Sweetened areca-nut chewing habit: A public health issue among school children of Indore, India

Chewing of the areca-nut usually starts early in life leading to a multitude of problems in adulthood. The areca-nut can be correlated with an increased incidence of cancer. Like tobacco, chewing the areca-nut also leads to oral and oro-pharyngeal cancers. The areca-nut is usually marketed in the form of a sweetened areca-nut (locally known as sweet supari) to target young children. A high proportion of school children use areca-nut daily in some form. This study was conducted to determine the prevalence of sweetened areca-nut use and assess the awareness of health risks among school students of Indore, India. Till date none of the studies have pointed out the prevalence of sweetened areca use. Population based studies on the habit of areca-nut chewing among children from the district of Indore, Central India have not been reported earlier in the studies. In our study we found 81% of the children used the sweetened form of the areca-nut. Fifty five percent of areca-nut users reported that they learnt the habit from their friends or siblings. The majority of the users (70.4%) were unaware of the harmful effects of areca-nut use, and only a few were aware that it may cause cancer or oral submucous fibrosis. Government school children are more involved in areca-nut chewing habit. Boys were more indulged than girls. Actively communicating the areca-nut’s health risks to the public, and creating strategies involving parents, teachers and local communities could be initiated to discourage areca-nut use.