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Factors affecting commencement and cessation of betel quid chewing behaviour in Malaysian adults
- Source :
- BMC Public Health, Vol 11, Iss 1, p 82 (2011), BMC Public Health
- Publication Year :
- 2011
- Publisher :
- BMC, 2011.
-
Abstract
- Background Betel quid chewing is a common habit widely practiced in Southern Asian populations. However, variations are seen in the content of a betel quid across the different countries. Factors associated with commencement and cessation of this habit has been numerously studied. Unfortunately, data on Malaysian population is non-existent. This study aims to determine the factors associated with the inception and also cessation of betel quid chewing behaviour among Malaysian adults. Method This study is part of a nationwide survey on oral mucosal lesions carried out among 11,697 adults in all fourteen states in Malaysia. The questionnaire included sociodemographic information and details on betel quid chewing habit such as duration, type and frequency. The Kaplan-Meier estimates were calculated and plotted to compare the rates for the commencement and cessation of betel quid chewing behaviour. Cox proportional hazard regression models were used to calculate the hazard rate ratios for factors related to commencement or cessation of this habit. Results Of the total subjects, 8.2% were found to be betel quid chewers. This habit was more prevalent among females and, in terms of ethnicity, among the Indians and the Indigenous people of Sabah and Sarawak. Cessation of this habit was more commonly seen among males and the Chinese. Females were found to be significantly more likely to start (p < 0.0001) and less likely to stop the quid chewing habit. Females, those over 40 years old, Indians and a history of smoking was found to significantly increase the likelihood of developing a quid chewing habit (p < 0.0001). However, those who had stopped smoking were found to be significantly more likely to promote stopping the habit (p = 0.0064). Cessation was also more likely to be seen among those who chewed less than 5 quids per day (p < 0.05) and less likely to be seen among those who included areca nut and tobacco in their quid (p < 0.0001). Conclusion Factors that influence the development and cessation of this behaviour are gender, age, ethnicity, and also history of smoking habit while frequency and type of quid chewed are important factors for cessation of this habit.
- Subjects :
- Adult
Male
Adolescent
Substance-Related Disorders
media_common.quotation_subject
Dentistry
Kaplan-Meier Estimate
Betel quid chewing
Young Adult
Malaysian population
Surveys and Questionnaires
Environmental health
medicine
Humans
Child
Mastication
Areca
media_common
Plants, Medicinal
biology
business.industry
lcsh:Public aspects of medicine
digestive, oral, and skin physiology
Malaysia
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
Middle Aged
medicine.disease
biology.organism_classification
stomatognathic diseases
Oral submucous fibrosis
Female
Habit
Biostatistics
Betel quid
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 11
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....6f472642fcb4eacb57104b3b218bfa5b