青少年與檳榔

Adolescents and Betel Nuts

林安乙(An-Yi Lin) ； 黃育萱(Yu-Hsuan Huang) ； 吳岱穎(Tai-Yin Wu) ； 郭冠良(Kuan-Liang Kuo) ； 賴鴻毅(Hung-Yi Lai) ； 李孟澤(Meng-Tse Li)

《醫學與健康期刊》 9卷2期 (2020/07) Pp. 13-22

摘要

檳榔致口腔癌，為我國青壯年男性癌症發生率的第1名。民國2015到2017年間仍有數個縣市有國、高中生嚼檳率持續上升。此文目的在討論12至18歲青少年嚼檳榔現狀，分析原因及政策因應方向，希望及早扼止青少年嚼檳率上升趨勢。國內學者認為宮廟文化或職場工讀可能暴露於檳榔，因難以拒絕、好奇或缺乏檳榔的健康危害認知而開始食用。亦有吸菸者進階使用檳榔。我們發現青少年對檳榔正確認知率上升、想停止嚼檳榔原因以影響健康最多。政策上可以強調無檳職場及校內菸檳衛教。有食用者除了協助其戒除，亦應定期做口腔黏膜篩檢。

關鍵字

口腔癌 ； 青少年 ； 嚼檳榔 ； 無檳職場 ； 口腔癌篩檢

並列摘要

Betel nut chewing causes oral cancer, the leading cancer in adult men in Taiwan. From 2015 to 2017, betel nut chewing rate among adolescents aged from 12 to 18, rose consecutively in several counties and cities in Taiwan. This article discusses the current situation surrounding the chewing of betel nuts among adolescents, analyzes the reasons for the use of this substance and reviews the policies regarding its use with the aim, halting the rising trend in its use. Specialists suggest that adolescents may be exposed to betel nuts when participating in Taoism-related events or when working part-time in some workplaces. They may begin to use betel nuts because they are offered the substance from someone they find it difficult to refuse, they are curious, or they unaware of its health hazards. Some smokers feel compelled to go on betel nuts use. However, we also found that there was an increase in knowledge about the substance and its hazards among adolescents and an increase in number of adolescents who want to quit for health reason Therefore, health policy makers may want to focus on limiting the use of betel nut in workplaces and promote the inclusion of information regarding betel nut usage and hazards in health education programs in school. The chewers should receive regular oral cancer screening and be provided with assistance when they want to quit.

並列關鍵字

Oral cancer ； Adolescent ； Betel nut chewing ； Workplaces without betel nuts ； Oral cancer screening

參考文獻

衛生福利部國民健康署：驚！口腔癌每年奪走近3,000人性命國健署呼籲「及時戒菸檳」、「定期篩檢」、「有病早治療」。https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1405&pid=8943。引用5/13/2019。Health Promotion Administration, Ministry of Health and Welfare (MOHW): How scared is it! Oral cancer kills nearly 3,000 people per year, MOHW call for warning “Stop chewing betel nut in time”, “Regular screening”, and “Timely treatment”. Available at: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1405&pid=8943. Accessed May 13, 2019. [In Chinese]

陽光社會福利基金會。第十屆108年縣市口腔癌防治利調查結果公布。https://www.sunshine.org.tw/news/index/story20191203。引用12/20/2019。Sunshine Social Welfare Foundation. Results of the 10th County-City Oral Cancer Prevention and Control Survey Announced. https://www.sunshine.org.tw/news/index/story20191203. Accessed Dec 20, 2019. [In Chinese]

衛生福利部國民健康署：檳榔防制現況與分析及縣市別嚼檳率與檳榔致癌認知率。https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=595&pid=998。引用5/13/2019。Health Promotion Administration, Ministry of Health and Welfare: The current situation and analysis of betel nuts prevention including the rate of chewing betel nuts and awareness by county. Available at: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=595&pid=998. Accessed May 13, 2019. [In Chinese]

Lin CF, Shiau TJ, Ko YC, et al.: Prevalence and determinants of biochemical dysfunction of the liver in Atayal aboriginal community of Taiwan: Is betel nut chewing a risk factor? BMC Gastroenterol 2008;8:13.

Bleibel W, Saleem S: Betel chewing and nonalcoholic steatohepatitis. Cureus 2018;10:e2943.