Betel nut nymphs are not an entirely new phenomenon. With stiff competition in the betel nut retail market, the employment of nubile young women to sell betel nuts attracts crowds of male betel nut chewers, of which truckers account for a large component. Due to their skimpy attire, these girls are often associated with the sex trade.
檳榔西施由來已久，肇因於檳榔零售市場的競爭，雇請年輕、身材火辣的女性販賣檳榔，確實讓以運輸業為主要消費群的男性檳榔族趨之若鶩，且由於工作的穿著清涼，常被與色情業相提並論。