Residential Socioeconomic Environments and Areca Nut Use in Taiwan
A Comparison with Alcohol and Tobacco Use in Multilevel Analysis
Bibliographic Data
| ID | 21646110 |
|---|---|
| Authors | Yu Lung (0000-0003-2435-6725, National Taiwan University), Shu-Sen Chang (0000-0001-5012-1132, National Taiwan University), Cho-Yun Hsu (0000-0002-1402-6442, Wan Fang Hospital), Chia-Yueh Hsu (Psychiatric Research Center, Wan Fang Hospital, Taipei Medical University), Shang-Chi Wu (National Taiwan University), Shang‐Chi Wu (0000-0001-8309-7431, National Taiwan University), Chuan‐yu Chen (0000-0001-8937-1171, National Yang Ming Chiao Tung University), Chuan-Yu Chen (National Taiwan University), Wei J Chen (0000-0001-5899-5870, National Taiwan University, corresponding author) |
| Year | 2020 |
| Volume | 55 |
| Issue | 12 |
| Pages | 2025-2034 |
| Publication date | 2020-09-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Substance Use & Misuse (JOURNAL) |
| Journal identifiers | ISSN: 1082-6084 • E-ISSN: 1532-2491 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10826084.2020.1788089 |
| PMID | 32654584 |
| OpenAlex | W3042190147 |
| Language | EN |
| Citations received | 1 |
| References cited | 53 |
Background While the association between residential socioeconomic environments and the use of globally common substances such as alcohol and tobacco has been well documented in Western countries, it remains little known about regionally important substances, such as areca nut in Asia. Objective: This study was aimed to develop residential environmental indicators in the context of Taiwan and examine their associations with areca nut use, in comparison to alcohol and tobacco use. Methods: Data were drawn from 13,392 adults across 168 townships in the 2014 National Survey on Substance Use in Taiwan. Residential socioeconomic environment variables were derived from the census and analyzed using factor analysis. Multilevel logistic regression models were used to examine the association of individual- and residential-level factors with the use of areca nut (use/nonuse), alcohol (harmful use, low-risk use, or nonuse), and tobacco (nicotine dependence, regular active use, or nonuse). Results: A three-factor structure of socioeconomic environments derived from 16 residential-level variables consisted of Rural Disadvantage, Affluence, and Family Fragmentation. Multilevel analyses showed that areca nut use was associated with both individual-level (male sex, age group 35-44 years, being divorced/widowed/separated, low educational attainment, and the occupational group of labors) and residential-level (Rural Disadvantaged and Family Fragmented) variables; such a profile was most similar to that of nicotine dependence. Conclusions: A three-factor structure could be derived for the residential-level socioeconomic environments in the Taiwanese context. Rural Disadvantaged and Family Fragmented were associated with areca nut use, which have implications for interventions targeted at the community level
Areca · Disadvantaged · Economic growth · Environmental health · Geography · Logistic regression · Multilevel model · Nut · Population · Socioeconomic status · Sociology · Alcohol Consumption and Health Effects · Demography · Medicine · Oral Health Pathology and Treatment · Psychology · Smoking Behavior and Cessation · Gerontology
Multilevel Analysis
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Global epidemiology of areca nut usage
Alcohol use and burden for 195 countries and territories, 1990–2016
Smoking Prevalence and Cigarette Consumption in 187 Countries, 1980-2012
The Social Epidemiology of Substance Use
Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2016
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A brief conceptual tutorial of multilevel analysis in social epidemiology
An Examination of Alcohol Use Disorder Symptoms and Neighborhood Disorganization from Age 21 to 39
Neighborhood structural characteristics and mental disorder
When does neighbourhood matter? Multilevel relationships between neighbourhood social fragmentation and mental health
Gender differences in relationships between social capital and individual smoking and drinking behavior in Taiwan
From social integration to health
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Neighbourhood effects on health
The importance of social context
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| Unique citing works | 1 |
|---|---|
| Citations per year | 0,2 |
| Citation span | 2021 - 2021 (1) |
| Citation velocity | historical |
| Highly cited | No |