  {"id":151461,"date":"2021-11-08T11:08:14","date_gmt":"2021-11-08T21:08:14","guid":{"rendered":"https:\/\/www.hawaii.edu\/news\/?p=151461"},"modified":"2021-11-08T11:08:14","modified_gmt":"2021-11-08T21:08:14","slug":"guam-smoking-betel-nut-prevention","status":"publish","type":"post","link":"https:\/\/www.hawaii.edu\/news\/2021\/11\/08\/guam-smoking-betel-nut-prevention\/","title":{"rendered":"Cancer program aims to reduce smoking, betel nut use in Guam"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading time: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><figure id=\"attachment_123932\" aria-describedby=\"caption-attachment-123932\" style=\"width: 676px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/07\/manoa-communications-betel-nut-study.jpg\" alt=\"betel nut\" width=\"676\" height=\"381\" class=\"size-full wp-image-123932\" srcset=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/07\/manoa-communications-betel-nut-study.jpg 676w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/07\/manoa-communications-betel-nut-study-300x169.jpg 300w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/07\/manoa-communications-betel-nut-study-130x73.jpg 130w\" sizes=\"auto, (max-width: 676px) 100vw, 676px\" \/><figcaption id=\"caption-attachment-123932\" class=\"wp-caption-text\">Areca (betel) nut<\/figcaption><\/figure>\n<p>Adolescents in Guam have shown higher rates of tobacco products use compared to the general <abbr title=\"United States\">U.S.<\/abbr> population. In Guam, as in many parts of Southeast Asia and the Pacific, areca (betel) nut use has been a traditionally and culturally accepted practice among adults and youths. Studies have shown that individuals who use substances such as tobacco and areca nut are at a much higher risk for cancer than those who do not. <\/p>\n<p>To prevent tobacco and areca nut use and ultimately decrease cancer incidence in Guam, <a href=\"http:\/\/www.uhcancercenter.org\">University of <span aria-label=\"Hawaii\">Hawai&#699;i<\/span> Cancer Center researcher<\/a> <strong>Pallav Pokhrel<\/strong>, in collaboration with the University of Guam\u2019s Francis Dalisay, a former <abbr title=\"东精影业\">东精影业<\/abbr> M\u0101noa faculty member, received nearly $750,000 over a three-year period to lead a project that seeks to develop and test an effective tobacco, e-cigarette and areca nut use prevention program for implementation at public middle schools across Guam. <\/p>\n<p>&ldquo;This is the first time that a culturally-grounded tobacco and betel nut use prevention program is being developed for youths in the <abbr>U.S.<\/abbr>-Affiliated Pacific Islands,&rdquo; said Pokhrel. &ldquo;It\u2019s important to provide younger individuals with skills to resist various influences that promote tobacco, e-cigarette and betel nut use. Preventing or treating tobacco use during adolescence has the potential to significantly decrease cancer incidence and mortality on the island.&rdquo;<\/p>\n<p>The efficacy of the prevention program will be tested through a randomized controlled trial, where participants will be placed into one of two groups. The trial was recently registered with the National Cancer Institute, and investigators are now in the early phase of developing the program. They are conducting in-depth research with adolescents and adults in Guam, which will form the foundation of the culturally-grounded intervention. Once the randomized controlled trial is completed, the researchers will test whether the program can be disseminated and implemented across other U.S.-Affiliated Pacific Islands.<\/p>\n<p>&ldquo;If this study is successful, the project may be able to be used as a model for developing culturally-appropriate adolescent tobacco and areca nut prevention programs in the Pacific region,&rdquo; said Pokhrel. <\/p>\n<p>The study is funded by the Pacific Health Partnership for Cancer Health Equity (U54CA143727-11), and is one of several projects at the <abbr>东精影业<\/abbr> Cancer Center that are working through partnerships to reduce the burden of cancer in <span aria-label=\"Hawaii\">Hawai&#699;i<\/span> and the greater Pacific. As many areas throughout the Pacific experience a lack of medical care services, prevention and education are key to reducing cancer incidence and deaths. <\/p>\n<p>This research is an example of <abbr>东精影业<\/abbr> M\u0101noa\u2019s goal of <a href=\"https:\/\/manoa.hawaii.edu\/wp\/wp-content\/uploads\/2020\/12\/manoa-2025-strategic-plan.pdf#page=25\">Excellence in Research: Advancing the Research and Creative Work Enterprise<\/a> (<span class=\"small-text\"><abbr title=\"Portable Document Format\">PDF<\/abbr><\/span>), one of four goals identified in the <a href=\"https:\/\/manoa.hawaii.edu\/wp\/wp-content\/uploads\/2020\/12\/manoa-2025-strategic-plan.pdf\">2015&#8211;25 Strategic Plan<\/a> (<span class=\"small-text\"><abbr title=\"Portable Document Format\">PDF<\/abbr><\/span>), updated in December 2020. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>The study seeks to develop an effective tobacco, e-cigarette and areca nut use prevention program for implementation at public middle schools across Guam. <\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[218,1467,1363,169,9],"class_list":["post-151461","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research","tag-cancer","tag-manoa-excellence-in-research","tag-manoa-research","tag-uh-cancer-center","tag-uh-manoa","entry","has-media"],"aioseo_notices":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/151461","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/comments?post=151461"}],"version-history":[{"count":5,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/151461\/revisions"}],"predecessor-version":[{"id":151466,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/151461\/revisions\/151466"}],"wp:attachment":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/media?parent=151461"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/categories?post=151461"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/tags?post=151461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}