{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:33:55Z","timestamp":1787758435618,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Areca nut, initiated in adolescence, is considered a gateway for tobacco use and an important cause of oral cancers in India. This study examined differences in sociodemographic factors, attitudes and beliefs, and tobacco use between current (last 30 days) areca nut users and past users, who have ever used areca but not in the last 30 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>A cross-sectional survey with school students attending grades 7, 8, 9 provided data to compare differences in age, gender, beliefs, attitudes, and concurrent tobacco use among self-reported areca users. Of 1909 participants surveyed, 641 (33.57%) reported use of areca nut; of which 355 (55.38%) current users had consumed it in the last 30 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A logistic regression model revealed that male gender, using tobacco concurrently, inability to refuse a friend\u2019s request to use, and intention to use areca nuts in the next 12 months were significant predictors of current areca use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>More research is needed to understand adolescent areca-nut use, including different types of users such as experimenters and those with established habits. This will help design targeted areca-nut prevention and cessation programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijcm.ijcm_432_22","type":"journal-article","created":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T04:23:46Z","timestamp":1669955026000},"page":"183-186","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Sociodemographic Factors, Attitudes, and Tobacco use among Adolescent Areca-Nut Users in Mumbai, India"],"prefix":"10.4103","volume":"48","author":[{"given":"Himanshu A.","family":"Gupte","sequence":"first","affiliation":[{"name":"General Manager, Narotam Sekhsaria Foundation, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gauri","family":"Mandal","sequence":"additional","affiliation":[{"name":"Assistant Manager, Salaam Bombay Foundation, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilesh","family":"Chatterjee","sequence":"additional","affiliation":[{"name":"Advisor, Narotam Sekhsaria Foundation, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"e043987","DOI":"10.1136\/bmjopen-2020-043987","article-title":"Areca nut consumption with and without tobacco among the adult population:A nationally representative study from India","volume":"11","author":"Singh","year":"2021","journal-title":"BMJ Open"},{"key":"R3-20240828","first-page":"1","article-title":"Perspectives on areca nut with some global implications:Symposium report","volume":"3","author":"Gupta","year":"2018","journal-title":"Transl Res Oral Oncol"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1177\/1757913918785398","article-title":"Areca nut trade, globalisation and its health impact:Perspectives from India and South-east Asia","volume":"139","author":"Arora","year":"2019","journal-title":"Perspect Public Health"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"2022","DOI":"10.1093\/ntr\/ntaa015","article-title":"Why do adolescents initiate and continue using tobacco and areca nut?A qualitative study tracing pathways of use among school-going adolescents in Mumbai, India","volume":"22","author":"Gupte","year":"2020","journal-title":"Nicotine Tob Res"},{"key":"R6-20240828","first-page":"5075","article-title":"Factors associated with tobacco use in students attending local government schools in Mumbai, India","volume":"17","author":"Chatterjee","year":"2016","journal-title":"Asian Pac J Cancer Prev"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"155","DOI":"10.4103\/0976-237X.96817","article-title":"Prevalence of areca nut chewing in the middle school-going children of Indore, India","volume":"3","author":"Khandelwal","year":"2012","journal-title":"Contemp Clin Dent"},{"key":"R8-20240828","first-page":"283","article-title":"High prevalence of non-communicable disease risk factors among adolescents in Pohnpei, Micronesia","volume":"77","author":"Abraham","year":"2018","journal-title":"Hawaii J Med Public Health"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"1820","DOI":"10.1111\/odi.13467","article-title":"Social and behavioural determinants of areca nut consumption in adolescents","volume":"26","author":"Huang","year":"2020","journal-title":"Oral Dis"},{"key":"R10-20240828","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1038\/sj.bdj.4800909a","article-title":"Prevalence, age of onset and demographic relationships of different areca nut habits amongst children in Tower Hamlets, London","volume":"190","author":"Farrand","year":"2001","journal-title":"Br Dent J"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1186\/s12889-017-4916-1","article-title":"Individual, social and environmental determinants of smokeless tobacco and betel quid use amongst adolescents of Karachi:a school-based cross-sectional survey","volume":"17","author":"Hussain","year":"2017","journal-title":"BMC Public Health"},{"key":"R12-20240828","doi-asserted-by":"crossref","first-page":"1793","DOI":"10.1093\/ntr\/ntab067","article-title":"A qualitative study of perceptions and practices related to areca nut use among adolescents in Mumbai, India","volume":"23","author":"Chatterjee","year":"2021","journal-title":"Nicotine Tob Res"},{"key":"R13-20240828","doi-asserted-by":"crossref","first-page":"537","DOI":"10.31557\/APJCP.2022.23.2.537","article-title":"How do adolescents assess and rank the risk of areca nut use?Findings from a study in Mumbai, India","volume":"23","author":"Chatterjee","year":"2022","journal-title":"Asian Pac J Cancer Prev"},{"key":"R15-20240828","doi-asserted-by":"crossref","first-page":"i16","DOI":"10.1136\/tc.2004.008003","article-title":"Uncovering the relation between betel quid chewing and cigarette smoking in Taiwan","volume":"14","author":"Wen","year":"2005","journal-title":"Tob Control"},{"key":"R16-20240828","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/1054-139X(95)00111-5","article-title":"Adolescent health-threatening and health-enhancing behaviors:A study of word association and imagery","volume":"17","author":"Benthin","year":"1995","journal-title":"J Adolesc Health"},{"key":"R17-20240828","doi-asserted-by":"crossref","first-page":"2345","DOI":"10.1016\/j.addbeh.2007.02.001","article-title":"Social cognitive determinants of betel quid chewing among college students in southern Taiwan:A revised Attitudes\u2013Social Influence\u2013Efficacy Model","volume":"32","author":"Chang","year":"2007","journal-title":"Addict Behav"},{"key":"R18-20240828","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1207\/S15324796ABM2601_09","article-title":"Predictors of smoking initiation among college-bound high school students","volume":"1","author":"Choi","year":"2003","journal-title":"Ann Behav Med"},{"key":"R19-20240828","first-page":"75","volume":"12","year":"2008","journal-title":"Lyon, France"}],"container-title":["Indian Journal of Community Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijcm.ijcm_432_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:17:09Z","timestamp":1787757429000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijcm.ijcm_432_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,8]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ijcm.ijcm_432_22","relation":{},"ISSN":["0970-0218","1998-3581"],"issn-type":[{"value":"0970-0218","type":"print"},{"value":"1998-3581","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,8]]},"assertion":[{"value":"2022-05-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}