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Reasons for Initiation of Areca Nut and Related Products in Patients with Oral Submucous Fibrosis within an Endemic Area in Gujarat, India.
More, Chandramani B; Rao, Naman Rajeshkumar; More, Sucheta; Johnson, Newell W.
Affiliation
  • More CB; Department of Oral Medicine and Radiology, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Piparia, Vadodara, Gujarat, India.
  • Rao NR; Harvard Medical School, Boston, Massachusetts, USA.
  • More S; Brigham and Women's Hospital, Boston, Massachusetts, USA.
  • Johnson NW; Medical Oncology, Tata Memorial Hospital, Parel, Mumbai, India.
Subst Use Misuse ; 55(9): 1413-1421, 2020.
Article in En | MEDLINE | ID: mdl-32569538
ABSTRACT

Background:

While the patterns of consumption of areca nut and its by-products (ANBP) vary across South Asia and the rest of the world, all users share the probable severe outcome of oral submucous fibrosis (OSMF), and this is well reported. The role of psychosocial drivers of habit initiation and addiction is reported less.

Objective:

To reveal the burden of ANBP abuse, exploring the psychosocial relationship between sex, age at first exposure (AFE), the reason for initiation (RFI) with the type of habit (TOH).

Methodology:

Data came from the prospective hospital-based study conducted at K.M. Shah Dental College and Hospital covering years 2017 and 2018. Patients with oral lesions were assessed with complete history recording demographics, TOH, AFE, RFI, duration of habit, and clinical diagnosis of any oral and systemic diseases. Patients with a history of scleroderma, facial burns, and oral malignancy were excluded.

Results:

Of the 13,874 patients, 9.89% reported ANBP. We included 1000 OSMF patients. The mean age of the study cohort was 38.97 ± 14.29 years, with a range of 17-75 years. Males constituted the majority (80.1%). The most common TOH reported was regular use of gutkha (60.1%) followed by mawa (31.4%) with tension and stress (30.3%) being the most common RFI among the cohort. TOH was notably different in relation to AFE. Interestingly, mawa chewing (38.69%) was observed more in females. Importance This study reveals the burden of ANBP abuse and reports the complex psychosocial relationships between sex, AFE, and RFI with TOH in OSMF patients in this high incidence population.
Subject(s)
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Oral Submucous Fibrosis / Areca / Substance-Related Disorders Type of study: Observational_studies / Risk_factors_studies Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: En Journal: Subst Use Misuse Journal subject: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Year: 2020 Document type: Article Affiliation country: India Publication country: ENGLAND / ESCOCIA / GB / GREAT BRITAIN / INGLATERRA / REINO UNIDO / SCOTLAND / UK / UNITED KINGDOM

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Oral Submucous Fibrosis / Areca / Substance-Related Disorders Type of study: Observational_studies / Risk_factors_studies Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: En Journal: Subst Use Misuse Journal subject: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Year: 2020 Document type: Article Affiliation country: India Publication country: ENGLAND / ESCOCIA / GB / GREAT BRITAIN / INGLATERRA / REINO UNIDO / SCOTLAND / UK / UNITED KINGDOM