Social and Cultural Context of Betel Quid Consumption in Taiwan and Implications for Prevention and Cessation Interventions
| Autor: | Mi-Ting Lin, Tsai-Chung Li, Chiu-Shong Liu, Chia-Ing Li, Cho Y. Lam, Ellen R. Gritz, Wei-Fen Ma, Ming Hsui Tsai, I-Ying Lu, Cheng-Chieh Lin, Chang Fang Chiu, Irene Tamí-Maury |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Health (social science) Substance-Related Disorders media_common.quotation_subject Community organization Culture Psychological intervention Taiwan Medicine (miscellaneous) Dentistry Interviews as Topic 03 medical and health sciences 0302 clinical medicine otorhinolaryngologic diseases Medicine Humans Psychology 030212 general & internal medicine Areca media_common Consumption (economics) business.industry digestive oral and skin physiology Public Health Environmental and Occupational Health Boredom Focus Groups Focus group stomatognathic diseases Psychiatry and Mental health Feeling 030220 oncology & carcinogenesis Female medicine.symptom Thematic analysis business Demography Qualitative research |
| Zdroj: | Substance usemisuse. 52(5) |
| ISSN: | 1532-2491 |
| Popis: | In Taiwan, betel quid chewing is a part of social life for chewers. Betel quid itself, with or without tobacco, is a Group 1 human carcinogen. Betel quid chewing has become a severe health threat in Taiwan.The aim of the present study was to identify the individual, social, contextual, and cultural factors related to initiation, continuous use, and cessation of betel quid chewing.Four focus groups and 15 in depth face-to-face interviews were conducted in 2013 with current and former users of betel quid, members of a community organization located in central Taiwan. A thematic analysis identified themes evident across all groups.Study participants (N = 41) were 66% male and 34% female; mean age was 40.34 ± 9.23 years. Participants stated that betel quid initiation usually occurs during childhood and that the most frequent reasons for chewing were: to follow cultural/social traditions, to achieve an energetic feeling, and to avoid boredom. Participants perceived betel quid chewing as an addiction and a risk factor for cancer and other health-related conditions. The most frequently mentioned barriers to quitting betel quid included: peer pressure and selected withdrawal symptoms.For the development of culturally relevant and effective cessation interventions for betel quid in Taiwan, it is critical to understand and address perceptions of betel quid chewing and barriers to cessation. |
| Databáze: | OpenAIRE |
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