PREVALENCE AND FACTORS INFLUENCING BETEL NUT CHEWING AMONG ADULTS IN WEST INSEIN TOWNSHIP, YANGON, MYANMAR.

Betel nut chewing can cause precancerous oral lesions and is common in Myanmar. We conducted a cross sectional study aimed to estimate prevalence and factors influencing betel nut chewing among 420 subjects aged ≥18 years in West Insein Township, Yangon, Myanmar in order to inform preventive health programs. The mean age of the study subjects was 45(±15) years. The overall prevalence of current betel nut chewing among study subjects was 55.2%. The mean age starting betel nut chewing was 29(±13) years, and the mean duration of chewing was 15(±13) years. The reasons given by study subjects for chewing betel nut included the addictive effect to betel nut, to release tension, to get rid of boredom and to stop smoking. Sixty-two point three percent of current betel nut chewers also chewed tobacco and 24.2% also smoked cigarettes. Factors significantly associated with betel nut chewing were male gender, current alcohol consumer, having no education or finishing primary or secondary school, having a low score regarding their attitude about the health effects of betel nut chewing, and having high score on interpersonal factors by family and peer pressure. Our results show a need to better educate the public about the health effects of betel nut chewing among the study population.