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Maternal and paternal contribution to intergenerational psychosocial transmission of paan chewing
Author(s) -
Madathil Sreenath A.,
Rousseau MarieClaude,
Allison Paul,
Netuveli Gopalakrishnan,
Humphris Gerald M.,
Varghese Ipe,
Shiraz Shameena,
Castonguay Genevieve,
Thekkepurakkal AkhilSoman,
Shahul Hameed P.,
Nicolau Belinda
Publication year - 2015
Publication title -
community dentistry and oral epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.061
H-Index - 101
eISSN - 1600-0528
pISSN - 0301-5661
DOI - 10.1111/cdoe.12153
Subject(s) - medicine , psychosocial , areca , odds ratio , demography , logistic regression , socioeconomic status , population , environmental health , psychiatry , structural engineering , sociology , nut , engineering
Abstract Objectives Paan chewing is a recognized risk factor for oral cancer in the Asian population. However, there is currently little evidence about the intergenerational psychosocial transmission of paan chewing in South Indian families. We investigated the association between parental and participant's paan chewing in a South Indian population. Methods A subset of data was drawn from a hospital‐based case–control study on oral cancer, the He NC e Life study, conducted at Government Dental and Medical Colleges of Kozhikode, South India. Analyses were based on 371 noncancer control participants having diseases unrelated to known risk factors for oral cancer. Demographics, behavioral habits (e.g., paan chewing, smoking), and indicators of socioeconomic position ( SEP ) of both participants and their parents were collected with the use of a questionnaire‐based interview and a life grid technique. Unconditional logistic regression assessed odds ratios ( OR ) and 95% confidence intervals (95% CI ) for the associations between parental and participant's paan chewing, adjusted for confounders. Results Over half of the participants were males (55.2%), and the mean age of participants was 59 ( SD = 12) years. After adjusting for age, religion, parents’ SEP , parents’ education, smoking and alcohol consumption, and perceived parenting behavior, we observed that maternal paan chewing and paternal paan chewing were significantly associated with the participant's paan chewing ([ OR = 2.40, 95% CI = 1.11–5.21] and [ OR = 3.05, 95% CI = 1.48–6.27], respectively). Conclusions Intergenerational psychosocial transmission of the habit of paan chewing could occur through shared sociocultural or environmental factors.