Areca quid chewing by Taiwanese adolescents: Application of the Attitudes Social Influence Self-efficacy (ASE) model

Shih Ming Li, S. Rwei Ling Yu, Hsing Chia Hu, Jehn Shyun Huang

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16 Citations (Scopus)


Aims: To investigate the factors associated with areca quid-chewing behaviour using the Attitudes-Social influence-Self-efficacy (ASE) model as a theoretical framework. Design: Cross-sectional survey. Setting and participants: A total of 400 students from a junior high school participated in the study in 2001 in Chia-Yi city (Taiwan). Measurements: Expectancy scales (for the attitude component of the ASE), a self-efficacy scale (for the self-efficacy component of the ASE) and a social norm scale (for the social influence component of the ASE) were utilized. These measures displayed good reliability and validity. Findings: Forty-seven students (11.75%) reported that they had tried chewing areca quid previously, eight of them practicing chewing it every day. Positive and negative expectancy (r = 0.43, r = 0.20), self- efficacy (r = -0.65), and subject social norm (r = 0.53) were significantly correlated with participants' intentions to chew areca quid. In a regression model, self-efficacy (β = -0.46, P < 0.001), social norm (β = 0.22, P < 0.001), positive expectancy (β = 0.18, P < 0.001) and negative expectancy (β = -0.08, P = 0.040) all made independent contributions to predicting intentions to chew and explained 46.8% of the variance in areca quid-chewing behaviour. Conclusions: Areca quid chewing appeared to be linked to positive expectancy and social norms pertaining to areca quid chewing associated with adolescents. However, high negative expectancy and high self-efficacy encouraged contrary behaviour. The application of the ASE model as the scenario could improve our understanding of the intention of the areca quid chewing among these adolescents.

Original languageEnglish
Pages (from-to)1723-1729
Number of pages7
Issue number12
Publication statusPublished - 2003 Dec

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Psychiatry and Mental health


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