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

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TABLE 6. Lifetime prevalence <strong>of</strong> solvent, marijuana, and cocaine use among street children living on the streets in São Paulo and Porto Alegre. Percentage <strong>of</strong> users Substance São Paulo (1988) Porto Alegre (1992) (Ages 6-17) (Ages 7-17) (n = 120) (n = 34) Solvents 77.5 71.0 Marijuana 60.0 53.0 Cocaine 15.8 12.0 SOURCES: São Paulo data: Carlini-Cotrim and Carlini (1988b); Porto Alegre data: Forster and colleagues (1992). drugs (table 8). Such findings are consistent with previously mentioned results regarding the different degrees <strong>of</strong> involvement with begging, theft, and informal employment found in these subpopulations (Forster et al. 1992). Finally, drug abuse behavior varied among children living full time on the streets depending on their involvement with specialized institutions that <strong>of</strong>fer alternative daytime occupations. Figures found for São Paulo compare two subgroups <strong>of</strong> street children who lived on the streets in 1986. The first group voluntarily engaged in activities such as craft training, sports, or literacy programs held in these specialized institutions while the second group did not take part in any kind <strong>of</strong> voluntary institutional activity. Drug use and inhalant use rates were much lower in the first group. This group also was less involved in illegal activities (table 9). Unfortunately, the opportunity to participate in this type <strong>of</strong> institution is not widely available in large Brazilian cities. 73
TABLE 7. Weekly use (at least once a week) <strong>of</strong> solvents among street children living on the streets in São Paulo and Porto Alegre. Percentage <strong>of</strong> users São Paulo (1988) Porto Alegre (1992) (Ages 6-17) (Ages 7-17) (n = 120) (n = 34) Weekly use <strong>of</strong> solvents 47.8 50.0 SOURCES: São Paulo data: Carlini-Cotrim and Carlini (1988b); Porto Alegre data: Forster and colleagues (1992). FINAL COMMENTS The information that has been presented, though it is based on incomplete and sometimes dated information, points unequivocally to the fact that inhalant abuse must become a priority for Brazilian drug prevention and educational policymakers—especially dealing with the younger segments <strong>of</strong> the population. Special policies regarding alcohol and tobacco, which also constitute major public health problems in most Western countries, also should be considered. More research is needed to support preventive and legislative action on the matter. At least four major lines <strong>of</strong> investigation should be considered in the near future: (1) epidemiologic characterization <strong>of</strong> inhalant use among other population groups, such as working-class adults, children and adolescents living in rural areas, and housewives; (2) characterization <strong>of</strong> the student population regarding beliefs and knowledge associated with inhalant use; (3) study <strong>of</strong> the roles played by family and school among lower income children as protectors from drug abuse situations and the children’s eventual relationship with other institutions (e.g., religious, community-related, or others that possibly 74
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National I
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ACKNOWLEDGMENT This monograph is ba
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Treatment Strategies for Volatile S
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extent of inhalant
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agencies. Dr. Carlini-Cotrim conclu
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prevalence, after alcohol and tobac
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Inhalant Use in th
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FIGURE 1. Lifetime prevalence for 1
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Reliability of the
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use beginning in 1987 when the surv
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TABLE 2. Current use of</st
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TABLE 3. Use of in
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TABLE 4. Inhalant
Page 27 and 28: TABLE 5. Lifetime prevalence and cu
Page 29 and 30: TABLE 7. Inhalant
Page 31 and 32: CONCLUSION Unlike other drugs in th
Page 33 and 34: AUTHORS Ruth W. Edwards, Ph.D. Rese
Page 35 and 36: Epidemiologic data were obtained fo
Page 37 and 38: perception of the
Page 39 and 40: Malaysia In Malaysia, the abuse <st
Page 41 and 42: The primary method of</stro
Page 43 and 44: them at least two to three times pe
Page 45 and 46: Curiosity is the most popular motiv
Page 47 and 48: Inhaling from a plastic bag: The vo
Page 49 and 50: (between US $0.04 and US $0.80) a d
Page 51 and 52: truant, who have money, and who are
Page 53 and 54: Edmondson, K. Review of</st
Page 55 and 56: Inhalant A
Page 57 and 58: Children working in the streets 280
Page 59 and 60: (1986), collected data on the preva
Page 61 and 62: Anecdotal information suggests that
Page 63 and 64: FIGURE 3. Psychological process mod
Page 65 and 66: ehavior. A secondary aim has been u
Page 67 and 68: REFERENCES ABC Communication. Consu
Page 69 and 70: Inhalant Use Among
Page 71 and 72: TABLE 1. Lifetime prevalence <stron
Page 73 and 74: TABLE 3. Lifetime prevalence <stron
Page 75 and 76: TABLE 4. Solvent use found for 1,83
Page 77: however, rarely is taken into consi
Page 81 and 82: TABLE 9. Use of dr
Page 83 and 84: Oetting, E.R.; Edwards, R.W.; and B
Page 85 and 86: RESULTS Prevalence Rates The findin
Page 87 and 88: TABLE 2. Use of in
Page 89 and 90: Incidence Rates Data from the surve
Page 91 and 92: TABLE 7. Use of in
Page 93 and 94: FIGURE 2(a). Proportion and number
Page 95 and 96: TABLE 8. Regression analysis: Use <
Page 97 and 98: TABLE 10(a). Mean age at first inha
Page 99 and 100: TABLE 13. Percentage of</st
Page 101 and 102: FIGURE 3. Opinion on health consequ
Page 103 and 104: The conduct of con
Page 105 and 106: Inhalant A
Page 107 and 108: The lack of epidem
Page 109 and 110: FIGURE 1. Substance abusers treated
Page 111 and 112: FIGURE 2. Drug used at initiation <
Page 113 and 114: The registered inhalant abusers ran
Page 115 and 116: medication, and jumping from a tall
Page 117 and 118: (with the main psychoactive compone
Page 119 and 120: In 1990, a World Health Organizatio
Page 121 and 122: FIGURE 7. Number of</strong
Page 123 and 124: of an epidemic, wh
Page 125 and 126: Oetting, E.R.; Beauvais, F.; and Ed
Page 127 and 128: FIGURE 1. Arrests for drug statute
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had inhaled the vapor from lacquer
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FIGURE 4. Numbers of</stron
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TABLE 3. Age appeared to consultati
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TABLE 5. Present occupational situa
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FIGURE 5. SOURCE: Longitudnal patte
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FIGURE 7. Longitudinal pattern <str
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Epidemiology <stro
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TABLE 1. National
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(Hughes et al. 1980). The system ha
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TABLE 2. National
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TABLE 3. National
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FIGURE 1. National
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FIGURE 3. Drug Registry System (SRI
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TABLE 5. National
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TABLE 6. National
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TABLE 7. National
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TABLE 9. National
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TABLE 9. National
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TABLE 10. National
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TABLE 10. National
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The longest running institution, th
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Several programs have been develope
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Thus, substance abuse research has
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3. Alcohol and tobacco were not con
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Leal, H., and Pacheco, G. Estrategi
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Division of <stron
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mind the fact that a sizeable numbe
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Adults and Older Students I
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Method Participants. Participants w
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TABLE 6. Types of
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TABLE 9. Sources of</strong
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THE NEED FOR MORE RESEARCH ON INHAL
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funding. However, by encouraging th
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AUTHOR Isidore Silas Obot, Ph.D., M
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abuse and their biomedical, social,
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nitrites—is virtually unknown in
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TABLE 3. Frequency of</stro
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TABLE 5. Lifetime prevalence and cu
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working with children living in the
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of the youthful po
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Lucchini, R. “Niños Callejeros y
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least as far back as 1983. However,
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TABLE 1. Phase-out schedule for ozo
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inquisitorial, unlike the procedure
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UNITED KINGDOM VSA-RELATED MORTALIT
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FIGURE 5. United Kingdom VSA-relate
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TABLE 2. United Kingdom VSA-related
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TABLE 4. United Kingdom VSA-related
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NATIONAL VSA STATISTICS The only <s
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TABLE 6. National
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TABLE 7. Local surveys giving infor
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TABLE 7. Local surveys giving infor
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presented as a confidential “Scho
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TABLE 8. Surveys of</strong
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Children’s Act 1989: Section 17 r
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problem would go away like other te
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Children ages 14-16 “should have
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contributions from many small group
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Chadwick, O.; Anderson, R.; Bland,
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Market and Opinion Research Interna
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Streete, P.J.; Ruprah, M.; Ramsey,
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Treatment Strategies for Volatile S
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that they chose solvents not only b
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Medical management and detoxificati
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challenges to a healthy readjustmen
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REFERENCES Beauvais, F. Social and
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Gathering Epidemiologic Information
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DIRECT POPULATION SURVEYS Cross-sec
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The findings in the two surveys wer
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TABLE 1. Recent use a of</s
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are due to the fact that inhalants
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number usually is advertised in tel
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REFERENCES Beauvais, F. Volatile so
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Inhalants: A Polic
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predominated, but it seems clear th
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classes containing these substances
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justify their positions more on pri
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eformulation of pr
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with abuse potential, and additiona
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TABLE 2. Type of l
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TABLE 3. Type of d
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TABLE 4. Type of b
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TABLE 5. Specified products regulat
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TABLE 6. Prevention curricula and i
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appear to enter treatment that prog
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Policy Alternative 1: Change Produc
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outcome evaluations. Ideally, such
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Mata, A.G., Jr., and Andrew, S.R. <
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Recommendations and Conclusions Zil
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AUTHORS Zili Sloboda, Sc.D. Nichola
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26 42 50 52 53 54 56 61 62 THE BEHA
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80 82 83 84 85 87 88 89 92 NEEDLE S
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102 106 107 108 109 111 112 113 ANA
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124 NEUROBIOLOGICAL APPROACHES TO B
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138 139 140 141 142 143 IMAGING TEC
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NIH Publication No 95-3831 Printed
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