Prevalence and Characteristics of Areca Nut Chewing Habit among School Going Children in Karachi

Authors

  • Marium Sarfaraz Department of Oral Surgery, Oral Pathology, Dr. Ishrat-ulEbad Khan Institute of Oral Health Sciences , Dow University of Health Sciences, Karachi. Pakistan
  • Anwar Ali Department of Oral Surgery, Oral Pathology, Dr. Ishrat-ulEbad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi. Pakistan
  • Talat Mirza Histopathology Department, Dow Diagnostic Reference & Research Lab, Dow International Medical College , Dow University of Health Sciences, Karachi. Pakistan

Keywords:

Areca nut chewing habit, school going children, characteristics of areca nut chewing habit

Abstract

Introduction:

Areca nut is the fruit of areca catechu palm tree. It is forth most common psychoactive substanceused worldwide. Mostly the areca nut chewing habit is prevalent in South Asian countries. Areca nut is usedin betel quid or as processed areca nut products. Areca nut is classified as class I carcinogen by IARC. Thehigher incidence of oral cancer in Pakistan is mostly attributed to the use of areca nut products. In Pakistanstudies on prevalence of areca nut chewing habit among children were conducted in highly selected and highrisk population. 

Objectives:

To determine the prevalence of areca nut chewing habit and different characteristics of regularand occasional areca nut chewers among school going children in Karachi.

Methodology:

A cross sectional study was conducted in government and private schools of nine towns selectedfrom total eighteen towns of Karachi from January 2010 to June 2012. A stratified cluster random samplingwas used to select study sample, representative of all school going children in Karachi. 

Results:

A total of 3,107, aged 7-16 years (50.7% female and 49.3% male students) were interviewed andexamined. Majority of sample 60.2% were drawn from private schools and 39.8% from government schools.Result showed that 40.8% children chewed areca nut regularly, 39% occasionally and 20.2% rarely. 

Conclusion:

The prevalence of areca nut chewing habit among school going children in Karachi was foundhigh (40.8%). The regular areca nut chewing habit was found to be related with addiction potential of arecanut, use of tobacco containing areca nut products and low socioeconomic status of students.

Downloads

Download data is not yet available.

References

Shah G, Chaturvedi P, Vaishampayan S. Arecanut as an emerging etiology of oral cancers in India. Ind J Med Paediatr Oncol 2011; 33:71-9.

Nair U, Bartsch H, Nair J. Alert for an epidemic of oral cancer due to use of the betel quid substitutes gutkha and pan masala: a review of agents and causative mechanisms. Mutagenesis 2004; 19:251-62.

Chu NS. Effects of betel chewing on the central and autonomic nervous systems. J Biomed Sci 2001; 8:229- 36.

Johnson NW, Warnakulasuriya S, Gupta PC, Dimba E, Chindia M, Otoh EC, et al. Global Oral Health Inequalities in Incidence and Outcomes for Oral Cancer: Causes and Solutions 2011; 237-46.

Wen CP, Tsai MK, Chung WS, Hsu HL, Chang YC, Chan HT, et al. Cancer risks from betel quid chewing beyond oral cancer: a multiple-site carcinogen when acting with smoking. Cancer Causes Control 2010; 21:1427-35.

Chen YJ, Liao CT, Chen PJ, Lee LY, Li YC, Chen IH, et al. Downregulation of Ches1 and other novel genes in oral cancer cells chronically exposed to areca nut extract. Head & Neck 2010; 33:257-66.

Betel-quid and areca-nut chewing and some areca-nut derived nitrosamines. IARC Monogr Eval Carcinog Risks Hum 2004; 85:1-334.

Gupta PC, Warnakulasuriya S. Global epidemiology of areca nut usage. Addict Biol 2002; 7:77-83.

Verma S. Areca nut (betel nut) chewing: a popular Indian cultural practice and its mucosal implications. Int J Dermato 2011; 50:229-32.

Gupta PC, Ray CS. Epidemiology of betel quid usage. Annals of Acad Med 2004; 33:31-6.

Gandhi G, Kaur R, Sharma S. Chewing pan masala and/or betel quid-Fashionable attributes and/or cancer menaces. J Hum Ecol 2005; 17:161-6.

Warnakulasuriya S, Trivedy C, Peters TJ. Areca nut use: an independent risk factor for oral cancer. BMJ 2002; 6:799-800.

Yamada T, Hara K, Kadowaki T. Chewing betel quid and the risk of metabolic disease, cardiovascular disease, and all-cause mortality: A Meta-Analysis. PloS one. 2013; 8:e70679.

Lin W, Pi-Sunyer F, Liu C, Li T, Li C, Huang C, et al. Betel nut chewing is strongly associated with general and central obesity in Chinese male middle-aged adults. Obesity 2009; 17:1247-54.

Chou C, Cheng S, Liu J, Cheng W, Kang I, Tseng Y, et al. Association between betel-nut chewing and chronic kidney disease in men. Pub Health Nutr 2009; 12:723-7.

Senn M, Baiwog F, Winmai J, Mueller I, Rogerson S, Senn N. Betel nut chewing during pregnancy, Madang province, Papua New Guinea. Drug Alcohol Depend 2009; 105:126-31.

Chandra P, Mulla U. Areca nut: the hidden Indian 'gateway' to future tobacco use and oral cancers among youth. Ind J Med Sci 2007; 61:319-21.

Mignogna MD, Fedele S, Lo Russo L. The world cancer report and the burden of oral cancer. Eur J Cancer Prev 2004; 13:139-42.

Gupta PC, Mehta FS, Pindborg JJ, Bhonsle RB, Murti PR, Daftary DK, et al. Primary prevention trial of oral cancer in india: a 10-year follow-up study. J Oral Pathol Med 1992; 21:433-9.

Khawaja MR, Mazahir S, Majeed A, Malik F, Merchant KA, Maqsood M, et al. Chewing of betel, areca and tobacco: perceptions and knowledge regarding their role in head and neck cancers in an urban squatter settlement in Pakistan. Asian Pac J Cancer Prev 2006;

:95-100.

Shah S, Qureshi R, Azam I. Is Chaalia/Pan Masala harmful for health? practices and knowledge of children of schools in Mahmoodabad and Chanesar Goth, Karachi. J Pak Med Assoc 2009; 59:550-4.

Shah SM, Merchant AT, Luby SP, RA C. Addicted schoolchildren: prevalence and characteristics of areca nut chewers among primary school children in Karachi, Pakistan. J Paeds Child Health 2002; 38:507-10.

Qidwai W, Ishaque S, Shah S. Adolescent lifestyle and behaviour: a survey from a developing country. PLoS One. 2010; 5:e12914.

Tanwir F, Altamash M, Gustafsson A. Influence of betel nut chewing, dental care habits and attitudes on perceived oral health among adult Pakistanis. Oral Health Prev Dent 2008; 6:89-94.

Rozi S, Akhtar S. Prevalence and predictors of smokeless tobacco use among high-school males in Karachi, Pakistan. East Mediter Health J 2007; 13:916-24.

Downloads

Published

2014-12-31

How to Cite

Sarfaraz, M. ., Ali, A. ., & Mirza, T. . (2014). Prevalence and Characteristics of Areca Nut Chewing Habit among School Going Children in Karachi. Journal of the Dow University of Health Sciences (JDUHS), 8(3), 111–116. Retrieved from https://jduhs.com/index.php/jduhs/article/view/1432

Issue

Section

Original Articles