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

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

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THE NEED FOR MORE RESEARCH ON INHALANT ABUSE<br />

Because <str<strong>on</strong>g>of</str<strong>on</strong>g> the social and cultural factors that influence the abuse <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

drugs in general and inhalants in particular, it is likely that there are<br />

distinguishable differences in the patterns <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalant abuse within<br />

Nigeria and between African countries. For example, in Nigeria, it seems<br />

that the abuse <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalants (and stimulants) is more prevalent in the<br />

northern part <str<strong>on</strong>g>of</str<strong>on</strong>g> the country. Northern Nigeria predominantly is Muslim,<br />

while the South predominantly is Christian. There is need for research to<br />

shed more light <strong>on</strong> regi<strong>on</strong>al and cultural differences in drug abuse within<br />

the country.<br />

Apart from this, there are many other unanswered questi<strong>on</strong>s c<strong>on</strong>cerning<br />

inhalant abuse that require research attenti<strong>on</strong> at present. What, for<br />

example, are the social and familial factors associated with inhalant<br />

abuse? Do adolescents who use organic solvents use them in<br />

combinati<strong>on</strong> with other drugs ? What are the c<strong>on</strong>sequences <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalant<br />

abuse? Do young people in some occupati<strong>on</strong>s (e.g., vulcanizers and<br />

carpenters) abuse inhalants more than others? These questi<strong>on</strong>s should<br />

guide the directi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> future research <strong>on</strong> inhalant abuse in Africa. In<br />

order to answer them satisfactorily, surveys <str<strong>on</strong>g>of</str<strong>on</strong>g> student populati<strong>on</strong>s will<br />

have to be supplemented with collaborative studies with special groups<br />

and the general populati<strong>on</strong>s in different regi<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> African countries.<br />

PREVENTION AND TREATMENT OF INHALANT AND OTHER<br />

DRUG ABUSE<br />

In general, the treatment <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol and other drug-dependent pers<strong>on</strong>s in<br />

Nigeria is fraught with problems. First, the availability <str<strong>on</strong>g>of</str<strong>on</strong>g> manpower and<br />

facilities is grossly inadequate. A survey by the World Health<br />

Organizati<strong>on</strong> (1991) <str<strong>on</strong>g>of</str<strong>on</strong>g> mental health practiti<strong>on</strong>ers and facilities in the<br />

country showed a total <str<strong>on</strong>g>of</str<strong>on</strong>g> 28 psychiatric care facilities with about 3,000<br />

beds. Listed as staff in these facilities were 44 psychiatrists, 15 clinical<br />

psychologists, and 11 social workers. Even though most mental health<br />

care workers were involved in the management <str<strong>on</strong>g>of</str<strong>on</strong>g> drug-dependent<br />

pers<strong>on</strong>s, <strong>on</strong>ly three hospitals had special facilities for the treatment <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

these patients.<br />

A more recent survey (Ohaeri and Odejide 1993) supports this picture <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

the lack <str<strong>on</strong>g>of</str<strong>on</strong>g> availability <str<strong>on</strong>g>of</str<strong>on</strong>g> psychiatric care facilities in Nigeria. In 28<br />

facilities visited by the researchers (13 in the north and 15 in the south),<br />

186

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