title: Factors associated with continued solvent use in Indigenous petrol sniffers following treatment.
abstract: OBJECTIVE
  While petrol sniffing afflicts several isolated Indigenous groups internationally, few studies have examined the factors contributing to continued sniffing following treatment.This study aims to describe those factors in a group of Aboriginal Australian users.
  
  
  METHODS
  During residential treatment, 56 petrol sniffers completed baseline demographic and substance use questionnaires and cognitive and psychological assessments. Eighty per cent were reassessed and interviewed an average of 9 months (SD = 4) later. Cognitive, psychological, substance use and sociocultural factors were compared between those who relapsed at follow up and those who maintained abstinence.
  
  
  RESULTS
  More males (n = 44) than females (n = 12) were studied. Of the 45 individuals followed up, 58% (n = 26) relapsed. Significant risk factors for relapse included the ready availability of petrol, living in urban centres, being unmarried and living with fewer people (P < 0.05). Other potential risk factors, indicated by P-values < 0.10, included younger age of first petrol use, having sniffed within 14 days prior to treatment, poly substance use, sniffing in response to negative emotions, and feeling lonely at baseline and having sleep problems at follow up.
  
  
  CONCLUSIONS
  This study identified psychosocial factors that may be associated with continued petrol sniffing among Aboriginal Australians post treatment. Future research, interventions and policy relating to petrol sniffing should consider these factors.
authors.affiliation: Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, Darwin, Australia. kylie.dingwall@menzies.edu.au
authors.forename: Kylie M
authors.initials: KM
authors.lastname: Dingwall
authors.forename: Paul
authors.initials: P
authors.lastname: Maruff
authors.forename: Alan R
authors.initials: AR
authors.lastname: Clough
authors.forename: Maruff
authors.initials: M
authors.lastname: Maruff
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001315:Australia / Q000453:epidemiology; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D005742:Gasoline; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012008:Recurrence; D012307:Risk Factors; D012997:Solvents; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000208:ethnology* / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D005742:Gasoline; D012997:Solvents