Prevalence and correlates of areca nut use among psychiatric patients in India

Prevalence and correlates of areca nut use among psychiatric patients in India
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DOI:
10.1016/s0376-8716(02)00329-0
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发表时间:
2003-04-01
影响因子:
4.2
通讯作者:
Jairam, KR
Jairam, KR
中科院分区:
医学2区
文献类型:
--
作者:
Chandra, PS;Carey, MP;Jairam, KR

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目的:评估在印度接受一种主要精神疾病治疗的男性和女性中槟榔使用的流行率并确定相关因素。方法:对988例印度国家精神卫生和神经科学研究所成人精神科住院患者进行访谈,了解槟榔、烟草、酒精和其他药物的使用情况。检查病历以获得精神病学诊断和病史。结果:约24%的样本报告最近使用槟榔,10%的报告严重使用表明依赖。常见的使用原因包括改善情绪(31%的使用者)、社交(31%)、消化(22%)或表现(7%)和减轻疼痛(6%)。目前槟榔使用的预测因素包括较少的教育,双相情感障碍的诊断,以及目前的烟草使用。严重使用的预测因素是年龄较大、女性、教育程度较低和目前的烟草使用情况。结论:槟榔的使用在印度精神病患者中很常见,值得进一步调查。(C)2002爱思唯尔科学爱尔兰有限公司。保留所有权利。
Objectives: To estimate the prevalence and identify the correlates of areca nut use among men and women being treated for a major psychiatric disorder in India. Methods: Inpatients (N = 988) admitted to the adult psychiatry department of the National Institute of Mental Health and Neuro Sciences in India were interviewed regarding their use of the areca nut, tobacco, alcohol, and other drugs. Medical records were reviewed to obtain psychiatric diagnosis and history. Results: About 24% of the sample reported recent areca nut use, and 10% reported severe use suggesting dependence. Common reasons for use include to improve mood (31% of users), socialization (31%), digestion (22%), or performance (7%) and to decrease aches and pains (6%). Predictors of current areca nut use included less education, diagnosis of bipolar disorder, and current tobacco use. Predictors of severe use were older age, female gender, less education, and current tobacco use. Conclusion: Areca nut use occurs commonly among Indian psychiatric patients, and deserves further investigation. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.