Areca nut-abuse liability, dependence and public health
Areca nut-abuse liability, dependence and public health
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DOI：
10.1080/13556210120091509
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发表时间：
2002-01-01
影响因子：
3.4
通讯作者：
Winstock, A
中科院分区：
文献类型：
--
作者：
Winstock, A
定义依赖综合症可能会引起人们对迄今为止相对被忽视的公共卫生问题的关注。然而，它可能会羞辱物质的使用，特别是当西方诊断标准应用于基本上与培养物结合的物质时。然而，当某种物质的使用方式导致严重的人身伤害时，如果该物质的使用与显着的发病率和死亡率相关，那么是否存在依赖性并不比制定适当的反应更重要。槟榔就是这种情况，槟榔是世界上继烟草、酒精和咖啡因之后第四大最常用药物。在本文中，我将探讨其滥用和依赖责任方面的用途和特性，并考虑对公共健康的相关影响。
To define a dependence syndrome may convey attention upon a public health problems hitherto relatively ignored. It may, however, stigmatize substance use, especially when western diagnostic criteria are applied to essentially culture-bound substances. However, when the pattern of use of a substance results in significant personal harm, then whether dependence exists or not is less important than developing an appropriate response, if its use is associated with significant morbidity and mortality. Such is the case with areca nut, the fourth most commonly used drug in the world after tobacco, alcohol and caffeine. In this paper I will explore its use and properties with respect to its abuse and dependence liability and consider the associated implications for public health.