[3] It is widespread in cultivation and is considered naturalized in Malaysia, Indonesia, New Guinea, Taiwan, Madagascar, Cambodia, Laos, Myanmar, Thailand, Vietnam, southern China (Guangxi, Hainan, Yunnan), India, Nepal, Bangladesh, the Maldives, Sri Lanka, parts of the Pacific Islands, and also in the West Indies.
[2] Areca catechu is a medium-sized palm tree, growing straight to 20 m (66 ft) tall, with a trunk 10–15 cm (4–6 in) in diameter.
[8][9] Chewing areca nut is a cause of oral submucous fibrosis, a premalignant lesion which frequently progresses to mouth cancer.
It was also previously present in the Lapita culture, based on archaeological remains dated from 3,600 to 2,500 BP, but it was not carried into Polynesia.
[citation needed] In India, the dried fallen leaves are collected and hot-pressed into disposable palm leaf plates and bowls.
[12] In Indonesia and Malaysia there are numerous place names using the words pinang, jambi or jambe (areca in Javanese, Sundanese, Balinese, and Old Malay).