A population-based survey was designed to investigate the prevalence of are
ca/betel quid chewing, oral submucous fibrosis and leukoplakia in a typical
aboriginal community of southern Taiwan. Three hundred and twelve people 2
0 years of age or older were collected in the study. The prevalence of chew
ing areca/betel quid was 69.5%, with an average of 17.3 portions a day for
an average 24.4 years. More women (78.7%) than men (60.6%) chewed areca/bet
el quid. The prevalences of oral submucous fibrosis and leukoplakia were 17
.6% and 24.4%, respectively. It was found that the odds ratio for chewing a
reca/betel quid and having at least one of the above oral mucosal lesions w
as 8.21, Any additional smoking or drinking habits were not significant for
having oral mucosal lesions. Although the areca/betel quid in Taiwan does
not contain any tobacco, a significant association was still identified bet
ween areca/betel quid chewing and oral mucosal lesions.