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Defining a global research and policy agenda for betel quid and areca nut

Mehrtash, Hedieh, Duncan, Kalina, Parascandola, Mark, David, Annette, Gritz, Ellen R, Gupta, Prakash C, Mehrotra, Ravi, Amer Nordin, Amer Siddiq, Pearlman, Paul C, Warnakulasuriya, Saman, Wen, Chi-Pang, Zain, Rosnah Binti, Trimble, Edward L·2017·The Lancet Oncology

DOI 10.1016/s1470-2045(17)30460-6

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Abstract

Betel quid and areca nut are known risk factors for many oral and oesophageal cancers, and their use is highly prevalent in the Asia-Pacific region. Additionally, betel quid and areca nut are associated with health effects on the cardiovascular, nervous, gastrointestinal, metabolic, respiratory, and reproductive systems. Unlike tobacco, for which the WHO Framework Convention on Tobacco Control provides evidence-based policies for reducing tobacco use, no global policy exists for the control of betel quid and areca nut use. Multidisciplinary research is needed to address this neglected global public health emergency and to mobilise efforts to control betel quid and areca nut use. In addition, future research is needed to advance our understanding of the basic biology, mechanisms, and epidemiology of betel quid and areca nut use, to advance possible prevention and cessation programmes for betel quid and areca nut users, and to design evidence-based screening and early diagnosis programmes to address the growing burden of cancers that are associated with use.

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Authors: Mehrtash, H., Duncan, K., Parascandola, M., David, A., Gritz, E. R., Gupta, P. C., Mehrotra, R., Amer Nordin, A. S., Pearlman, P. C., Warnakulasuriya, S., Wen, C.-P., Zain, R. B., & Trimble, E. L.
Affiliations: National Institutes of Health (US)
The University of Texas MD Anderson Cancer Center (US)
Healis Sekhsaria Institute For Public Health (IN)
National Institute of Cancer Prevention and Research (IN)
King's College London (GB)
National Health Research Institutes (TW)
University of Malaya (MY)
Corresponding author: Mehrtash, Hedieh
ORCID: Mehrtash, Hedieh
Duncan, Kalina
Parascandola, Mark
David, Annette
Gupta, Prakash C
Mehrotra, Ravi
Pearlman, Paul C
Warnakulasuriya, Saman
Zain, Rosnah Binti
Trimble, Edward L
Venue: The Lancet Oncology
Publisher: Elsevier BV
Published: 2017-12
Volume: 18
Issue: 12
Pages: e767-e775
ISSN: 1470-2045 (ISSN-L)
DOI: 10.1016/s1470-2045(17)30460-6
OpenAlex: W2773997905
Cited by: 221
References: 71
Citations by year: 2026: 20 · 2025: 27 · 2024: 22 · 2023: 27 · 2022: 43 · 2021: 22 · 2020: 39 · 2019: 13 · 2018: 7
FWCI: 2.26
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: The Lancet Oncology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Dentistry › General Dentistry › Oral Health Pathology and Treatment
Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Public Health Policies and Epidemiology
Keywords: betel quid, areca nut, oral cancer, esophageal cancer, oral submucous fibrosis, oral leukoplakia, oral cancer screening, early diagnosis, prevention programmes, health policy, Asia-Pacific region, tobacco control
MeSH terms: Areca, Asia, Esophageal Neoplasms, Female, Humans, Male, Mouth Neoplasms, Policy Making, Research Design, Smoking, Global Health, Practice Guidelines as Topic, Early Detection of Cancer

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Defining a global research and policy agenda for betel quid and areca nut

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