Thursday, December 17, 2015

Treatment Seeking Behavior of Inhalant Using Street Children: Are We Prepared to Meet Their Treatment Needs

Context:
There is a lack of evidence for help and treatment seeking behavior of street children using inhalants.

Aims:
The present study was planned to provide a comprehensive understanding on the patterns, correlates of inhalant use and treatment seeking behavior of street children from Delhi, India.

Material and Methods:
Participants were a purposive sample of 100 inhalant using street children below 18 years identified with the assistance of five community service organizations/nongovernmental organization working with street children in the city of Delhi. Information on a semi-structured questionnaire with items pertaining to the demographic and drug use parameters was collected by trained research staff in a one-to-one in field setting.

Statistical Analysis:
All data were entered into SPSS 12.0, data quality checks performed and examined.

Results:
The sample had an average age of 12.8 ± 2.4 years (range 4-17 years), 96.5% reported regular past month and 87.0% past 24 h use of inhalants. The mean age of onset of inhalant use was 9.3 ± 2.8 years The substances most commonly reported were toluene from eraser fluid (by 83.0%), glues (34.0%) and petroleum products (3.0%); mean frequency of use was 9.8 times in a day. Of the sample, 18% used inhalants when they were alone, and the rest reported using with drug using network friends; 76% reported tolerance and mild withdrawal symptoms such as restlessness, anxiety, craving, irritability and lethargy. A variety of problems and perceived benefits due to inhalant use were reported; 46% inhalant users had never abstained from its use, and 77% reported never having sought any medical help.

Conclusions:
Study findings provide a better contemporary understanding of inhalant abuse among Delhi street children. This information can assist in the formulation of a needs-based intervention for the inhalant using street children.

Table 1
Drugs used by street children (n = 100)

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Table 2
Pattern of inhalant use

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Table 3
Perceived benefits and problems experienced due to inhalant use
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Table 4
Treatment seeking behavior
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Full article at:  http://goo.gl/yCkGRx

Department of Psychiatry, AIIMS, New Delhi, India
1National Drug Dependence Treatment Centre, AIIMS, New Delhi, India
Address for correspondence: Prof. Anju Dhawan Department of Psychiatry, National Drug Dependence Treatment Centre, AIIMS, Ansari Nagar, New Delhi, India. E-mail: moc.liamtoh@hdujna
 


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