Alcohol, betel-nut and cigarette consumption are negatively associated with health promoting behaviors in Taiwan: A cross-sectional study
1 College of Nursing, Chang Gung University of Science and Technology (CGUST); Director of the Chronic Diseases and Health Promotion Research Center, CGUST, Chang Gung, Taiwan
2 Chang Gung Memorial Hospital, Yunlin, Taiwan
3 Division of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, Yunlin, Taiwan
4 Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Yunlin, Taiwan
5 College of Nursing & the Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, No. 2, Chia-pu Rd. West Sec, Putz City, Chiayi County 61363, R.O.C. Taiwan
BMC Public Health 2013, 13:257 doi:10.1186/1471-2458-13-257Published: 21 March 2013
Oral cancer is the 2nd most common cause of death due to cancer in the south-western coastal region of Taiwan; the standardized mortality of oral cancer is higher than elsewhere in the world. According to the evidence, alcohol, betel-nut and cigarette (ABC) consumption cause oral, nasopharyngeal and related cancers. This study describes the relationships between ABC consumers and health promoting behaviors among community adults living around an area with a high prevalence of oral cancer.
A population-based, cross-sectional study design was conducted in oral cancer epidemic areas in south-western coastal Taiwan in 2010, 6,203 community residents over 20 years of age participated. Demographic data, ABC habits, and health-promoting behaviors were explored. A logistic regression analyses were used to identify factors associated with ABC consumers.
A high percentage of participants consumed alcohol, betel-nut and cigarettes. Betel-nut and cigarette consumers took low levels of exercise, adopted a poor diet, and had poor oral hygiene. After adjusting for potential confounders, the logistic regression model indicated that middle aged males of poor education and low economic status, who did not exercise regularly and had poor oral hygiene, were more likely to chew betel quid and smoke cigarettes.
It has identified that BC consumers are negatively associated with health promoting behaviors. Further research is required to understand the reasons why the subjects consume ABC, and explore ways to prevent initiation and enhance cessation of ABC habits in this population.