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Article
Socio-demographic correlates of betel, areca and smokeless tobacco use as a high risk behavior for head and neck cancers in a squatter settlement of Karachi, Pakistan
Substance Abuse Treatment, Prevention, and Policy
  • Samia Mazahir, Aga Khan University
  • Rabia Malik, Aga Khan University
  • Maria Maqsood, Aga Khan University
  • Kanwal AliRaza Merchant, Aga Khan University
  • Farida Malik, Aga Khan University
  • Atif Majeed, Aga Khan University
  • Zafar Fatmi, Aga Khan University
  • Muhammad Rizwanulhaq Khawaja, Aga Khan University
  • Shehzad Ghaffar, Aga Khan University
Publication Date
4-1-2006
Document Type
Article
Abstract
Background Head and neck cancers are a major cancer burden in Pakistan. They share a common risk factor profile including regular consumption of products of betel, areca and tobacco. Use of paan, chaalia, gutka, niswar and tumbaku is acceptable in Pakistan and is considered a normal cultural practice. This cross-sectional study was carried out to understand the relation of socio-demographic factors for the consumption of paan, chaalia, gutka, niswar and tumbaku in Pakistani population. Through systematic sampling, 425 subjects from a squatter settlement in Karachi were interviewed using a structured questionnaire. High risk behavior was defined as Daily use of any of the above products. Results Daily use of all the substances except chaalia was higher among males compared to females. Chaalia use was higher among adolescents than adults while non-married consumed both chaalia and gutka more than married. Mohajir ethnicity had higher prevalence of paan, gutka and tumbaku use while Pathans had higher prevalence of niswar use. Conclusion Prevalence of use of chewable products is high in Pakistan with particularly high use of certain substances related with socio-demographic profiles. Industrially prepared products, chaalia and gutka, are gaining popularity among youth. Policies and focused interventions can be developed taking into consideration the preferred use of products among different socio-demographic groups.
Creative Commons License
Creative Commons Attribution 3.0
Citation Information
Samia Mazahir, Rabia Malik, Maria Maqsood, Kanwal AliRaza Merchant, et al.. "Socio-demographic correlates of betel, areca and smokeless tobacco use as a high risk behavior for head and neck cancers in a squatter settlement of Karachi, Pakistan" Substance Abuse Treatment, Prevention, and Policy Vol. 1 Iss. 10 (2006)
Available at: http://works.bepress.com/zafar_fatmi/27/