Reichart P A, Khongkhunthian P, Scheifele C, Lohsuwan P
Universitätsklinikum Charité, Zentrum für Zahnmedizin, Abteilung für Oralchirurgie und zahnärztliche Röntgenologie, Berlin, Germany.
Eur J Dent Educ. 1999 Aug;3(3):126-32. doi: 10.1111/j.1600-0579.1999.tb00078.x.
385 questionnaires submitted by volunteer Thai dental students on the betel quid chewing habit in Thailand were evaluated. Questions related to the composition of the betel quid, general and oral effects as well as sociological aspects. Only 62.6% considered the habit as typical for Thailand. Knowledge about the composition of the betel quid showed that 30% of the students were poorly informed. Only 58.4% thought slaked lime to be part of the quid. Similar results were obtained for some of the questions relating to physiological and oral effects and the percentage of "do not know" answers was about 30%. It was widely accepted that betel quid chewing is more common in the provinces (83.6%) and that it is a habit of older people (92.2%); particularly women (70.7%). 71.2% of the students did not know where to buy a betel quid. The decline of the habit was monitored by the fact that 96.1% of the students' parents did not indulge in chewing the betel quid compared to 38.7% of grandparents who did. 70% of the students were convinced that the habit will totally disappear. The knowledge of the betel quid chewing habit of Thai dental students indicated a number of deficits showing that these do not come in close contact with this habit anymore in their families or societies. Since elderly people still indulge in chewing betel quid, dental education still has to focus on oral and general effects and side-effects such as oral precancer, oral cancer and oral submucous fibrosis.
对泰国牙科专业志愿学生提交的385份关于泰国嚼槟榔习惯的问卷进行了评估。问题涉及槟榔的成分、对全身和口腔的影响以及社会学方面。只有62.6%的人认为这种习惯是泰国的典型特征。关于槟榔成分的知识显示,30%的学生了解不足。只有58.4%的学生认为熟石灰是槟榔的一部分。在一些关于生理和口腔影响的问题上也得到了类似的结果,“不知道”答案的比例约为30%。人们普遍认为,嚼槟榔在各省更为普遍(83.6%),而且是老年人(92.2%)的习惯;尤其是女性(70.7%)。71.2%的学生不知道在哪里可以买到槟榔。通过以下事实监测到这种习惯的减少:96.1%的学生父母不嚼槟榔,而祖父母中嚼槟榔的比例为38.7%。70%的学生确信这种习惯将完全消失。泰国牙科专业学生对嚼槟榔习惯的了解表明存在一些不足之处,这表明他们在家庭或社会中不再与这种习惯密切接触。由于老年人仍然有嚼槟榔的习惯,牙科教育仍需关注口腔和全身影响以及副作用,如口腔癌前病变、口腔癌和口腔黏膜下纤维化。