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Review of Inhalants - ARCHIVES - National Institute on Drug Abuse

Review of Inhalants - ARCHIVES - National Institute on Drug Abuse

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problems and sources <str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>fusi<strong>on</strong>. Many <str<strong>on</strong>g>of</str<strong>on</strong>g>’ the surveys c<strong>on</strong>ducted<br />

have focused <strong>on</strong> illicit drug abuse or with the additi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

alcohol and tobacco use, but have frequently omitted inhalant<br />

abuse or have restricted the questi<strong>on</strong>ing specifically to “glue<br />

sniffing.” As we have already indicated, however, glue sniffing<br />

is but <strong>on</strong>e form <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalant abuse, the actual range <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalants<br />

that may be utilized is very large. It includes such diverse<br />

substance:; as spray paints, spray shoe polish, gasoline, paint<br />

thinner, various other industrial solvents and many other products<br />

packed in aerosolized form. Thus, it is by no means certain<br />

that even the individual resp<strong>on</strong>ding to a questi<strong>on</strong>naire with every<br />

intent <str<strong>on</strong>g>of</str<strong>on</strong>g> being open will divine the intent <str<strong>on</strong>g>of</str<strong>on</strong>g> the questi<strong>on</strong>naire<br />

and report his or her inhalant use accurately<br />

There have been informal clinical reports <str<strong>on</strong>g>of</str<strong>on</strong>g> especially high incidence<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> inhalant abuse am<strong>on</strong>g younger minority group members,<br />

school dropouts, truants. and others who may not be adequately<br />

reached by the usual household survey or questi<strong>on</strong>naire administered<br />

in the school. Thus, nati<strong>on</strong>al or even more narrowly<br />

focused surveys may omit important abusing groups or underreport<br />

their actual level <str<strong>on</strong>g>of</str<strong>on</strong>g> abuse. Lower class, minority members<br />

are also probably less likely to seek medical attenti<strong>on</strong> for adverse<br />

reacti<strong>on</strong>s to inhalants or, if they do, their symptoms may not be<br />

c<strong>on</strong>nected with inhalant abuse. This may well explain the very<br />

small number <str<strong>on</strong>g>of</str<strong>on</strong>g> menti<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalants in the DAWN system, which<br />

is a nati<strong>on</strong>al drug abuse warning network to m<strong>on</strong>itor emergency<br />

rooms, drug abuse crisis centers, and other treatment facilities<br />

that deal with drug-related emergencies,<br />

Despite some limitati<strong>on</strong>s, the figures that are available c<strong>on</strong>cerning<br />

inhalant abuse do provide some useful informati<strong>on</strong>. In the United<br />

States, nati<strong>on</strong>wide drug abuse surveys based <strong>on</strong> household interviews<br />

with a stratified random sample <str<strong>on</strong>g>of</str<strong>on</strong>g> the populati<strong>on</strong> have been<br />

c<strong>on</strong>ducted since 1972. Unfortunately, the form in which the<br />

questi<strong>on</strong>s regarding inhalants were posed varied in each <str<strong>on</strong>g>of</str<strong>on</strong>g> the<br />

three surveys involved (1972. 1974, and 1975/76) The 1972<br />

survey asked about “glue or other things you breathe in.” In<br />

1974, it talked about “glue or some other inhalant," but by 1975/<br />

76, the questi<strong>on</strong>ing was c<strong>on</strong>siderably more explicit. It was then<br />

phrased “glue or some other substances that people inhale for<br />

kicks or to get high. Besides glue, there are things like gasoline,<br />

some aerosols, nitrous oxide, amyl nitrite which is also<br />

called 'poppers,' and other solvents.” Am<strong>on</strong>g youth from 12-17,<br />

the most recent 1975/76 survey found that slightly less than <strong>on</strong>e<br />

in twelve (8.1 percent) reported having used inhalants with less<br />

than <strong>on</strong>e percent (0.9 percent) reporting current use. Am<strong>on</strong>g<br />

those over eighteen, 3.4 percent report ever having used inhalants<br />

and <strong>on</strong>ly <strong>on</strong>e-half <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>on</strong>e percent report current use,<br />

defined as use within the m<strong>on</strong>th preceding the survey. When <strong>on</strong>e<br />

looks at the 18-25 group <str<strong>on</strong>g>of</str<strong>on</strong>g> young adults, generally the peak drug<br />

using age group, 9 percent <str<strong>on</strong>g>of</str<strong>on</strong>g> this group report having ever<br />

used with again <strong>on</strong>e half’ <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>on</strong>e percent reporting current use.<br />

18

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