Areca use among adolescents in Yap and Pohnpei, the Federated States of Micronesia

Peter Milgrom, Ohnmar K Tut, John Gilmatam, Marcelle Gallen, Donald L Chi, Peter Milgrom, Ohnmar K Tut, John Gilmatam, Marcelle Gallen, Donald L Chi

Abstract

Objective: Areca (Betel Nut) is the fourth most commonly used psychoactive drug throughout the world and is legal in U.S. It is carcinogenic. Within a health program in the Federated States of Micronesia we surveyed use among adolescents.

Methods: One hundred 7th and 8th graders in Yap and Pohnpei were surveyed and clinical oral examinations conducted. The questionnaire included items on Areca: age first used Areca, whether peers or family members used Areca, frequency of use, whether tobacco was used, and source of Areca. Questions also assessed anxiety and depression. Two scales assessed getting along with other kids and adaptation to school.

Results: 61.5-71.4% of adolescents had ever used Areca and 54.7-68.6% used it at least once in the last month.

Conclusion: Most adolescents surveyed in Yap and Pohnpei used Areca, which may place these youth at increased risk for cancer and health disparities.

References

    1. Mirza SS, Shafique K, Vart P, Arain MI. Areca nut chewing and dependency syndrome: is the dependence comparable to smoking? A cross sectional study. Subst Abuse Treat Prev Policy. 2011;6 doi: 10.1186/1747-597X-6-23.
    1. Trivedy CR, Craig G, Warnakulasuriya S. The oral health consequences of chewing areca nut. Addict Biol. 2002;7:115–125. doi: 10.1080/13556210120091482.
    1. Osborne PG, Chou T-S, Shen T-W. Characterization of the psychological, physiological and EEG profile of acute betel quid intoxication in naive subjects. PLosS ONE. 2011;6:e23874. doi: 10.1371/journal.pone.0023874.
    1. Winstock AR, Trivedy CR, Warnakulasuriya KA, Peters TJ. A dependency syndrome related to areca nut use: some medical and psychological aspects among areca nut users in the Gujarat community in the UK. Addict Biol. 2000;1:173–179.
    1. Winstock A. Areca nut-abuse liability, dependence and public health. Addict Biol. 2002;7:133–138. doi: 10.1080/13556210120091509.
    1. Paulino YC. Describing and measuring variability of Areca catechu (betel nut) chewing in Micronesian populations in Guam. 2012. (Unpublished doctoral thesis, 2009. Accessed through ProQuest Dissertations and Theses).
    1. Oakley E, Demaine L, Warnakulasuriya S. Areca (betel) nut chewing habit among high-school children in the Commonwealth of the Northern Mariana Islands (Micronesia) Bull World Health Organ. 2005;83:656–660.
    1. Hosey G, Ichiho H, Satterfield D, Dankwa Mullan I, Kuartei S, Rhee K, Belyeu Camacho T, DeBrum I, Demei Y, Lippwe K, Luces PS, Roby F. Chronic disease surveillance systems with the US Associated Pacific Island Jurisdictions. Prev Chronic Dis. 2011;8(4):A86.
    1. WHO. Review of areca (betel) nut and tobacco use in the Pacific: a technical report. 2012. (World Health Organization Regional Office for the Western Pacific).
    1. University of Hawaii, Palau Youth Tobacco Fact Sheet. University of Hawaii, Palau Youth Tobacco Fact Sheet. 2012. URL: .
    1. Hawaii Health Data Warehouse. Betelnut use by school type, state, gender, grade level, DOH race-ethnicity for the year(s) 2009, 2011. 2012. .
    1. Sutherland I, Shepherd JP. Social dimensions of adolescent substance use. Addiction. 2001;96(3):445–458. doi: 10.1046/j.1360-0443.2001.9634458.x.
    1. Becker SJ, Curry JF, Yang C. Longitudinal association between frequency of substance use and quality of life among adolescents receiving a brief outpatient intervention. Psychol Addict Behav. 2009;23(3):482–490.
    1. Farrand P, Rowe R. Areca nut use amongst schoolchildren in Tower Hamlets, London: the extent to which the habit is engaged in within the family and used to suppress hunger. Comm Dent Health. 2006;23:58–60.
    1. Williams S, Malik A, Chowdhury S, Chauhan S. Sociocultural aspects of areca nut use. Addict Biol. 2002;7(1):147–154. doi: 10.1080/135562101200100147.
    1. Wang YC, Lee CM, Lew-Ting CY, Hsiao CK, Chen DR, Chen WJ. Survey of substance use among high school students in Taipei: web-based questionnaire versus paper-and-pencil questionnaire. J Adolesc Health. 2005;37:289–295. doi: 10.1016/j.jadohealth.2005.03.017.
    1. Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the Pediatric Quality of LIfe Inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001;39:800–812. doi: 10.1097/00005650-200108000-00006.
    1. Bhat SJ, Blank MD, Balster RL, Nichter M, Nichter M. Areca nut dependence among chewers in a South Indian community who do not also use tobacco. Addiction. 2010;105:1303–1310. doi: 10.1111/j.1360-0443.2010.02952.x.
    1. Hatsukami DK, Severson HH. Oral spit tobacco: addiction, prevention, and treatment. Nicotine Tob Res. 1999;1:21–44. doi: 10.1080/14622299050011131.
    1. Ennett ST, Faris R, Hipp J, Foshee VA, Bauman KE, Hussong A, Cai L. Peer smoking, other peer attributes, and adolescent cigarette smoking: a social network analysis. Prev Sci. 2008;9:88–98. doi: 10.1007/s11121-008-0087-8.

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