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Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study

Objectives. We investigated the population burden of betel quid abuse and its related impact on oral premalignant disorders (OPDs) in South, Southeast, and East Asia. Methods. The Asian Betel-Quid Consortium conducted a multistage sampling of 8922 representative participants from Taiwan, Mainland Ch...

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Main Authors: Lee, Chien-Hung, Min-Shan Ko, Albert, Warnakulasuriya, S., Ling, Tian-You, Sunarjo, ., Rajapakse, Palandage Sunethra, Zain, R.B., Ibrahim, Salah Osman, Zhang, Shan-Shan, Wu, H.J., Liu, Lin, Kuntoro, ., Utomo, B., Warusavithana, S.A., Razak, Ishak Abdul, Abdullah, Norlida, Shrestha, Prashanta, Shieh, Tien-Yu, Yen, Cheng-Fang, Ko, Ying-Chin
Format: Article
Language:English
Published: American Public Health Association 2012
Subjects:
Oral surger
Online Access:http://eprints.um.edu.my/2605/1/Population_Burden_of_Betel_Quid_Abuse_and_Its_Relation_to_Oral_Premalignant_Disorders_in_South%2C_Southeas.pdf
http://eprints.um.edu.my/2605/
http://dx.doi.org/10.2105/AJPH.2011.300521
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spelling my.um.eprints.26052014-12-12T06:23:01Z http://eprints.um.edu.my/2605/ Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study Lee, Chien-Hung Min-Shan Ko, Albert Warnakulasuriya, S. Ling, Tian-You Sunarjo, . Rajapakse, Palandage Sunethra Zain, R.B. Ibrahim, Salah Osman Zhang, Shan-Shan Wu, H.J. Liu, Lin Kuntoro, . Utomo, B. Warusavithana, S.A. Razak, Ishak Abdul Abdullah, Norlida Shrestha, Prashanta Shieh, Tien-Yu Yen, Cheng-Fang Ko, Ying-Chin Oral surger Objectives. We investigated the population burden of betel quid abuse and its related impact on oral premalignant disorders (OPDs) in South, Southeast, and East Asia. Methods. The Asian Betel-Quid Consortium conducted a multistage sampling of 8922 representative participants from Taiwan, Mainland China, Malaysia, Indonesia, Nepal, and Sri Lanka. Participants received an interviewer-administered survey and were examined for oral mucosal disorders. Results. The prevalence of betel quid abuse was 0.8 to 46.3 across 6 Asian populations. The abuse frequency was over 40.5 for current chewers, with the highest proportion in Nepalese and Southeast Asian chewers (76.9?99.6). Tobacco-added betel quid conferred higher abuse rates (74.4?99.6) among Malaysian, Indonesian, and Sri Lankan men than did tobacco-free betel quid (21.8?89.1). Gender, lower education level, younger age at chewing initiation, and clustering of familial betel quid use significantly contributed to higher abuse rates. Indonesian betel quid abusers showed the highest prevalence of OPDs and had a greater risk of OPDs than did nonabusers. Conclusions. Betel quid abuse is high in regions of Asia where it is customarily practiced, and such abuse correlates highly with OPDs. By recognizing abuse-associated factors, health policies and preventive frameworks can be effectively constructed to combat these oral preneoplasms. American Public Health Association 2012 Article PeerReviewed application/pdf en http://eprints.um.edu.my/2605/1/Population_Burden_of_Betel_Quid_Abuse_and_Its_Relation_to_Oral_Premalignant_Disorders_in_South%2C_Southeas.pdf Lee, Chien-Hung and Min-Shan Ko, Albert and Warnakulasuriya, S. and Ling, Tian-You and Sunarjo, . and Rajapakse, Palandage Sunethra and Zain, R.B. and Ibrahim, Salah Osman and Zhang, Shan-Shan and Wu, H.J. and Liu, Lin and Kuntoro, . and Utomo, B. and Warusavithana, S.A. and Razak, Ishak Abdul and Abdullah, Norlida and Shrestha, Prashanta and Shieh, Tien-Yu and Yen, Cheng-Fang and Ko, Ying-Chin (2012) Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study. The American Journal of Public Health (AJPH). e1-e8. ISSN 0090-0036 http://dx.doi.org/10.2105/AJPH.2011.300521 10.2105/ajph.2011.300521
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
language English
topic Oral surger
spellingShingle Oral surger
Lee, Chien-Hung
Min-Shan Ko, Albert
Warnakulasuriya, S.
Ling, Tian-You
Sunarjo, .
Rajapakse, Palandage Sunethra
Zain, R.B.
Ibrahim, Salah Osman
Zhang, Shan-Shan
Wu, H.J.
Liu, Lin
Kuntoro, .
Utomo, B.
Warusavithana, S.A.
Razak, Ishak Abdul
Abdullah, Norlida
Shrestha, Prashanta
Shieh, Tien-Yu
Yen, Cheng-Fang
Ko, Ying-Chin
Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study
description Objectives. We investigated the population burden of betel quid abuse and its related impact on oral premalignant disorders (OPDs) in South, Southeast, and East Asia. Methods. The Asian Betel-Quid Consortium conducted a multistage sampling of 8922 representative participants from Taiwan, Mainland China, Malaysia, Indonesia, Nepal, and Sri Lanka. Participants received an interviewer-administered survey and were examined for oral mucosal disorders. Results. The prevalence of betel quid abuse was 0.8 to 46.3 across 6 Asian populations. The abuse frequency was over 40.5 for current chewers, with the highest proportion in Nepalese and Southeast Asian chewers (76.9?99.6). Tobacco-added betel quid conferred higher abuse rates (74.4?99.6) among Malaysian, Indonesian, and Sri Lankan men than did tobacco-free betel quid (21.8?89.1). Gender, lower education level, younger age at chewing initiation, and clustering of familial betel quid use significantly contributed to higher abuse rates. Indonesian betel quid abusers showed the highest prevalence of OPDs and had a greater risk of OPDs than did nonabusers. Conclusions. Betel quid abuse is high in regions of Asia where it is customarily practiced, and such abuse correlates highly with OPDs. By recognizing abuse-associated factors, health policies and preventive frameworks can be effectively constructed to combat these oral preneoplasms.
format Article
author Lee, Chien-Hung
Min-Shan Ko, Albert
Warnakulasuriya, S.
Ling, Tian-You
Sunarjo, .
Rajapakse, Palandage Sunethra
Zain, R.B.
Ibrahim, Salah Osman
Zhang, Shan-Shan
Wu, H.J.
Liu, Lin
Kuntoro, .
Utomo, B.
Warusavithana, S.A.
Razak, Ishak Abdul
Abdullah, Norlida
Shrestha, Prashanta
Shieh, Tien-Yu
Yen, Cheng-Fang
Ko, Ying-Chin
author_facet Lee, Chien-Hung
Min-Shan Ko, Albert
Warnakulasuriya, S.
Ling, Tian-You
Sunarjo, .
Rajapakse, Palandage Sunethra
Zain, R.B.
Ibrahim, Salah Osman
Zhang, Shan-Shan
Wu, H.J.
Liu, Lin
Kuntoro, .
Utomo, B.
Warusavithana, S.A.
Razak, Ishak Abdul
Abdullah, Norlida
Shrestha, Prashanta
Shieh, Tien-Yu
Yen, Cheng-Fang
Ko, Ying-Chin
author_sort Lee, Chien-Hung
title Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study
title_short Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study
title_full Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study
title_fullStr Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study
title_full_unstemmed Population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east Asia: an Asian betel-quid consortium study
title_sort population burden of betel quid abuse and its relation to oral premalignant disorders in south, southeast, and east asia: an asian betel-quid consortium study
publisher American Public Health Association
publishDate 2012
url http://eprints.um.edu.my/2605/1/Population_Burden_of_Betel_Quid_Abuse_and_Its_Relation_to_Oral_Premalignant_Disorders_in_South%2C_Southeas.pdf
http://eprints.um.edu.my/2605/
http://dx.doi.org/10.2105/AJPH.2011.300521
_version_ 1643686961539448832
score 13.211869

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