Epidemiology of areca (betel) nut use in the Mariana Islands: Findings from the University of Guam/University of Hawai'i Cancer Center Partnership Program
| Autor: | Yvette C. Paulino, Eric L. Hurwitz, Tristan C. Paulino, Mary Jane Miller, Lynne R. Wilkens, Joanne C. Ogo, Neal A Palafox, Rachel Novotny, Ashley B. Yamanaka |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Nut
Adult Male Cancer Research medicine.medical_specialty Adolescent Epidemiology Health Behavior 030508 substance abuse Article 03 medical and health sciences 0302 clinical medicine Risk Factors Environmental health Surveys and Questionnaires medicine Prevalence Humans Nuts 030212 general & internal medicine Areca Mouth neoplasm Cancer prevention biology Traditional medicine business.industry digestive oral and skin physiology food and beverages Anthropometry Middle Aged biology.organism_classification medicine.disease Betel Obesity stomatognathic diseases Oncology Guam Mastication Female Mouth Neoplasms 0305 other medical science business Micronesia |
| Popis: | Background Areca (betel) nut is considered a Group 1 human carcinogen shown to be associated with other chronic diseases in addition to cancer. This paper describes the areca (betel) nut chewing trend in Guam, and health behaviors of chewers in Guam and Saipan. Methods The areca (betel) nut module in the Guam Behavioral Risk Factor Surveillance Survey was used to calculate the 5-year (2011–2015) chewing trend. To assess the association between areca (betel) nut chewing and health risks in the Mariana Islands, a cross-section of 300 chewers, ≥18 years old, were recruited from households in Guam and Saipan. Self-reported socio-demographics, oral health behaviors, chronic disease status, diet, and physical activity were collected. Anthropometry was measured. Only areca (betel) nut-specific and demographic information were collected from youth chewers in the household. Results The 5-year areca (betel) nut chewing prevalence in Guam was 11% and increased among Non-Chamorros, primarily other Micronesians, from 2011 (7%) to 2015 (13%). In the household survey, most adult chewers (46%) preferred areca nut with betel leaf, slaked lime, and tobacco. Most youth chewers (48%) preferred areca nut only. Common adult chronic conditions included diabetes (14%), hypertension (26%), and obesity (58%). Conclusion The 5-year areca (betel) nut chewing prevalence in Guam is comparable to the world estimate (10–20%), though rising among Non-Chamorros. Adult and youth chewers may be at an increased risk for oral cancer. Adult chewers have an increased risk of other chronic health conditions. Cancer prevention and intervention strategies should incorporate all aspects of health. |
| Databáze: | OpenAIRE |
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