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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 primary method <str<strong>on</strong>g>of</str<strong>on</strong>g> use is sniffing from a plastic bag. On rare<br />

occasi<strong>on</strong>s some substances are made into a cocktail and drunk<br />

(e.g., kerosene and cola, methylated spirits and orange juice or cola,<br />

and gasoline and cola). Volatile solvents are readily available to young<br />

people in New Zealand.<br />

Most <str<strong>on</strong>g>of</str<strong>on</strong>g> the inhalant abusers are within the 14- to 18-year-old age group,<br />

although recently the age <str<strong>on</strong>g>of</str<strong>on</strong>g> these abusers has been slightly younger.<br />

Early experimenters were found in the 10- to 13-year-old age bracket. In<br />

several cities in New Zealand, there is an older age group (20-25 years) <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

solvent users. Sniffers predominantly are male, either school students or<br />

unemployed. Most come from low- to middle-income families. Solvent<br />

abusers <str<strong>on</strong>g>of</str<strong>on</strong>g>ten c<strong>on</strong>gregate in large groups and are highly visible.<br />

Boredom, peer pressure abuse (which includes sexual abuse am<strong>on</strong>g<br />

young women), and families who use excessive amounts <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol are<br />

factors that have been related to use <str<strong>on</strong>g>of</str<strong>on</strong>g> solvents (Meredith 1992). The<br />

visible groups <str<strong>on</strong>g>of</str<strong>on</strong>g> solvent abusers are usually Maori, the indigenous New<br />

Zealanders. However, there are users <str<strong>on</strong>g>of</str<strong>on</strong>g> European descent who are less<br />

visible. Solvent abusers come from a range <str<strong>on</strong>g>of</str<strong>on</strong>g> educati<strong>on</strong>al backgrounds.<br />

Some are low achievers, while others are average to high achievers.<br />

Polydrug use is quite comm<strong>on</strong>. Many solvent abusers also have access<br />

to alcohol and cannabis (Arnold 1983; Birdling 1981).<br />

Solvent-related mortality data have been recorded since 1977. For the<br />

period from 1977 to 1992, 47 deaths as a c<strong>on</strong>sequence <str<strong>on</strong>g>of</str<strong>on</strong>g> solvent<br />

inhalati<strong>on</strong> were reported. About 80 percent <str<strong>on</strong>g>of</str<strong>on</strong>g> these abusers were male,<br />

and 74 percent <str<strong>on</strong>g>of</str<strong>on</strong>g> them were younger than 20. The most comm<strong>on</strong><br />

solvents in these cases were gasoline, toluene, benzene, trichloroethane,<br />

and bromochlor<str<strong>on</strong>g>of</str<strong>on</strong>g>luroethane, which is used in fire extinguishers<br />

(Meredith 1992).<br />

There is no nati<strong>on</strong>al law against inhalant abuse. Only two cities have bylaws<br />

prohibiting solvent abuse within city boundaries. Attempts have<br />

been made to restrict the sale <str<strong>on</strong>g>of</str<strong>on</strong>g> solvents through legislati<strong>on</strong>.<br />

New Zealand has developed a range <str<strong>on</strong>g>of</str<strong>on</strong>g> strategies that have assisted in the<br />

reducti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> the problem. Most <str<strong>on</strong>g>of</str<strong>on</strong>g> these efforts are supported by local<br />

community organizati<strong>on</strong>s and are funded by the Government. Support<br />

services include daily activities, drop-ins, street workers, referral to<br />

residential programs, family counseling, and referral to addicti<strong>on</strong><br />

counsellors. Group work approaches have shown some success, and<br />

36

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