Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study

Lee, Chien-Hung and Min-Shan Ko, Albert and Warnakulasuriya, S. and Ling, Tian-You and Sunarjo, . and Rajapakse, Palandage Sunethra and Zain, R.B. and Ibrahim, Salah Osman and Zhang, Shan-Shan and Wu, H.J. and Liu, Lin and Kuntoro, . and Utomo, B. and Warusavithana, S.A. and Razak, Ishak Abdul and Abdullah, Norlida and Shrestha, Prashanta and Shieh, Tien-Yu and Yen, Cheng-Fang and Ko, Ying-Chin (2012) Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study. The American Journal of Public Health (AJPH). e1-e8. ISSN 0090-0036, DOI https://doi.org/10.2105/ajph.2011.300521.

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Abstract

Objectives. We investigated the population burden of betel quid abuse and its related impact on oral premalignant disorders (OPDs) in South, Southeast, and East Asia. Methods. The Asian Betel-Quid Consortium conducted a multistage sampling of 8922 representative participants from Taiwan, Mainland China, Malaysia, Indonesia, Nepal, and Sri Lanka. Participants received an interviewer-administered survey and were examined for oral mucosal disorders. Results. The prevalence of betel quid abuse was 0.8 to 46.3 across 6 Asian populations. The abuse frequency was over 40.5 for current chewers, with the highest proportion in Nepalese and Southeast Asian chewers (76.9?99.6). Tobacco-added betel quid conferred higher abuse rates (74.4?99.6) among Malaysian, Indonesian, and Sri Lankan men than did tobacco-free betel quid (21.8?89.1). Gender, lower education level, younger age at chewing initiation, and clustering of familial betel quid use significantly contributed to higher abuse rates. Indonesian betel quid abusers showed the highest prevalence of OPDs and had a greater risk of OPDs than did nonabusers. Conclusions. Betel quid abuse is high in regions of Asia where it is customarily practiced, and such abuse correlates highly with OPDs. By recognizing abuse-associated factors, health policies and preventive frameworks can be effectively constructed to combat these oral preneoplasms.

Item Type:	Article
Funders:	UNSPECIFIED
Additional Information:	Department of Oral Pathology and Oral Medicine and Periodontology, Faculty of Dentistry, University of Malaya
Uncontrolled Keywords:	Oral squamous cell carcinoma, OSCC, lichenoid lesions, lichen planus, oral cancer, oral tumours, pemphigus, traumatic eosinophilic granuloma, aphthous ulcers, oral mucosal lesions, betel chewers mucosa, betel quid related lesions, betel quid, areca quid, tobacco quid, oral cancer screening, training and calibration, early detection, oral Cancer Awareness, Biobanking, Tissue Bank, Databank, Oral Cancer, Tissue Bank, Research Credibility, Research Ethics
Subjects:	R Medicine > RK Dentistry > Oral surger
Divisions:	Faculty of Dentistry > Dept of Oral Pathology & Oral Medicine & Periodontology
Depositing User:	Prof. Dr. Rosnah Mohd Zain
Date Deposited:	13 Feb 2012 01:20
Last Modified:	12 Dec 2014 06:23
URI:	http://eprints.um.edu.my/id/eprint/2605

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