Lee Chen-Yi, Lu Beibei, Shieh Tien-Yu, Chang Yong-Yuan
a Department of Oral Hygiene , Kaohsiung Medical University , Kaohsiung , Taiwan.
b Cancer Epidemiology Program, H. Lee Moffitt Cancer Center & Research Institute , Tampa , Florida , USA.
Subst Use Misuse. 2016;51(4):471-8. doi: 10.3109/10826084.2015.1126735. Epub 2016 Mar 4.
There are few published studies addressing multiple substance uses and their effects on subsequent cessation of betel quid (BQ) chewing in the Asia Pacific region.
This study aims to investigate the usage patterns of BQ chewing, cigarette smoking, and alcohol drinking, and their correlates with subsequent BQ cessation among a male inmate population.
Data from 473 male inmates with a history of BQ use who were incarcerated in Taiwan Kaohsiung Prison was used for this analysis. Participants were asked to report their lifetime usage patterns of cigarette, alcohol, and BQ, and their cessation status of each substance. A stepwise logistic regression analysis was performed to identify predictors of voluntary BQ cessation.
Seventy-five percent of all participants reported habitual use of all three substances. A total of 185 (39%) participants reported voluntary cessation of BQ prior to incarceration, and 288 (61%) reported cessation because of incarceration. Inmates who quit smoking before incarceration were more likely to voluntarily quit BQ. Inmates who had drinking habits were less likely to quit BQ, but those who quit drinking before incarceration were more likely to quit BQ. Inmates who preferred the type of BQ known as lao-hwa quid were more likely to quit BQ, and a longer chewing history correlated with a lower likelihood of quitting BQ. CONCLUSIONS IMPORTANCE: Our data suggest that coexisting habitual use of cigarette, alcohol, and BQ is very common in this inmate population. BQ cessation is significantly associated with not only inmates' usage patterns of cigarette and alcohol, but also their cessation status of these substances.
在亚太地区,针对多种物质使用及其对随后槟榔咀嚼戒断影响的已发表研究较少。
本研究旨在调查男性囚犯群体中槟榔咀嚼、吸烟和饮酒的使用模式,以及它们与随后槟榔戒断的相关性。
本分析使用了来自台湾高雄监狱473名有槟榔使用史的男性囚犯的数据。参与者被要求报告他们一生中香烟、酒精和槟榔的使用模式,以及每种物质的戒断状态。进行逐步逻辑回归分析以确定自愿戒断槟榔的预测因素。
所有参与者中有75%报告习惯性使用所有三种物质。共有185名(39%)参与者报告在入狱前自愿戒断槟榔,288名(61%)报告因入狱而戒断。入狱前戒烟的囚犯更有可能自愿戒断槟榔。有饮酒习惯的囚犯戒断槟榔的可能性较小,但入狱前戒酒的囚犯戒断槟榔的可能性更大。更喜欢老华槟榔类型的囚犯更有可能戒断槟榔,而更长的咀嚼历史与戒断槟榔的可能性较低相关。结论的重要性:我们的数据表明,在这一囚犯群体中,香烟、酒精和槟榔的共存习惯性使用非常普遍。槟榔戒断不仅与囚犯的香烟和酒精使用模式显著相关,而且与这些物质的戒断状态也显著相关。