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

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

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use beginning in 1987 when the survey was first used to assess drug use<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> large numbers <str<strong>on</strong>g>of</str<strong>on</strong>g> youth across the country. According to this survey,<br />

between <strong>on</strong>e in eight and <strong>on</strong>e in nine seniors have tried inhalants, but<br />

<strong>on</strong>ly 2 percent have used them in the last m<strong>on</strong>th. As noted above,<br />

because the questi<strong>on</strong>s are slightly different, the rates <str<strong>on</strong>g>of</str<strong>on</strong>g> use for seniors are<br />

slightly lower than those from the M<strong>on</strong>itoring the Future study, but<br />

essentially the same trends appear for recent years. Both surveys indicate<br />

that, since 1987, rates <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalant use have changed very little.<br />

Use <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>Inhalant</str<strong>on</strong>g>s by Young Children<br />

Tables 1 and 2 also provide data <strong>on</strong> use <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalants by children in every<br />

grade from 4th through 12th. They show that there is a significant<br />

segment <str<strong>on</strong>g>of</str<strong>on</strong>g> very young children who try inhalants and who have used<br />

inhalants in the last m<strong>on</strong>th, suggesting that they are c<strong>on</strong>tinuing to use<br />

them, not just trying them. By the fourth grade, about 6 percent <str<strong>on</strong>g>of</str<strong>on</strong>g> U.S.<br />

children have tried inhalants. As they get older, a few more young<br />

children try inhalants with each passing year, so lifetime prevalence<br />

increases steadily with each year until it peaks at about 16 percent in the<br />

eighth grade. While marijuana is c<strong>on</strong>sidered by most to be the so-called<br />

gateway drug leading to use <str<strong>on</strong>g>of</str<strong>on</strong>g> other illicit drugs, more than half <str<strong>on</strong>g>of</str<strong>on</strong>g> the<br />

very young children who try inhalants have not even tried marijuana. In<br />

1988, more eighth graders reported having tried inhalants than having<br />

tried marijuana, and this difference has increased over the past 5 years<br />

(Edwards 1993). Now the first illicit drug used by children is more likely<br />

to be an inhalant than it is to be marijuana.<br />

Table 2 shows that from <strong>on</strong>e-third to <strong>on</strong>e-half <str<strong>on</strong>g>of</str<strong>on</strong>g> the young children who<br />

are experimenting with inhalants are not just trying the drug <strong>on</strong>ce. They<br />

are using inhalants <strong>on</strong>ce a m<strong>on</strong>th or more. Much <str<strong>on</strong>g>of</str<strong>on</strong>g> this early inhalant<br />

use is mere experimentati<strong>on</strong> but it is dangerous in itself, and using any<br />

drug increases the tolerance for drug use, creating danger <str<strong>on</strong>g>of</str<strong>on</strong>g> further drug<br />

involvement. There also are children who go bey<strong>on</strong>d experimentati<strong>on</strong><br />

and get heavily involved with inhalants. The most serious form <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

obsessi<strong>on</strong> with inhalant use probably occurs in countries other than the<br />

United States where young children live <strong>on</strong> the streets completely without<br />

family ties. These groups almost always use inhalants at very high levels<br />

(Leal et al. 1978). While the United States does not have a significant<br />

populati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> young, inhalant-abusing “street kids” such as those found in<br />

some other countries, there are children in the United States who are<br />

14

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