Department of Health Promotion, Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, 984340 Nebraska Medical Center, Omaha, NE 68198, USA.
Asian Pac J Cancer Prev. 2022 Apr 1;23(4):1103-1106. doi: 10.31557/APJCP.2022.23.4.1103.
Betel nut chewing is an important risk factor for oral cancer, yet there has been little research identifying correlates of betel nut chewing among Burmese refugees in the U.S.
Based on survey data from 188 Burmese refugees from Nebraska between 2015 and 2016, logistic regression was estimated to identify correlates of betel nut chewing.
The prevalence rate of betel nut chewing among participating Burmese refugees in Nebraska was 29%. Relative to Burmese refugees who had an education of less than high school, refugees with higher education were less likely to report betel nut chewing (AOR=0.1, 95% CI (0.02, 0.61)). Refugees who worked full time had higher odds of chewing betel nuts compared to those otherwise (AOR=6.17, 95% CI (1.80, 21.10)). Delaying medication purchase due to cost during the past 12 months was associated with higher odds of betel nut chewing (AOR=5.20, 95% CI (1.02, 26.39)).
Betel nut chewing was common among Burmese refugees in the U.S., yet the odds of betel nut chewing varied across different socioeconomic groups. Health education programs that aim to reduce betel nut chewing might become more cost-effective by disproportionately targeting and serving high-risk groups among Burmese refugees.
嚼槟榔是口腔癌的一个重要危险因素，但针对美国缅甸难民中嚼槟榔的相关因素的研究较少。
基于 2015 年至 2016 年期间来自内布拉斯加州的 188 名缅甸难民的调查数据，采用逻辑回归分析确定嚼槟榔与相关因素的关系。
参与内布拉斯加州缅甸难民中嚼槟榔的流行率为 29%。与受教育程度低于高中的缅甸难民相比，受教育程度较高的难民嚼槟榔的可能性较小（AOR=0.1，95%CI（0.02，0.61））。与其他情况相比，全职工作的难民嚼槟榔的几率更高（AOR=6.17，95%CI（1.80，21.10））。在过去 12 个月中，由于费用而延迟购买药物与嚼槟榔的几率增加相关（AOR=5.20，95%CI（1.02，26.39））。
美国的缅甸难民中嚼槟榔很常见，但嚼槟榔的几率因不同的社会经济群体而异。旨在减少嚼槟榔的健康教育计划可能会通过针对缅甸难民中的高风险群体而变得更加具有成本效益。
