Tovosia Silent, Chen Ping-Ho, Ko Allen Min-Jen, Tu Hung-Pin, Tsai Pei-Chien, Ko Ying-Chin
National Referral Hospital, Ministry of Health and Medical Services, the Solomon Islands.
Am J Trop Med Hyg. 2007 Sep;77(3):586-90.
Chewing betel quid is a popular habit in tropical areas. It is also a known fact that oral cancer is one of the most common cancers in the Solomon Islands, where betel quid chewing is prevalent. This study explores the prevalence of betel quid chewing in the Solomon Islands and related sociodemographic factors. A community-based survey was designed for the entire Solomon Islands people. Information on sociodemographic characteristics, habits of betel quid chewing, smoking, and drinking was collected by trained interviewers with a standard questionnaire. The prevalence of betel quid chewers, smokers, and drinkers was 76.8%, 53.0%, and 36.8%, respectively. Betel quid use was closely associated with smoking (aOR = 3.95; 95% CI: 1.87-8.33). Seventh-Day Adventist subjects were less likely to chew betel quid (aOR = 0.08; 95% CI: 0.04-0.18). Efforts to reduce habitual betel quid consumption and smoking might be of benefit in reduction of oral cancer incidence.
嚼槟榔是热带地区的一种普遍习惯。在所罗门群岛，嚼槟榔很流行，而口腔癌是该国最常见的癌症之一，这也是一个已知事实。本研究探讨了所罗门群岛嚼槟榔的流行情况以及相关的社会人口学因素。针对全体所罗门群岛居民设计了一项基于社区的调查。经过培训的访谈员使用标准问卷收集了有关社会人口学特征、嚼槟榔习惯、吸烟和饮酒的信息。嚼槟榔者、吸烟者和饮酒者的患病率分别为76.8%、53.0%和36.8%。嚼槟榔与吸烟密切相关（调整后比值比 = 3.95；95%置信区间：1.87 - 8.33）。基督复临安息日会信徒嚼槟榔的可能性较小（调整后比值比 = 0.08；95%置信区间：0.04 - 0.18）。减少习惯性嚼槟榔和吸烟的努力可能有助于降低口腔癌的发病率。
