Knowledge and Risk Perception of Betel Nut with Tobacco Chewing during Pregnancy and Breastfeeding among Women in Palau
Methods: We conducted a cross-sectional study among a convenience sample of women ages 18-45 years from July 11, 2014 - September 24, 2014 (N = 1,345) representing 40% of women in Palau. Women were recruited via radio and print announcements and in neighborhoods and workplaces. Interviews were in person. Descriptive statistics were performed only on Palauan respondents [ever and not ever pregnant] (n= 909).
Results/Outcomes: Among reproductive-age Palauan respondents who have ever been pregnant (N = 617), 69.4% used tobacco during their most recent pregnancy. Among those who breastfed, 71.3% used tobacco. Among respondents who used tobacco while pregnant or breastfeeding, the majority of tobacco use was betel nut with tobacco chewing (98.4% and 99.0%, respectively). Among all reproductive-age respondents, cigarette smoking was reported as more harmful than betel nut with tobacco chewing during pregnancy (97.1% and 73.5%, respectively). Similarly for breastfeeding, 94.3% reported cigarette smoking as very harmful, while 68.7% thought betel nut with tobacco chewing was harmful. Among all reproductive-age respondents who used betel nut with tobacco chewing during pregnancy and breastfeeding, the most commonly reported reasons for use were: addiction/habit (38.9%); stimulant effects (22.0%); and culture/family pressure (11.3%).
Conclusion: Chewing betel nut with tobacco during pregnancy and breastfeeding was highly prevalent among a convenience sample of ever pregnant Palauan women. The majority of all reproductive-aged respondents were aware that betel nut with tobacco chewing during pregnancy and breastfeeding is harmful, but reasons for use included nicotine dependence, stimulant effects, and cultural factors.
Learning Areas:Assessment of individual and community needs for health education
Diversity and culture
Describe knowledge and risk perception of betel nut with tobacco chewing during pregnancy and breastfeeding among women in Palau
Keyword(s): International MCH, Tobacco Use
Qualified on the content I am responsible for because: I am the Regional Epidemiologist for the USAPIs to include Palau. I previously worked as an epidemiologist in Palau, and worked to collect these data. In my current position, I am interested in reducing the burden of NCDs throughout the Pacific region.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.