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Because<jats:styled-content style=\"fixed-case\">BQ<\/jats:styled-content>chewing has become a severe health risk in Taiwan, the development of prevention and cessation programmes is essential. The purpose of this study was to explore the attitudes and perceptions associated with<jats:styled-content style=\"fixed-case\">BQ<\/jats:styled-content>consumption and its oral health implications in an attempt to inform the development of health promotion initiatives and<jats:styled-content style=\"fixed-case\">BQ<\/jats:styled-content>cessation efforts in Taiwan, where the dental profession could have a pivotal role in preventing and controlling<jats:styled-content style=\"fixed-case\">BQ<\/jats:styled-content>use among persons at risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This qualitative study used data gathered from focus groups and individual interviews. A convenience sample of 41 adults from Jhushan and Lugu Townships (Nantou County) and Taichung City, Taiwan, participated in this study (27 men, 14 women; 31 Han, 10 aboriginals from the Paiwan tribe; mean age 40.3,<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>9.2\u00a0years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the seven themes that emerged from the original study, five (Initiation, Health Risk Perception, Health Consequences, Withdrawal Symptoms and Help from Healthcare Providers) had oral\/dental implications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study highlights research areas relevant to further investigation, such as incorporating brief<jats:styled-content style=\"fixed-case\">BQ<\/jats:styled-content>prevention and cessation counselling when early oral and dental signs associated with<jats:styled-content style=\"fixed-case\">BQ<\/jats:styled-content>consumption are detected. Undertaking behavioural interventions in dental settings might help to reduce the prevalence of<jats:styled-content style=\"fixed-case\">BQ<\/jats:styled-content>chewing in Taiwan.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12422","type":"journal-article","created":{"date-parts":[[2018,9,21]],"date-time":"2018-09-21T20:15:36Z","timestamp":1537560936000},"page":"58-64","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["A qualitative study of attitudes to and perceptions of betel quid consumption and its oral health implications in Taiwan"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1404-8641","authenticated-orcid":false,"given":"Irene","family":"Tam\u00ed\u2010Maury","sequence":"first","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei\u2010Fen","family":"Ma","sequence":"additional","affiliation":[{"name":"China Medical University Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mi\u2010Ting","family":"Lin","sequence":"additional","affiliation":[{"name":"Ming Chuan University Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng\u2010Chieh","family":"Lin","sequence":"additional","affiliation":[{"name":"China Medical University Taichung Taiwan"},{"name":"China Medical University Hospital Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010Hsiu","family":"Tsai","sequence":"additional","affiliation":[{"name":"China Medical University Taichung Taiwan"},{"name":"China Medical University Hospital Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia\u2010Ing","family":"Li","sequence":"additional","affiliation":[{"name":"China Medical University Hospital Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsai\u2010Chung","family":"Li","sequence":"additional","affiliation":[{"name":"China Medical University Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosetta","family":"Krukrubo","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen R.","family":"Gritz","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-8-199"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.12530"},{"issue":"4","key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.47102\/annals-acadmedsg.V33N4p31S","article-title":"Epidemiology of betel quid usage","volume":"33","author":"Gupta P","year":"2004","journal-title":"Ann Acad Med Singapore"},{"key":"e_1_2_6_5_1","first-page":"1","article-title":"IARC Working Group on the Evaluation of Carcinogenic Risks to Humans Betel\u2010quid and areca\u2010nut chewing and some areca\u2010nut\u2010derived nitrosamines","volume":"85","author":"International Agency for Research on Cancer (IARC)","year":"2004","journal-title":"IARC Monogr Eval Carcinog Risk Hum"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/mutage\/geh036"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2006.05.001"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0714.1995.tb01132.x"},{"key":"e_1_2_6_9_1","unstructured":"Ministry of Health and Welfare.Cancer registry annual report 2011. 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