title: Demographic and contextual factors associated with inhalant use among youth in rural Alaska.
abstract: BACKGROUND
  Abuse of harmful legal products that can be inhaled or ingested is a serious and growing problem in many rural Alaskan communities, and particularly so among preteens.
  
  
  METHODS
  This study analyses data collected during baseline measurements of a 5-year NIH/NIDA-funded study entitled A Community Trial to Prevent Youth's Abuse of Harmful Legal Products in Alaska. Youth in 8 communities located throughout the state participated in a survey during the fall of 2009 to measure the prevalence and availability of harmful legal products (n=697). The goal of the analysis presented here is to compare the contextual factors of inhalant users and non-users in rural Alaskan communities.
  
  
  RESULTS
  As reported in national surveys of substance use among youth, participants in this study indicated using alcohol more than any other substance. Inhalants were the second-most common substance abused, higher than either cigarettes or marijuana. Lifetime use varied among demographic factors such as age, gender and ethnicity as well as contextual factors including academic performance, parent employment, household living situation and income. When compared to non-users, significantly larger proportions of participants reporting lifetime inhalant use indicated easy availability of inhalants in their home, school and retail outlets. Users were also significantly more likely than non-users to have consumed alcohol.
  
  
  CONCLUSIONS
  Results of this study may inform the development of effective interventions in other rural communities.
authors.affiliation: Institute for Circumpolar Health Studies, University of Alaska, Anchorage, AK 99508, USA. DavidDriscoll@uaa.alaska.edu
authors.forename: David L
authors.initials: DL
authors.lastname: Driscoll
authors.forename: Bruce
authors.initials: B
authors.lastname: Dotterrer
authors.forename: David
authors.initials: D
authors.lastname: Collins
authors.forename: Kristen
authors.initials: K
authors.lastname: Ogilvie
authors.forename: Joel
authors.initials: J
authors.lastname: Grube
authors.forename: Knowlton
authors.initials: K
authors.lastname: Johnson
mesh_terms: D000293:Adolescent; D000413:Alaska / Q000453:epidemiology; D002648:Child; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D006801:Humans; D058545:Inhalant Abuse / Q000453:epidemiology*; D008297:Male; D012424:Rural Population / Q000706:statistics & numerical data*