paan consumption impact on health

Implications of PAAN Consumption - A study of Varanasi (Lohatia)city

Presented by:Saurabh Kumar (43)Bimalendra Raj Pandey(15)

Facts regarding PAAN:

• The fresh leaves of betel vine are popularly known as Paan in India

• Paan in India a symbol of purity and prosperity•The extraction of essential oil from the surplus betel leaves, may be used as an industrial raw material for manufacturing medicines, perfumes, mouth fresheners, tonics, food additives etc.

•10% of world’s population consumes PAAN today.• Fourth most popular addiction in world.

• Varanasi is famous all over the world for its “banarasi PAAN”.

Implications of PAAN consumption• Acts as mouth freshener, aids digestion and prevents oral cavities.

• Immediate effect can cause sweating and facial warmth; skin temperature can rise upto 2degress on consumption.

• Increased rate of salivary and thirst.

• Scarring inside mouth which limits its opening.

•Recent studies show that beetel leaves are cancerous.

TYPES OF PAAN• Banarasi Paan: Widely acknowledged in parties, marriages and many occasions for its revitalizing taste and terrific flavor. Betel leaves grown in Banaras area.• Its a bit pale compared to other Paans. Less bitter in taste.

•Maghai Paan : Generally taken after a heavy and spicy lunch to kind of change the taste and for keep on chewing for a while.•Much greener and is with more intense betel taste

Research Methodology:•Primary research.

•Data collection through sampling

•Direct interviewing

•Geographical scope: Lohatia, Varanasi

•Sample size: 38

•NOTE: If PAAN consumption causes health problems such as ulcers, tooth decay etc. then its consumers will be suffering from these problems or show some symptoms of it.

Do you consume paan?

Yes: 36, No: 02

95%

5% DO YOU

Do you consume paan?YesNo

S. No. Years S. No. Years1. 6 17. 32. 4 18. 33. 3 19. 44. 5 20. 15. 5 21. 26. 5 22. 27. 6 23. 28. 7 24. 89. 1 25. 210. 10 26. 211. 10 27. 312. 4 28. 313. 6 29. 814. 1 30. 715. 5 31. 816. 7 32. 5 17 3 33 8 18 4 36 4

Mean : 4.0Median : 4.0Mode : 3.0Std. deviation : 3.0Variance : 9.0

How long you are consuming Paan:

How did you start consuming PAAN:All alone 10, with friends: 21with family 04, with colleague 01

28%

58%

11%3%

How Did

How did you start consum-ing paan?

All alone

With friends With familyWith col-leagues

Which type of paan do you consume? Tobacco paan 11, Supari paan 04,Sweet paan 21 Others 0

31%

11%58%

TYPE OF PAAN

Which type of paan do you consume?

Jarda/Tobacco paan

Supari paan Sweet paanOthers

How frequently do you consume paan? Once in a week 09, Once in a day 11 2-3 times in a day 08 More than 3 times 08

31%

22%22%

25%

Frequency of consumptions

How frequently do you consume paan? Once in a day2-3 times in a dayMore than 3 timesOnce in a week

How much money do you spend on paan consumption daily? Upto Rs. 20 19, Upto Rs. 20-40 09 Rs. 40-60 06 More than 60

02

53%

25%

17%6%

MONEY SPENT

Upto Rs. 20Rs. 20-40Rs. 40-60More than 60

Do you think consuming paan causes following:

0

5

10

15

20

You think con-suming paan causes the follow-ing? Strongly Agree (5)

You think con-suming paan causes the follow-ing? Agree (4)

You think con-suming paan causes the follow-ing? Neutral (3)

You think con-suming paan causes the follow-ing? Disagree (2)

You think con-suming paan causes the follow-ing? Strongly Dis-agree (1)

I consume paan because:

0

2

4

6

8

10

12

14Act as mouth freshner

Of company with friends

I feel restless without it

It is available in party oc-casion

Of its Taste

How do you feel after consuming Paan?

Strongly Agree

(5)

Agree (4)

Neutral (3)

Disagree (2)

Strongly Disagree

(1)

02468

1012141618

Refresh-ing

Dizziness

Unaf-fected

Itching due to lime

Cutting of lips

Do you suffer from any of the following problems?

Strongly Agree

(5)

Agree (4)

Neutral (3)

Disagree (2)

Strongly Disagree

(1)

0

2

4

6

8

10

12

Tooth problem

Consti-pation

Cough

Allergy

Mouth Ulcer

Do you consume following daily?

Milk Te

a

Alcoh

ol

Soft D

rink

Smok

ing

Gut

ka

Khain

i0%

10%20%30%40%50%60%70%80%90%

100%

You consume the following daily : No (0)

You consume the following daily : Yes (1)

Do you know that consuming tobacco causes cancer?Yes: 31, No 05

85%

15%

Do You Know

Yes (1)No (0)

Do you feel that advertisement against tobacco consumption will have any impact on its sale?Yes 13, No 23

36%

64%

Advertisement will reduce sale

Yes (1)No (0)

Have you ever thought of quitting paan consumption?Yes: 19, No: 17

53%47%

Thought of quitting Paan

Yes (1)No (0)

Do you know anyone who faced severe health problems due to paan consumption:Yes: 18 No: 18

50%50% Yes (1)No (0)

CONCLUSION• Almost all the respondents addicted to PAAN consumption and 50% consumers know one or other in society who faces severe health problem due to PAAN consumptions.

•Though majority of respondent knows that PAAN consumption causes cancer but still 47% consumers have never thought of quitting Paan.

•Majority still feels that advertisement against tobacco consumptions will not reduce the sale and this is pre-occupied thought by consumers.

CONCLUSION•More than half of consumers (58%) start consuming sweet PAAN with friends and spent up to 20 RS on daily basis.

•Existing health problem like Tooth Problem are strongly agreed, Cough and Constipation got neutral review where as Allergy and Mouth Ulcer problem were disagreed by consumers.

•Cutting Lips and acts as mouth fresheners were strongly agreed by consumers.

CONCLUSION•Sample size of survey = 38 •Some statistical values of duration of PAAN consumptions come out to be : •MEAN (Average duration of consumers consuming PAAN) : 4 yrs.•Median (Half of consumers consuming PAAN, since) : 4 yrs.•Mode (Maximum number of times/frequency of occurrence of year is) : 3 yrs.•Std. Deviation (How far values in data set deviates from Mean): 3yrs.So, Measure of Dispersion relative to Mean is low

SUGGESTIONS & RECOMENDATION

•Paan consumption is linked with the culture and lifestyle of Varanasi, So Paan should be rinsed in fresh water before eating, remove dust, soil, insects etc sticking on their surfaces.

•Paan should not be eaten more than 3-4 times a day. Sleeping with paan in mouth is strictly forbidden. Tobacco filled paan is also very harmful.

•Those who suffer from diseases of tooth or gum, TB, epilepsy must not eat paan.

SUGGESTIONS & RECOMENDATION

•Excessive eating of paan destroys the elasticity of the tissues of mouth as result difficulty is faced in eating, adversely affects teeth to the point of its decaying.

•Because of its few medicinal effects its sale as a medicinal herb without tobacco and areca nut should be promoted.

•Government should publish advertisements against chewing of paan and ban in public place, just like against cigarette and tobacco.

Consumers Responses on Health

Saransh Jain [AGE: 33] (8932057664): "It causes cuts and discolouring of teethes " Martandi Vikram Singh [AGE: 29] : "Mouth Cancer to his known one"

Itendra Chaubey [AGE: 31] (9795414141): "My Uncle due to Mouth Cancer"

Pritam nath [AGE: 38] (9044291951): " My aunt consume Paan daily, her teeth are decayed and she has to perform RCT "

REFERENCEShttp://www.hawaii.edu/hivandaids/Metabolic_Effects_of_Consumption_of_Areca_catechu.pdf

http://paanbasics.blogspot.in/

http://www.indiastudychannel.com/resources/143645-Betel-paan-its-origin-history-medicinal.aspx

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1867456/#R15