Substance use disorders among inhalant users: Results from the National Epidemiologic Survey on Alcohol and Related Conditions

Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 2218 Elder Street, 2B, DUMC Box 3419, Durham, NC 27710, USA. <>
Addictive Behaviors (Impact Factor: 2.76). 08/2008; 33(7):968-73. DOI: 10.1016/j.addbeh.2008.02.019
Source: PubMed


To assess the prevalence, correlates, and age of onset of DSM-IV substance use disorders (SUDs) among adult inhalant users.
Analyses were based on structured psychiatric interviews of a nationally representative sample of 43,093 US adults.
The lifetime prevalence of SUDs among adult inhalant users was 96%. Alcohol (87%), marijuana (68%), nicotine (58%), cocaine (35%), hallucinogen (31%), and stimulant (28%) use disorders were more prevalent than inhalant use disorders (19%). An estimated 62% of inhalant users met criteria for a past-year SUD. Less education, residence in non-metropolitan areas, early onset of inhalant use, and a history of substance abuse treatment were associated with increased odds of having an inhalant use disorder. Inhalant users who were under age 30 or who were members of families with low incomes had increased odds of having nicotine dependence and an alcohol or drug use disorder in the past year. Compared with substance users without a history of inhalant use, inhalant users, on average, initiated use of cigarettes, alcohol, and almost all other drugs at younger ages, and had a higher lifetime prevalence of nicotine, alcohol, and any drug use disorder.
Lifetime and past-year SUDs are prevalent among adults with a history of inhalant use.

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    • "the findings of this study mirror previous research, which indicates that individuals who use volatile substances are more likely to report axis i mood disorders and poly-substance use (Wu, Howard, & pilowsky, 2008; Wu & Howard, 2007; Wu & ringwalt, 2006). in addition to highlighting the current links between vsu and physical and psychiatric health conditions, this study provides an added layer of evidence that past traumatic life experiences influence current experiences of health and well-being. this is the first study of its kind to report on traumatic events associated with vsu in an adult population, though previous studies have explored associations between trauma and solvent use in adolescent populations (Howard, balster, cottler, Wu, & vaughn, 2008; perron, Howard, Maitra, & vaughn, 2009; perron & Howard, 2009). the presence of traumatic lifetime events in this study was not meant to represent the prevalence of posttraumatic stress disorder in this population, but rather to elucidate one of the ways in which the cumulative and intergenerational trauma extends to the everyday experiences of aboriginal peoples. "
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