Epidemiology of Inhalant Abuse - Archives - National Institute on ...
Epidemiology of Inhalant Abuse - Archives - National Institute on ...
Epidemiology of Inhalant Abuse - Archives - National Institute on ...
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INHALANT ABUSE AMONG STUDENTS<br />
The populati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> Brazil now is estimated to be approximately 150<br />
milli<strong>on</strong>. Most <str<strong>on</strong>g>of</str<strong>on</strong>g> the populati<strong>on</strong> is young—40 percent are under 18 years<br />
<str<strong>on</strong>g>of</str<strong>on</strong>g> age. School attendance figures follow familiar Third World patterns:<br />
83 percent <str<strong>on</strong>g>of</str<strong>on</strong>g> children between the ages <str<strong>on</strong>g>of</str<strong>on</strong>g> 7 and 14 (comprising the 8<br />
years <str<strong>on</strong>g>of</str<strong>on</strong>g> mandatory schooling) attend school, and just 52 percent <str<strong>on</strong>g>of</str<strong>on</strong>g> those<br />
between the ages <str<strong>on</strong>g>of</str<strong>on</strong>g> 15 and 17 go to school (Instituto Brasileiro de<br />
Geografia e Estatistica 1987).<br />
Available epidemiological data <strong>on</strong> drug use regarding this populati<strong>on</strong><br />
c<strong>on</strong>sistently point to the fact that inhalants are the most frequently used<br />
drugs am<strong>on</strong>g Brazilian students nati<strong>on</strong>wide, with the excepti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> alcohol<br />
and tobacco (table 1). <str<strong>on</strong>g>Inhalant</str<strong>on</strong>g> use figures surpass the use <str<strong>on</strong>g>of</str<strong>on</strong>g> over-thecounter<br />
drugs, marijuana, and cocaine (Carlini and Carlini-Cotrim 1993).<br />
Furthermore, this preference for inhalants was reported not <strong>on</strong>ly in major<br />
cities but in smaller <strong>on</strong>es as well. It also seems to be present both in the<br />
public school system, which is attended by lower income children and<br />
adolescents, and in the private schools, frequented by students from upper<br />
and middle class backgrounds (Carlini and Carlini-Cotrim 1993)<br />
(table 2).<br />
The products most frequently used by students are lança-perfume and<br />
loló. These are made clandestinely and sold illegally and are available<br />
exclusively for the purpose <str<strong>on</strong>g>of</str<strong>on</strong>g> drug abuse. In some cities, other products<br />
were found to be preferred: shoemaker’s glue, gasoline, fingernail polish,<br />
and acet<strong>on</strong>e (Carlini and Carlini-Cotrim 1993; Carlini et al. 1990).<br />
As shown in table 3, boys reported a higher c<strong>on</strong>sumpti<strong>on</strong> rate than girls in<br />
all surveyed cities (Carlini and Carlini-Cotrim 1993; Carlini et al. 1990).<br />
However, previous data from lower income students in São Paulo<br />
(figure 1), suggest that girls have a curious preference towards inhaling<br />
beauty products, such as acet<strong>on</strong>e and fingernail polish, when compared to<br />
their male peers. Further research is needed within a broader segment <str<strong>on</strong>g>of</str<strong>on</strong>g><br />
the populati<strong>on</strong> to c<strong>on</strong>firm this observati<strong>on</strong>.<br />
In this same local study focusing <strong>on</strong> the São Paulo student populati<strong>on</strong>,<br />
Carlini-Cotrim and Carlini (1988a) found that the total percentage <str<strong>on</strong>g>of</str<strong>on</strong>g><br />
lifetime use <str<strong>on</strong>g>of</str<strong>on</strong>g> inhalant increases with age (table 4). However, the reverse<br />
is true when use within the previous 30 days is c<strong>on</strong>sidered. Then inhalant<br />
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