Areca Nut Consumption Patterns Among Primary School Children of Karachi

Authors

  • Ambrina Qureshi Dr. IshratulEbad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi
  • Narendar Dawani Department of Community Dentistry, Dow Dental College, Dow University of Health Sciences, Sarfaraz Rafiqui Shaheed Road, Karachi, Pakistan.
  • Amir Akbar Shaikh Department of Community Dentistry, Dow Dental College, Dow University of Health Sciences, Sarfaraz Rafiqui Shaheed Road, Karachi, Pakistan.

Keywords:

areca nut, chewing patterns, schoolchildren

Abstract

Background: Areca nut is consumed extensively throughout the world with significant public health and oral implications. This study aimed at determining the prevalence and pattern of areca nut consumption in primary school children of Karachi city.
Methodology: A cross-sectional survey was conducted amongst schoolchildren (age = 6 to 12 years) of Karachi city employing two-stage sampling technique. Information regarding participants' demographics and areca nut chewing pattern were collected and recorded by a single trained examiner. SPSS 17 was used for descriptive and univariate logistic regression analysis.
Results: Results showed that out of the total [N= 600; male (52%), female (48%)] areca nut chewing was found more prevalent in males (64.6%) throughout the range of 6-12 years. Almost half of these children adapted this habit under peer influence (47%). Negative media influence [p-value <0.001, OR=28.981, CI=14.543-57.750] was identified as the most influencing factor for these children in taking up the habit of areca nut chewing. Other factors identified were low maternal education [p-value <0.001, OR=3.920, CI=1.731-8.875], poor awareness of the children [p-value <0.001, OR=2.414, CI=1.620-3.598], no restriction in school premises [p-value <0.006, OR=2.012, CI=1.224-3.310] and the sweet pleasant taste of areca nut [p-value <0.006, OR=1.97, CI=0.062-
0.629].

Downloads

Download data is not yet available.

Author Biography

Ambrina Qureshi, Dr. IshratulEbad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi

PhD Scholar, Associate Professor (BPS-19) and Head, Department of Community Dentistry, Dr. IshratulEbad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi

References

Javed F, Al-Hezaimi K, Warnakulasuriya S. Areca-nut chewing habit is a significant risk factor for metabolic syndrome: a systematic review. 2012; 16:445-8.

Heck JE, Marcotte EL, Argos M, Parvez F, Ahmed A, Islam T, et al. Betel quid chewing in rural Bangladesh: prevalence, predictors and relationship to blood pressure. Int J Epidemiol 2012; 41:462-71.

Tsai WC, Wu MT, Wang GJ, Lee KT, Lee CH, Lu YH et al. Chewing areca nut increases the risk of coronary artery disease in Taiwanese men: a case-control study. 2012; 7:162-8.

Muttagi SS, Chaturvedi P, Gaikwad R, Singh B, Pawar P. Ind J Med and Paed Oncol 2012; 33:32-5.

Shafique K, Mirza SS, Vart P, Memon AR, Arain MI, Tareen MF, et al. Areca nut chewing and systemic

inflammation: evidence of a common pathway for systemic diseases. 2012; 9:22-9.

Gupta PC, Ray CS. Epidemiology of Betel quid usage. Annals Academy of Medicine Singapore 2004; 33:31-6.

Warnakulasuriya S. Areca nut use following migration and its consequences. Addiction Biology 2002; 7:127 -32.

International Agency for Research on Cancer: IARC Monographs on Betel quid and Areca-nut chewing. International Agency for Research on Cancer: Lyon. 1984; 41-80.

Gunaseelan R, Sankaralingam S, Ramesh S, Datta M. Arecanut use among rural residents of Sriperambudur Taluk: a qualitative study search 2007; 18:11-4.

Ko YC, Chiang TA, Chang SJ, Hsieh SF. Prevalence of betel quid chewing habit in Taiwan and related socio-demographic factors. J Oral Pathol and Med 1992; 21: 261-4.

Guo SE, Huang TJ, Huang JC, Lin MS, Hong RM, Chang CH, et al. Alcohol, betel-nut and cigarette consumption are negatively associated with health promoting behaviors in Taiwan: A cross-sectional study. BMC Public Health 2013;13:257.

Prabhu NT, Warnakulsuriya K, Gelbier S, Robinson PG. Betel quid chewing among Bangladeshi adolescents living in East London. Int J Paed Dentistry 2001; 11: 18-24.

Pankaj C. Areca nut or betel nut control is mandatory if India wants to reduce the burden of cancer especially cancer of the oral cavity. Int J Head and Neck Surgery 2010; 1:17-20.

Gupta PC, Wamakulasuriya S. Global epidemiology of areca nut usage. Addiction Biology 2002; 7:77-83.

Khandelwal A, Khandelwal V, Saha MK, Khandelwal S, Prasad S, Saha SG. Prevalence of areca nut chewing in the middle school going children of Indore, India. Contemporary Clinical Dentistry 2012; 3:155-7.

Oakley E, Demaine L, Wamakulasuriya S. Areca (betel) nut chewing habit among high-school children in the Commonwealth of the Northern Mariana Islands (Micronesia). Bulletin of the World Oral Health Organization 2005; 83:656-60.

Pobutsky AM, Neri EI. Betelnut chewing in Hawai’i: Is it becoming a public health problem? Historical and socio-cultural considerations. Hawai’i J Med and Public Health 2012; 71:23-6.

Velayudhan A, Kumar S, Benegal V. Betel Nut: A socially sanctioned drug of abuse. http://www.hawaii.edu/hivandaids/Betel Nut A Socially Sanctioned Drug of Abuse.pdf. Accessed 5th May 2013.

Bruijnzeel AW. Tobacco addiction and the dysregulation of brain stress systems. Neuroscience and Bio

behavioural Reviews 2012; 36:1418-41.

Ho CS, Gee MJ. The parental influence of betel-chewing behavior among junior high school students in Taiwan.

Substance Abuse 2002; 23:183-9.

Shah MA, Marchant AT, Luby SP, Chotani RA. Addicted schoolchildren: Prevalence and characteristics of areca nut chewers among primary school children in Karachi, Pakistan. J Paed and Child Health 2002; 38:507-10.

Rozi S, Akhtar S. Prevalence and predictors of smokelesstobacco use among high school males in Karachi, Pakistan. La Revue de Sante de la Mediterranae orientale 2007; 13:916-24.

Shah S, Qureshi R, Azam I. Practices and knowledge of school children regarding chaalia/ paan masala in Mehmoodabad and Chanesar Goth, Karachi. J Pak Med Assoc 2008; 58:678-83.

Downloads

Published

2013-04-28

How to Cite

Qureshi, A., Dawani, N., & Shaikh, A. A. (2013). Areca Nut Consumption Patterns Among Primary School Children of Karachi. Journal of the Dow University of Health Sciences (JDUHS), 7(1), 25–29. Retrieved from https://jduhs.com/index.php/jduhs/article/view/1560

Issue

Section

Original Articles