Epidemiology of Inhalant Abuse - Archives - National Institute on ...
Epidemiology of Inhalant Abuse - Archives - National Institute on ...
Epidemiology of Inhalant Abuse - Archives - National Institute on ...
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envir<strong>on</strong>ments. Males range in age from 8 to 30 years, with an average<br />
age <str<strong>on</strong>g>of</str<strong>on</strong>g> 22.7 years, females range in age from 15 to 28 years, with an<br />
average age <str<strong>on</strong>g>of</str<strong>on</strong>g> 22.4 years (figure 7). They first tried inhalants<br />
betweenages 8 and 12 years. Only 10 percent received c<strong>on</strong>tinuous<br />
treatment. Eighty percent <str<strong>on</strong>g>of</str<strong>on</strong>g> registered clients were gypsies. In the<br />
previous regime, it was strictly forbidden to ask about ethnicity or<br />
religi<strong>on</strong>.<br />
More research is needed <strong>on</strong> the circumstances and c<strong>on</strong>diti<strong>on</strong>s that put <strong>on</strong>e<br />
populati<strong>on</strong> at more risk than another and what cultural norms and values<br />
are related to drug abuse.<br />
CSONGRAD COUNTY, SZEGED CITY<br />
Cs<strong>on</strong>grad County is c<strong>on</strong>sidered the most vulnerable area for drug<br />
abuse in the county. This is because the regi<strong>on</strong> neighbors the former<br />
Yugoslavia, resulting in heavy drug traffic entering the country, exposure<br />
to a cultural heritage that impacts patterns <str<strong>on</strong>g>of</str<strong>on</strong>g> alcoholism, and a high<br />
suicide rate. As a result, there has been a sharply increasing trend <str<strong>on</strong>g>of</str<strong>on</strong>g> drug<br />
abuse. This regi<strong>on</strong> pi<strong>on</strong>eered efforts in treating drug addicts and drew<br />
nati<strong>on</strong>al attenti<strong>on</strong> to the issue. The founder <str<strong>on</strong>g>of</str<strong>on</strong>g> the drug outpatient clinic<br />
and former director <str<strong>on</strong>g>of</str<strong>on</strong>g> the Mental Health Center for Adolescents in this<br />
area, Dr. Teresia Farkasinszky, was the first in the country to collect data<br />
<strong>on</strong> the drug-abusing populati<strong>on</strong> and to emphasize the need for a detecti<strong>on</strong><br />
and treatment system in the city <str<strong>on</strong>g>of</str<strong>on</strong>g> Szeged. She published widely <strong>on</strong> glue<br />
sniffing in 1976. She found that, out <str<strong>on</strong>g>of</str<strong>on</strong>g> 50 glue-sniffing subjects, 88<br />
percent were under age 14, 82 percent were males, 36 percent came from<br />
broken homes, and 46 percent came from dysfuncti<strong>on</strong>al families<br />
(Farkasinszky 1976). Tracking the trend <str<strong>on</strong>g>of</str<strong>on</strong>g> abused drugs, she noted the<br />
dramatic change in drug abuse patterns from inhalant abuse to the abuse<br />
<str<strong>on</strong>g>of</str<strong>on</strong>g> opiates and other drugs in the mid-1980s (figure 8). Later she reported<br />
the data she collected between 1975-1986 <strong>on</strong> the magnitude <str<strong>on</strong>g>of</str<strong>on</strong>g> drug<br />
abuse in 467 individuals.<br />
Of 430 registered drug users, 21 percent used inhalants as their primary<br />
drug <str<strong>on</strong>g>of</str<strong>on</strong>g> choice, while opiates were used by 68 percent and 9 percent used<br />
marijuana. There was a tenfold increase in the number <str<strong>on</strong>g>of</str<strong>on</strong>g> registered<br />
patients seen in treatment. These unpublished data were provided by<br />
Karoly Zelenai and colleagues; Dr. Zelenai assisted in the analysis <str<strong>on</strong>g>of</str<strong>on</strong>g> the<br />
data and directs the clinic at present.<br />
115