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

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TABLE 7. <str<strong>on</strong>g>Inhalant</str<strong>on</strong>g> use by 12th grade males and females in rural and<br />

urban towns (values in percentages).<br />

Rural Rural<br />

< 2,500 2,500-10,000<br />

Urban<br />

> 10,000<br />

Males 16.0 19.2 14.8<br />

Females 12.1 10.9 10.9<br />

Total group 14.0 15.0 12.9<br />

(n = 3,194) (n = 5,293) (n = 5,938)<br />

SOURCE: Peters et al. (1992). Data from The American Drug and<br />

Alcohol Survey.<br />

the rate <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalant use still was high, but it had dropped c<strong>on</strong>siderably.<br />

There probably was a local epidemic at the time <str<strong>on</strong>g>of</str<strong>on</strong>g> his 1977 study.<br />

In order to mount timely preventi<strong>on</strong> and interventi<strong>on</strong> efforts, it is critical that<br />

such epidemics be detected early in their course. This means that schools<br />

and communities should m<strong>on</strong>itor use <str<strong>on</strong>g>of</str<strong>on</strong>g> various substances, including<br />

inhalants, by surveying their students <strong>on</strong> a yearly basis. With most drugs,<br />

the results from <strong>on</strong>e year to the next are not likely to change greatly unless<br />

major preventi<strong>on</strong> efforts are made. That is not true for inhalants. When<br />

there is a local epidemic, the best approach known at this time seems to be<br />

heavy and c<strong>on</strong>tinuous adult m<strong>on</strong>itoring <str<strong>on</strong>g>of</str<strong>on</strong>g> the behavior <str<strong>on</strong>g>of</str<strong>on</strong>g> the youth in the<br />

age cohort that is involved. Programs should increase supervised activities<br />

outside <str<strong>on</strong>g>of</str<strong>on</strong>g> school, reduce unsupervised time, and emphasize reducti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

opportunities for children to “sneak away” to use inhalants. Some Native-<br />

American tribes also have helped to reduce the problem in their communities<br />

by instituting “parent patrols.” Parents form patrols that regularly check out<br />

the places where children could hide to use inhalants together.<br />

Dropouts and <str<strong>on</strong>g>Inhalant</str<strong>on</strong>g> Use<br />

While the decline from 8th to 12th grade in lifetime prevalence for inhalant<br />

use discussed above suggests that youth who use inhalants when they are<br />

24

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