of an Oral Cancer Screening Program.Annals of global health · 2023Article
- Betel quid: New insights into an ancient addiction.Addiction biology · 2022Article
- Characterization of Otolaryngology Referrals among Pacific Islanders in the Commonwealth of the Northern Mariana Islands.Hawai'i journal of health & social welfare · 2022Article
- Head and Neck Cancer Stage at Presentation and Survival Outcomes Among Native Hawaiian and Other Pacific Islander Patients Compared With Asian and White Patients.JAMA otolaryngology-- head & neck surgery · 2022Article
- The Reasons for Betel Quid Chewing Scale (RBCS) for Ex-Chewers: Assessment of Factor Structure, Reliability, Validity and Measurement Invariance across Gender in a Guamanian Sample.Substance use & misuse · 2022Article
- A Retrospective Cohort Study of Oral Leukoplakia in Female Patients-Analysis of Risk Factors Related to Treatment Outcomes.International journal of environmental research and public health · 2021Article
- Betel Quid Health Risks of Insulin Resistance Diseases in Poor Young South Asian Native and Immigrant Populations.International journal of environmental research and public health · 2020Review
- An Instagram-Based Study to Understand Betel Nut Use Culture in Micronesia: Exploratory Content Analysis.Journal of medical Internet research · 2020Article
- A Survey of Areca (Betel) Nut Use and Oral Cancer in the Commonwealth of the Northern Mariana Islands.Hawai'i journal of health & social welfare · 2020Article
- Betel Quid, Health, and Addiction.Substance use & misuse · 2020Article
- Tradition Gone Mobile: An Exploration of #Betelnut on Instagram.Substance use & misuse · 2020Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Areca nut (betel nut) is chewed by an estimated 10% of the world's population which is equivalent to about 600 million people. It is classified as a Group 1 carcinogen by the World Health Organization (WHO) and has been linked to various types of oral cancer. Chewing areca predominates in South and South East Asia, East Africa, and the Western Pacific and has important social and cultural implications. The purpose of the pilot study was twofold: (1) to examine sociocultural factors that affect why people on Guam chew betel nut, their chewing behaviors, perceptions of risks, probability of changing behaviors, and methods that could be used to reduce use or quit; and (2) to pilot two surveys (one for chewers and one for ex-chewers) to be used in a larger study in the future. A mixed methods design was employed that included surveys pertaining to their status (chewer or ex-chewer) and in-depth interviews. A total of 30 adults participated in this pilot study: adult betel nut chewers (n = 15) and ex-chewers (n = 15). Chewing betel nut is a learned behavior, embedded within the culture, and is viewed as an important cultural identifier. Socially, chewing is viewed as positive. Chewers stated that they were not as aware of health issues; however, ex-chewers stated health reasons for quitting.
Indexed as
Identifiers
26668772PMC4675366What OpenQuestion holds
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.