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

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TABLE 2. Current use <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalants by U.S. students (values in<br />

percentages).<br />

4th<br />

5th<br />

6th<br />

7th<br />

8th<br />

9th<br />

10th<br />

1lth<br />

12th<br />

1987 1988 1989 1990 1991 1992 Total N<br />

2 4 3 3<br />

3 3 3 4<br />

5 4 4 4<br />

3 5 3 4<br />

5 5 5 5<br />

4 4 4 4<br />

3 3 3 3<br />

2 2 2 2<br />

2 2 2 2<br />

4<br />

4<br />

4<br />

15<br />

5<br />

5<br />

4<br />

3<br />

2<br />

3<br />

3<br />

4<br />

3<br />

6<br />

5<br />

4<br />

2<br />

2<br />

22,907<br />

38,595<br />

25,542<br />

74,604<br />

153,491<br />

84,545<br />

95,180<br />

69,035<br />

133,056<br />

Total N 45,174 113,690 124,994 142,753 198,936 71,408 696,955<br />

SOURCE: The American Drug and Alcohol Survey.<br />

might try a drug every year and, since any<strong>on</strong>e who has used it before<br />

should c<strong>on</strong>tinue to indicate that they have tried the drug, lifetime<br />

prevalence always should increase with every year that passes; it should<br />

never decrease. For most drugs, in fact, lifetime prevalence does either<br />

increase across grades or remain relatively steady after the ninth grade<br />

(Oetting and Beauvais 1990). An examinati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> table 1, however,<br />

shows that lifetime prevalence for inhalant use invariably is lower in the<br />

12th grade than it is in the 8th grade.<br />

In any <strong>on</strong>e year, these are different age cohorts so the above result could<br />

occur if inhalant use were increasing am<strong>on</strong>g younger students and the<br />

increase had not yet reached the 12th grade. Comparing the same age<br />

cohorts across time (1987 8th graders with 1991 12th graders), however,<br />

yields the same result. The 12th graders show lower lifetime prevalence.<br />

This paradoxical result is not unique to this study; it appears in almost<br />

every survey where lifetime prevalence <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalant use is assessed for 8th<br />

and 12th graders. The best explanati<strong>on</strong> probably is that many 8th grade<br />

inhalant users drop out <str<strong>on</strong>g>of</str<strong>on</strong>g> school before they reach the 12th grade. By<br />

the time their age group reaches the 12th grade, many <str<strong>on</strong>g>of</str<strong>on</strong>g> the early<br />

16

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