{"id":"https://openalex.org/W185353091","doi":null,"title":"'Betelmania'. Betel quid chewing by Cambodian women in the United States and its potential health effects.","display_name":"'Betelmania'. Betel quid chewing by Cambodian women in the United States and its potential health effects.","publication_year":1994,"publication_date":"1994-04-01","ids":{"openalex":"https://openalex.org/W185353091","mag":"185353091","pmid":"https://pubmed.ncbi.nlm.nih.gov/8023480","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1022421"},"language":"en","primary_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1022421","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1022421","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1022421/pdf/westjmed00068-0032.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"West J Med","raw_type":"Text"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1022421/pdf/westjmed00068-0032.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083935827","display_name":"Sheila M. Pickwell","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S M Pickwell","raw_affiliation_strings":["Department of Family and Preventive Medicine, University of California, San Diego, School of Medicine, La Jolla 92093-0809"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family and Preventive Medicine, University of California, San Diego, School of Medicine, La Jolla 92093-0809","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020511678","display_name":"S Schimelpfening","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S Schimelpfening","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5020392082","display_name":"Lawrence A. Palinkas","orcid":"https://orcid.org/0000-0003-0974-7330","observed_orcids":["https://orcid.org/0000-0003-0974-7330"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L A Palinkas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.4776,"has_fulltext":true,"cited_by_count":68,"citation_normalized_percentile":{"value":0.62467581,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"160","issue":"4","first_page":"326","last_page":"30"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11452","display_name":"Oral Health Pathology and Treatment","score":0.32280001044273376,"subfield":{"id":"https://openalex.org/subfields/3506","display_name":"Periodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11452","display_name":"Oral Health Pathology and Treatment","score":0.32280001044273376,"subfield":{"id":"https://openalex.org/subfields/3506","display_name":"Periodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12194","display_name":"Cultural Competency in Health Care","score":0.19359999895095825,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10060","display_name":"Smoking Behavior and Cessation","score":0.10360000282526016,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/betel-nut-chewing","display_name":"betel quid chewing","score":0.9330000281333923},{"id":"https://openalex.org/keywords/areca-nut","display_name":"areca nut","score":0.9129999876022339},{"id":"https://openalex.org/keywords/oral-cancer","display_name":"oral cancer","score":0.699999988079071},{"id":"https://openalex.org/keywords/chemical-dependency","display_name":"chemical dependence","score":0.8019999861717224},{"id":"https://openalex.org/keywords/immigrant-health","display_name":"immigrant health","score":0.7570000290870667},{"id":"https://openalex.org/keywords/southeast-asian-migrants","display_name":"Southeast Asian immigrants","score":0.6349999904632568}],"concepts":[{"id":"https://openalex.org/C2777417228","wikidata":"https://www.wikidata.org/wiki/Q159532","display_name":"Betel","level":3,"score":0.7975233793258667},{"id":"https://openalex.org/C44670240","wikidata":"https://www.wikidata.org/wiki/Q1299714","display_name":"Habit","level":2,"score":0.5863627791404724},{"id":"https://openalex.org/C48856860","wikidata":"https://www.wikidata.org/wiki/Q12029","display_name":"Addiction","level":2,"score":0.5740373134613037},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5680781602859497},{"id":"https://openalex.org/C173145845","wikidata":"https://www.wikidata.org/wiki/Q131572","display_name":"Refugee","level":2,"score":0.5115410089492798},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4771501421928406},{"id":"https://openalex.org/C556039675","wikidata":"https://www.wikidata.org/wiki/Q771035","display_name":"Traditional medicine","level":1,"score":0.45064079761505127},{"id":"https://openalex.org/C70036468","wikidata":"https://www.wikidata.org/wiki/Q131288","display_name":"Immigration","level":2,"score":0.43275341391563416},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3571932315826416},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2832905054092407},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.2585661709308624},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1665775179862976},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.11946776509284973},{"id":"https://openalex.org/C206391251","wikidata":"https://www.wikidata.org/wiki/Q1186738","display_name":"Nut","level":2,"score":0.07839944958686829},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C66938386","wikidata":"https://www.wikidata.org/wiki/Q633538","display_name":"Structural engineering","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001114","descriptor_name":"Areca","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001114","descriptor_name":"Areca","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001114","descriptor_name":"Areca","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002160","descriptor_name":"Cambodia","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":false},{"descriptor_ui":"D002160","descriptor_name":"Cambodia","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":false},{"descriptor_ui":"D002160","descriptor_name":"Cambodia","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":false},{"descriptor_ui":"D003469","descriptor_name":"Culture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003469","descriptor_name":"Culture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003469","descriptor_name":"Culture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006262","descriptor_name":"Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006262","descriptor_name":"Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006262","descriptor_name":"Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008409","descriptor_name":"Mastication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008409","descriptor_name":"Mastication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008409","descriptor_name":"Mastication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009062","descriptor_name":"Mouth Neoplasms","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D009062","descriptor_name":"Mouth Neoplasms","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D009062","descriptor_name":"Mouth Neoplasms","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D010946","descriptor_name":"Plants, Medicinal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010946","descriptor_name":"Plants, Medicinal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010946","descriptor_name":"Plants, Medicinal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012306","descriptor_name":"Risk","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012306","descriptor_name":"Risk","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012306","descriptor_name":"Risk","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019966","descriptor_name":"Substance-Related Disorders","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019966","descriptor_name":"Substance-Related Disorders","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019966","descriptor_name":"Substance-Related Disorders","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"pmh:oai:pubmedcentral.nih.gov:1022421","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1022421","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1022421/pdf/westjmed00068-0032.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"West J Med","raw_type":"Text"},{"id":"pmh:oai:europepmc.org:196306","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1022421","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:8023480","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8023480","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Western journal of medicine","raw_type":"Journal Article"},{"id":"mag:185353091","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8023480","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1022421","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1022421","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1022421/pdf/westjmed00068-0032.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"West J Med","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9789000153541565,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.6600000262260437,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W185353091.pdf","grobid_xml":"https://content.openalex.org/works/W185353091.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W163411894","https://openalex.org/W1552688348","https://openalex.org/W1998682061","https://openalex.org/W2011712069","https://openalex.org/W2020967060","https://openalex.org/W2025090439","https://openalex.org/W2031156135","https://openalex.org/W2054963978","https://openalex.org/W2060660311","https://openalex.org/W2062327722","https://openalex.org/W2065116414","https://openalex.org/W2069749011","https://openalex.org/W2094285492","https://openalex.org/W2123848566","https://openalex.org/W2278038922","https://openalex.org/W2282659898","https://openalex.org/W2326846248","https://openalex.org/W2408404889","https://openalex.org/W2434457919","https://openalex.org/W2463754766"],"related_works":["https://openalex.org/W7098848776","https://openalex.org/W2416625438","https://openalex.org/W1834978381","https://openalex.org/W2913148014","https://openalex.org/W6884712518","https://openalex.org/W2037819093","https://openalex.org/W7036292165","https://openalex.org/W4302572155","https://openalex.org/W1834510200","https://openalex.org/W2023937863"],"abstract_inverted_index":{"Although":[0],"an":[1,61],"estimated":[2],"10%":[3],"to":[4,80,116],"25%":[5],"of":[6,50,54,73,91,98,108],"the":[7,19,48,51,55,92,96,102,106,111],"world's":[8],"population":[9],"chews":[10],"betel":[11,81,103],"quid,":[12],"this":[13,42],"practice":[14],"is":[15],"virtually":[16],"unknown":[17],"in":[18,110],"United":[20],"States.":[21],"Health":[22],"care":[23],"professionals":[24],"coming":[25],"into":[26],"contact":[27],"with":[28,47],"immigrants":[29],"and":[30,36,60,83,100,105,113],"refugees":[31],"from":[32],"India,":[33],"New":[34],"Guinea,":[35],"Southeast":[37],"Asia":[38],"will":[39],"increasingly":[40],"notice":[41],"habit.":[43],"Possible":[44],"hazards":[45],"associated":[46,85],"chewing":[49],"various":[52],"ingredients":[53],"quid":[56,104],"include":[57],"oral":[58],"cancer":[59],"addictive":[62],"potential":[63],"as":[64,66],"strong":[65],"for":[67],"cigarettes.":[68],"We":[69],"surveyed":[70],"a":[71],"group":[72],"Cambodian":[74],"refugee":[75],"women":[76],"who":[77],"are":[78],"addicted":[79],"nut":[82],"its":[84],"components.":[86],"Participant-directed":[87],"interviews":[88],"uncovered":[89],"some":[90],"cultural":[93],"meanings":[94],"surrounding":[95],"ritual":[97],"preparing":[99],"using":[101],"role":[107],"culture":[109],"beliefs":[112],"behaviors":[114],"related":[115],"chemical":[117],"addiction.":[118]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":10}],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2016-06-24T00:00:00"}
