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Epidemiology of Inhalant Abuse - Archives - National Institute on ...

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SOURCES OF INFORMATION<br />

The main data source for this report is the last nati<strong>on</strong>al school survey<br />

(Medina-Mora et al. 1993) c<strong>on</strong>ducted am<strong>on</strong>g high school students in<br />

Mexico, which for the first time included rural areas. The data are<br />

provided <strong>on</strong> a State basis. The sample design was stratified by schools<br />

and groups within the selected schools. A total <str<strong>on</strong>g>of</str<strong>on</strong>g> 2,330 groups were<br />

selected, and a total <str<strong>on</strong>g>of</str<strong>on</strong>g> 61,779 students completed the questi<strong>on</strong>naire.<br />

Fifty-two percent were male, and 47 percent were female; 20 percent<br />

were age 13 or younger, and 94 percent were 18 years <str<strong>on</strong>g>of</str<strong>on</strong>g> age or less<br />

(Medina-Mora et al., in press) (table 1). Data from previous school<br />

surveys c<strong>on</strong>ducted in the urban areas <str<strong>on</strong>g>of</str<strong>on</strong>g> the country and from biannual<br />

studies c<strong>on</strong>ducted in Mexico City also are included for review (Castro<br />

and Valencia 1979, 1980; Castro et al. 1982, 1986; De La Serna et al.<br />

1991).<br />

Another source c<strong>on</strong>sulted is the <str<strong>on</strong>g>Nati<strong>on</strong>al</str<strong>on</strong>g> Survey <strong>on</strong> Addicti<strong>on</strong>s (NSA),<br />

c<strong>on</strong>ducted in 1988 by two organizati<strong>on</strong>s within the Ministry <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

Health—the General Directorate <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>Epidemiology</str<strong>on</strong>g> (DGE) and the<br />

Mexican <str<strong>on</strong>g>Institute</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> Psychiatry (IMP). This household survey obtained<br />

prevalence data <strong>on</strong> the use <str<strong>on</strong>g>of</str<strong>on</strong>g> tobacco, alcohol, and n<strong>on</strong>prescripti<strong>on</strong><br />

drugs, as well as illicit use <str<strong>on</strong>g>of</str<strong>on</strong>g> prescripti<strong>on</strong> drugs, within a random sample<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> 12,557 individuals between the ages <str<strong>on</strong>g>of</str<strong>on</strong>g> 12 and 65. The sample was<br />

selected by using the Ministry <str<strong>on</strong>g>of</str<strong>on</strong>g> Health’s master sampling framework.<br />

Only residents <str<strong>on</strong>g>of</str<strong>on</strong>g> urban localities with over 2,500 inhabitants, which<br />

accounted for 65 percent <str<strong>on</strong>g>of</str<strong>on</strong>g> the nati<strong>on</strong>al populati<strong>on</strong>, were c<strong>on</strong>sidered.<br />

The sample design was stratified in several stages. Only <strong>on</strong>e individual<br />

per household was interviewed; 84 percent <str<strong>on</strong>g>of</str<strong>on</strong>g> those sampled participated<br />

in the survey. The survey results were weighted according to the<br />

probability <str<strong>on</strong>g>of</str<strong>on</strong>g> selecti<strong>on</strong>. Handled in this manner, the data yielded results<br />

applicable to the urban nati<strong>on</strong>al populati<strong>on</strong> aged 12 to 65 years and to<br />

each <str<strong>on</strong>g>of</str<strong>on</strong>g> seven regi<strong>on</strong>s (Medina-Mora et al. 1989; Secretaria de Salud<br />

1990; Tapia et al. 1990).<br />

Studies am<strong>on</strong>g high-risk groups, including those c<strong>on</strong>ducted am<strong>on</strong>g<br />

minors that work <strong>on</strong> the streets, also were reviewed (Leal et al. 1977;<br />

Medina-Mora et al. 1982; Ortíz et al. 1988). The most recent study was a<br />

census c<strong>on</strong>ducted in Mexico City by the city government with support <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

different governmental organizati<strong>on</strong>s and n<strong>on</strong>governmental organizati<strong>on</strong>s<br />

(NGOs) (Departamento del Distrito Federal 1992). The main objective <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

this study was to define the c<strong>on</strong>diti<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> children whose survival<br />

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