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

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Anecdotal informati<strong>on</strong> suggests that the l<strong>on</strong>g-term use <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalants has a<br />

serious impact <strong>on</strong> the physical and psychological well-being <str<strong>on</strong>g>of</str<strong>on</strong>g> children<br />

living in the streets (Gisbert et al. 1991). The l<strong>on</strong>g-term use <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalants<br />

has been found to lead to a reducti<strong>on</strong> in pers<strong>on</strong>al inhibiti<strong>on</strong>s, fears, and<br />

emoti<strong>on</strong>al instability. It affects sleep patterns, leading to hallucinati<strong>on</strong>s<br />

and anxiety attacks. Many <str<strong>on</strong>g>of</str<strong>on</strong>g> the youngsters who use inhalants are<br />

mistreated and psychically abused by adults and their friends (Ardaya and<br />

Domic 1991).<br />

The data from other studies showed the rate <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalant use to range from<br />

a low lifetime prevalence <str<strong>on</strong>g>of</str<strong>on</strong>g> 3.0 percent in the C<strong>on</strong>sejo Naci<strong>on</strong>al De<br />

Prevención 1992 nati<strong>on</strong>al survey to a high <str<strong>on</strong>g>of</str<strong>on</strong>g> 12.6 percent in the survey<br />

c<strong>on</strong>ducted by La Cruz Roja in 1986 <strong>on</strong> the drug-using behaviors <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

individuals ages 10-24 living in the city <str<strong>on</strong>g>of</str<strong>on</strong>g> La Paz. Overall, inhalants<br />

appear to be the most prevalent substances <str<strong>on</strong>g>of</str<strong>on</strong>g> abuse after alcohol,<br />

tobacco, marijuana, and coca paste.<br />

FACTORS ASSOCIATED WITH INHALANT USE AMONG<br />

CHILDREN LIVING IN THE STREETS<br />

Data from several studies have indicated that street children are more<br />

likely than children not living in the street to have low self-esteem<br />

(M<strong>on</strong>tes 1987; Perotto and Baldivieso 1994; Rodriguez Rabanal 1989;<br />

Todd 1983). According to the authors, these children <str<strong>on</strong>g>of</str<strong>on</strong>g>ten commit<br />

criminal acts, get involved in fights, or display other antisocial behaviors<br />

as ways <str<strong>on</strong>g>of</str<strong>on</strong>g> dealing with their low self-image. They <str<strong>on</strong>g>of</str<strong>on</strong>g>ten are unable to<br />

show warmth and attachment toward other individuals fearing that, if<br />

they do, they will be viewed as weak individuals.<br />

Generally, children living in the streets come from families in which there<br />

is a significant amount <str<strong>on</strong>g>of</str<strong>on</strong>g> violence, including child abuse, and parental<br />

drug use (Gisbert et al. 1991). Often these children are treated like adults,<br />

being forced to seek employment in order to provide income for their<br />

families. Most <str<strong>on</strong>g>of</str<strong>on</strong>g> the families live in extreme poverty, unable to provide<br />

the necessities needed by these children to survive. Many <str<strong>on</strong>g>of</str<strong>on</strong>g> the children<br />

do not receive adequate health care (i.e., vaccinati<strong>on</strong>s and physical<br />

exams) and, as a result, are c<strong>on</strong>fr<strong>on</strong>ted with a myriad <str<strong>on</strong>g>of</str<strong>on</strong>g> health problems<br />

and illnesses as they grow older (Ardaya and Domic 1991).<br />

Faced with a lack <str<strong>on</strong>g>of</str<strong>on</strong>g> emoti<strong>on</strong>al and financial support from the family and<br />

aware that they may have to survive <strong>on</strong> their own, many <str<strong>on</strong>g>of</str<strong>on</strong>g> these youth<br />

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