The betel quid dependence scale

Replication and extension in a guamanian sample

Thaddeus A. Herzog, Kelle L. Murphy, Melissa Little, Gil S. Suguitan, Pallav Pokhrel, Crissy T. Kawamoto

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background: Betel quid is the fourth most commonly consumed psychoactive substance in the world. The Betel Quid Dependence Scale (BQDS) is the first instrument designed specifically to measure betel quid dependence. The three factor structure of the BQDS consists of "physical and psychological urgent need," "increasing dose," and "maladaptive use." The BQDS initially was validated in a sample of male prisoner ex-chewers in Taiwan. Objective: To replicate and extend the original validation research on the BQDS in a sample of male and female current betel quid chewers in Guam. Methods: A survey containing the BQDS was administered to 300 current betel quid chewers in Guam. Participants were compensated for their time with a gift card worth $25. Results: Confirmatory factor analysis revealed an adequate fit with the hypothesized three-factor measurement model. ANOVAs and structural equations modeling revealed that betel quid dependence is associated with the inclusion of tobacco in the quid, number of chews per day, years of chewing, and education. Conclusions: The BQDS is valid for current English-speaking male and female chewers in Guam. Overall levels of betel quid dependence were high, and most chewers included tobacco in their betel quid. The results suggest that levels of dependence for betel quid are similar to those observed for nicotine dependence. Future research should explore other important psychological and behavioral aspects of betel quid chewing such as health risk perceptions and motivation to quit chewing.

Original languageEnglish (US)
Pages (from-to)154-160
Number of pages7
JournalDrug and Alcohol Dependence
Volume138
Issue number1
DOIs
StatePublished - May 1 2014

Fingerprint

Guam
Mastication
Tobacco
Psychology
Risk perception
Gift Giving
Tobacco Use Disorder
Prisoners
Health risks
Factor analysis
Analysis of variance (ANOVA)
Taiwan
Nicotine
Statistical Factor Analysis
Motivation
Analysis of Variance
Education
Health
Research

All Science Journal Classification (ASJC) codes

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

Cite this

Herzog, T. A., Murphy, K. L., Little, M., Suguitan, G. S., Pokhrel, P., & Kawamoto, C. T. (2014). The betel quid dependence scale: Replication and extension in a guamanian sample. Drug and Alcohol Dependence, 138(1), 154-160. https://doi.org/10.1016/j.drugalcdep.2014.02.022

The betel quid dependence scale : Replication and extension in a guamanian sample. / Herzog, Thaddeus A.; Murphy, Kelle L.; Little, Melissa; Suguitan, Gil S.; Pokhrel, Pallav; Kawamoto, Crissy T.

In: Drug and Alcohol Dependence, Vol. 138, No. 1, 01.05.2014, p. 154-160.

Research output: Contribution to journalArticle

Herzog, TA, Murphy, KL, Little, M, Suguitan, GS, Pokhrel, P & Kawamoto, CT 2014, 'The betel quid dependence scale: Replication and extension in a guamanian sample', Drug and Alcohol Dependence, vol. 138, no. 1, pp. 154-160. https://doi.org/10.1016/j.drugalcdep.2014.02.022
Herzog, Thaddeus A. ; Murphy, Kelle L. ; Little, Melissa ; Suguitan, Gil S. ; Pokhrel, Pallav ; Kawamoto, Crissy T. / The betel quid dependence scale : Replication and extension in a guamanian sample. In: Drug and Alcohol Dependence. 2014 ; Vol. 138, No. 1. pp. 154-160.
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