| Summary: | 碩士 === 高雄醫學大學 === 口腔衛生科學碩士在職專班 === 92 === Background
Because of its unique cultural background, we consider Taitung County as the most typical area, where serious betel quid abuses were found, for us to do research and took samples. Nowadays, among the aboriginal tribes in Taitung, people are facing mental, physical, social family and career problems caused by betel quid, alcohol and nicotine abuses. Researches about the effects of chewing betel quid were mostly talking about the epidemiology、morbific stratovision、genetic determinant and cytopathic pre-cancer of oral cancer, however, they seldom showed the caries disease easily found on betel quid abusers.
Purposes
The main purpose of this research aimed at the abusing situation between aborigine and non-aborigine citizens of Taitung; secondly, the condition of drinking and smoking habits of the betel quid abusers, and the possible causes of oral diseases among the aborigine and non-aborigine betel quid abusers of Taitung.
Methods
172 residents, including 92 aborigines (54.07%) and non-aborigines (45.93%), 49% male and 51% female, older than 18, were the objects of our research. We applied the MS Access to set up files and JMP to analyze the information.
Results
We found that 67% of betel quid abusers were above 50 years old, 49% were non-educated, they had started chewing mostly before 20 years old, and kept this habit for more than 20 years. 38.46% of aborigines had the habits of chewing betel quid and smoking, 48.15% with drinking habit; 47.62% betel quid abusers had the habit of smoking and 28.57% abusers had drinking habit.
According to the research of the substance abuse module, we found that the age of the abusers was decreased, but the number of people was rising up. we also noticed that the CPI and oral health index had positive correlation with the habit of chewing betel quid . The CPI and LOA of the abusers were increasing, depending on the state of chewing. According to the higher rate of caries filling of non-abusers, we found that the habit of oral health of the abusers was getting worse.
Conclusion
To sum up, the rate of drinking, smoking and betel quid abusing of aborigines is higher than that of the non-aborigines; and the index of oral health of the non-aborigines is higher than aborigines; therefore, In order to promote the betel quid abuse, we should enhance the resident area of the aborigines on advertising the harm of betel quid abuse, and teach them the ways of getting rid of it.
Key word：Aboriginal，non- aboriginal，betel abuse，dental disease
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