Abstract:
BACKGROUND:Betel quid (BQ) is one of the fourth most commonly used substance globally. Though BQ is a psycho-active substance, yet little has been explored regarding dependency on it particularly among adolescents. OBJECTIVES:Therefore, in this study, we aimed to determine adolescents' dependency on BQ, along with their intrapersonal, interpersonal and environmental determinants of dependency. METHODS:This cross-sectional study focused on 2200 school-going adolescents of Karachi, Pakistan in 2016. Primary outcome was dependency on BQ among adolescents. Both univariate and multivariate regressions were used to estimate crude and adjusted odds ratios (after adjustments for all intrapersonal, interpersonal, and environmental factors) with 95% confidence level. RESULTS:Out of 2200 students, 874 (39.7%) were found to be BQ users amongst whom 69 (7.9%) were dependent on BQ. Comparing the groups with only areca nut users as reference category, betel quid with tobacco additives chewers were considerably dependent (OR = 14.08, 95% CI 3.64-54.16). The individuals who chewed >5 chews per day (OR = 1.87, 95% CI 1.08-3.29) and chronic users (>1year) (OR = 2.02, 95% CI 1.09-3.74) were more likely to be dependent. Older students (>12 years) (OR = 2.12, 95% CI 1.06-4.23), and who studied in government schools were significantly dependent (OR = 3.32, 95% CI 1.80-6.10) than those who studied in private schools. CONCLUSIONS:In conclusion, intrapersonal characteristics like more than 5 chews per day, chronic chewers of more than a year, BQ with tobacco chewers, older adolescents and children studying in government schools were significantly associated with BQ dependency.
journal_name
Subst Use Misusejournal_title
Substance use & misuseauthors
Hussain A,Zaheer S,Shafique Kdoi
10.1080/10826084.2018.1447964subject
Has Abstractpub_date
2018-10-15 00:00:00pages
1958-1964issue
12eissn
1082-6084issn
1532-2491journal_volume
53pub_type
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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doi:10.1080/10826084.2017.1281308
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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abstract::Background: Along with alcohol, cannabis is one of the most commonly used substances among women of childbearing age. Recent studies indicate detrimental effects of prenatal cannabis use. Because many women use these substances before realizing they are pregnant, these serious health consequences for women and their o...
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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