Department of Nursing, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan, Republic of China.
Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan, Republic of China.
BMC Oral Health. 2024 Nov 1;24(1):1327. doi: 10.1186/s12903-024-05093-w.
Social culture concerns and betel quid (BQ) dependence may be the potential reasons for BQ chewing. This study's purpose was to identify the correlates of reasons for male BQ chewing.
We adopted a mixed-methods design. The study was conducted between October 2021 and August 2023 at a medical center of northern Taiwan. The Reasons for Betel-Quid Chewing Scale, Numeric Rating Scale, and Betel Quid Dependence Scale were used to quantitatively assess reasons for BQ chewing, stress, and BQ dependence, respectively. Semi-structured questions were used to interview for qualitative data.
Among 150 BQ users, the most common reasons for BQ chewing were stimulation, reinforcement, and social/cultural factors. Chewers who reported more pressure to chew were more likely to be younger, have less educational level, be employed, have greater stress, and have more BQ dependence. Content analysis of qualitative data showed three themes: physical and psychological demands, peer pressure, and perceived greater effectiveness.
Employment was the factor most commonly associated with reasons for BQ chewing and with each construct. Study findings can help healthcare professionals understand reasons for BQ chewing, thereby helping them educate chewers to cope with withdrawal symptoms and successfully quit.
社会文化关注和槟榔（BQ）依赖可能是咀嚼 BQ 的潜在原因。本研究旨在确定男性咀嚼 BQ 的原因相关因素。
我们采用了混合方法设计。该研究于 2021 年 10 月至 2023 年 8 月在台湾北部的一家医疗中心进行。使用了咀嚼槟榔原因量表、数字评分量表和槟榔依赖量表，分别定量评估咀嚼 BQ 的原因、压力和 BQ 依赖。使用半结构化问题进行定性数据访谈。
在 150 名 BQ 用户中，咀嚼 BQ 的最常见原因是刺激、强化和社会/文化因素。报告咀嚼压力更大的咀嚼者更年轻、教育程度较低、受雇、压力更大，并且 BQ 依赖程度更高。定性数据分析显示了三个主题：身体和心理需求、同伴压力和感知的更高效果。
就业是与咀嚼 BQ 的原因以及每个结构最相关的因素。研究结果可以帮助医疗保健专业人员了解咀嚼 BQ 的原因，从而帮助他们教育咀嚼者应对戒断症状并成功戒烟。
