@article{d17bd40d00c642f18988d8442b9458ee,
title = "Cultural Variations of Areca Nut Utilization and Its Availability in San Antonio, Texas",
abstract = "Unknown in the U.S., areca nut (AN) is the fourth most used psychoactive substance in the world and is associated with oral cancers. We investigated the availability of AN in San Antonio ethnic grocery stores and assessed AN practices in immigrant communities. Grocery stores were contacted to assess AN availability. A survey on AN knowledge and utilization were administered at four community sites with large immigrant populations. 13 of the 19 identified grocery stores carried AN. Most survey participants (n = 66) recognized AN. Most Southeast Asians and South Asians knew what AN is, knew someone who uses it, and knew where to buy it. Most South Asian participants knew its harmful effects. AN usage is associated with older age, male sex, and recent immigration. AN is widely available and utilized among immigrant populations in San Antonio. Further work is needed to raise AN awareness among healthcare workers.",
keywords = "Areca nut, Betel nut, Immigrant, South Asian, Southeast Asian",
author = "Phillip Yang and Aziz Saqr and Kim Lam and Zachary Harbin and Chatchawin Assanasen",
note = "Funding Information: This project was supported by the Center for Medical Humanities and Ethics, UT Health San Antonio School of Medicine, through the Community Service Learning Mini-Grant made possible by the Baptist Health Foundation of San Antonio. We would like to thank our community site partners for their close collaboration and support: Lien Hoa Buddhist Temple, Islamic Center of San Antonio, Center for Refugee Services, and India Association of San Antonio. Funding Information: This project was supported by the Center for Medical Humanities and Ethics, UT Health San Antonio School of Medicine, through the Community Service Learning Mini-Grant made possible by the Baptist Health Foundation of San Antonio. We would like to thank our community site partners for their close collaboration and support: Lien Hoa Buddhist Temple, Islamic Center of San Antonio, Center for Refugee Services, and India Association of San Antonio. Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",
year = "2021",
doi = "10.1007/s10903-021-01292-7",
language = "English (US)",
journal = "Journal of Immigrant and Minority Health",
issn = "1557-1912",
publisher = "Springer New York",
}