ArticleSubstance abuse treatment, prevention, and policy2018
Reasons for betel quid chewing amongst dependent and non-dependent betel quid chewing adolescents: a school-based cross-sectional survey.
Article in Substance abuse treatment, prevention, and policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 16 citations in OpenAlex.
- Knowledge, Attitude and Practices of Areca Nut (kwai) Use among Employees of a Tertiary Health Care Institution in North-East India.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- Perceived stress and betel quid dependence associated with reasons for betel quid chewing among male chewers: a mixed methods study.BMC oral health · 2024Article
- What Motivates Betel Quid Chewers to Quit? An Analysis of Several Cessation-Relevant Variables.Substance use & misuse · 2024Article
- 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
- Assessment of areca nut use, practice and dependency among people in Guwahati, Assam: a cross-sectional study.Ecancermedicalscience · 2021Article
- Instruments to Measure Betel Quid Dependency among Young and Adult Chewers - A Systematic Review with Meta-analysis.Contemporary clinical dentistryArticle
- Peri-implant clinicoradiographic status among betel-quid chewers and controls.Brazilian dental journalObservational
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBetel quid (BQ) chewing in children is initiated in their adolescence. It is pivotal to understand adolescents' reasons behind chewing BQ. In this study, we aimed to evaluate the reasons for BQ chewing amongst adolescents using reasons for betel quid chewing scale (RBCS) and their associated dependency on it.
methodsThis is a cross-sectional school based survey. Out of 2200 adolescents from 26 schools of Karachi, 874 BQ chewers were assessed for their reasons of BQ chewing and dependency on it. Regression analyses were employed to report crude and adjusted (after adjusting for all reasons of BQ chewing) effect sizes with 95% confidence interval and P-value was set significant at < 0.05.
resultsStudents who believed that BQ chewing relaxes them (stimulation construct) were twice as likely to be dependent on BQ (OR = 2.36, 95% CI (1.20-4.65) as compared with others. Participants who thought it eases their decision making (stimulation construct), were sizably more likely to be dependent on BQ (OR = 9.65, 95% CI (4.15-22.43) than those who did not consider ease in decision making important. Adolescents who considered not chewing as rude (social/cultural construct), were thrice more likely to be dependent on BQ (OR = 2.50, 95% CI (1.11-5.63) than others.
conclusionsStimulation remained fundamental chewing reason followed by social/cultural trigger amongst adolescents. Any future intervention may get favorable results if it addresses ways to overcome stimulation and social/cultural barriers that are strongly associated with BQ chewing and dependency.
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