Lu C T, Lan S J, Hsieh C C, Yang M J, Ko Y C, Tsai C C, Yen Y Y
Graduate Institute of Medicine, Kaohsiung Medical College, Department of Dentistry, Changhua Christian Hospital, Taiwain, Republic of China.
Community Dent Oral Epidemiol. 1993 Dec;21(6):370-3. doi: 10.1111/j.1600-0528.1993.tb01101.x.
Some studies indicate that betel quid and its ingredients chewing can produce cell mutagenicity and tumorigenicity. In Taiwan studies, betel quid chewing is the main cause of submucous fibrosis and oral cancer. Understanding the distribution and characteristics of the areca nut chewing population is one of the first steps in the effort to prevent these oral diseases. A stratified cluster random sample of 2442 junior high school students in Changhua county, Taiwan, were surveyed for the habit of areca nut chewing. Significantly more male students chewed areca nut than female students (9.2% vs 0.9%). The proportion of students who were chewing areca nuts increased with increasing (seventh to ninth) grades. Areca nut was used by junior high school students at a higher rate in village (rural) areas as compared to town (semi-urban) and city (urban) areas (6.4%, 3.7% and 3.0%, respectively). More students in the ordinary achievement classes were chewing areca nuts than those in the high achievement classes (8.4% vs 1.6%). Areca nut chewing students tended to have users in their families. Cigarette smoking and alcohol drinking were positively associated with areca nut chewing. More than half (53.6%) of the areca nut chewing students first experimented with this habit with a family member, most often the father or grandfather.
一些研究表明，咀嚼槟榔及其成分会产生细胞致突变性和致癌性。在台湾的研究中，咀嚼槟榔是口腔黏膜下纤维化和口腔癌的主要原因。了解嚼槟榔人群的分布和特征是预防这些口腔疾病的首要步骤之一。对台湾彰化县2442名初中生进行分层整群随机抽样，调查其嚼槟榔的习惯。嚼槟榔的男生明显多于女生（9.2%对0.9%）。嚼槟榔的学生比例随着年级升高（初一至初三）而增加。初中生嚼槟榔的比例在乡村（农村）地区高于城镇（半城市）和城市（城市）地区（分别为6.4%、3.7%和3.0%）。普通成绩班级中嚼槟榔的学生比成绩优异班级的学生更多（8.4%对1.6%）。嚼槟榔的学生其家庭成员往往也有嚼槟榔的习惯。吸烟和饮酒与嚼槟榔呈正相关。超过一半（53.6%）嚼槟榔的学生最初是与家庭成员一起尝试这种习惯的，最常见的是父亲或祖父。
