Glue Sniffing and Other Risky Practices Among Street Children in Urban Bangladesh
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World Bank, Washington, DC
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The inhalation of solvents among
children and adolescents for recreational purposes has been
a long standing problem in the developed world, although it
is an emerging issue in South Asia, especially in urban
areas. This study explores the linkage between glue sniffing
and other drug use and high risk practices related to
increased vulnerability and risk for HIV and AIDS in
Bangladesh and also documents the serious health effects of
glue sniffing. Although Bangladesh has an overall low
prevalence of HIV, it is facing a concentrated HIV epidemic
among injecting drug users. There is a risk that young
children who inhale glue may also be more likely to use
other drugs, and that this early introduction to drugs lead
to injecting drug habits, associated with increased risk for
transmission of HIV, hepatitis C and other sexually
transmitted diseases. This study aimed at assessing the
nature of drug use and other risky practices among street
children aged 11 to 19 years in Dhaka and Chittagong, the
two major metropolises of Bangladesh. The study highlights
the vulnerability of street children in general and the
problems they face on the streets, primarily due to their
lack of social protection. Inhalation of glue and use of
other substances like cannabis and pharmaceuticals, smoking
and chewing tobacco, were found to be prevalent among these
children. They were also found to be sexually active early
and most of them were engaged in unprotected sex, most girls
selling sex, and most boys reporting low condom use.
Although this study was not designed to determine a direct
causal link between early solvent abuse, injecting drug use
and HIV, the study shows an association between glue
sniffing, injecting drug use and other risky sexual
practices, which amplifies the risk for HIV among these
children, making the case for intervening early.
Palabras clave
ACCESS TO HEALTH CARE, ACCOUNT, ACUTE RESPIRATORY INFECTION, ADDICTION, ADOLESCENCE, ADOLESCENTS, AFFECTED CHILDREN, AGE DISTRIBUTION, AGE-GROUP, AGED, AID, ALCOHOL, ALCOHOLISM, BEGGING, BEHAVIOUR CHANGE, BIRTHS, CANNABIS, CARE SEEKING, CARE SEEKING BEHAVIOUR, CARE SERVICES, CHILDHOOD, COMMUNITY MOBILIZATION, COMPLICATIONS, CONDOM, CONDOM USE, CONDOMS, CONSISTENT USE OF CONDOMS, COUNSELLING, DISCRIMINATION, DISEASE, DISEASES, DISSEMINATION, DISTRIBUTION OF CONDOMS, DOCTOR, DOMESTIC VIOLENCE, DRUG USE, EDUCATIONAL ATTAINMENT, EPIDEMIC, EPIDEMIOLOGICAL RESEARCH, ETHICAL STANDARDS, FAMILIES, FAMILY MEMBER, FAMILY MEMBERS, FAMILY TIES, FAMILY WELFARE, FATHERS, FEMALE, FEMALE CONDOMS, FEMALE SEX WORKERS, FEMALES, FIRST SEX, FIXED ADDRESS, FORCED SEX, FREE CONDOMS, FREQUENCY OF SEX, GENDER, GIRLS, GONORRHOEA, GROSS NATIONAL INCOME, HASHISH, HEALTH CARE SERVICES, HEALTH EFFECTS, HEALTH FACILITY, HEALTH PROBLEMS, HEALTH SEEKING, HEALTH SEEKING BEHAVIOUR, HEALTH SERVICES, HEALTH STATUS, HEPATITIS C, HIV, HIV INFECTION, HIV POSITIVE, HIV/AIDS, HOSPITAL, HUMAN DEVELOPMENT, HUMAN NEEDS, ILLICIT DRUG USE, IMMUNODEFICIENCY, INFECTIONS, INFORMED CONSENT, INITIATION OF DRUG USE, INJECTING DRUG USE, INJECTING DRUG USERS, INJECTING DRUGS, INTERVENTION, INTRAVENOUS DRUG USE, LACK OF FOOD, LACK OF KNOWLEDGE, LEGAL STATUS, LEVELS OF KNOWLEDGE, LIVE BIRTHS, LOCAL COMMUNITIES, MALARIA, MALE CIRCUMCISION, MALE PARTNERS, MALE SEX, MEDICAL CARE, MEDICATION, MIGRATION, MINISTRY OF HEALTH, MORAL SUPPORT, MOTHERS, NATIONAL STRATEGY, NEW INFECTIONS, NUMBER OF CHILDREN, NUTRITION, PATIENTS, PEER PRESSURE, PERSONAL INFORMATION, PERSONALITY, POPULATION RESEARCH, POPULATION SECTOR, PREGNANCY, PREMARITAL SEX, PREVENTION INFORMATION, PREVENTION INTERVENTIONS, PSYCHOACTIVE SUBSTANCES, PUBLIC HEALTH, RATES OF CONDOM USE, RECOMMENDATIONS FOR ACTION, REPRODUCTIVE HEALTH, REPRODUCTIVE HEALTH INFORMATION, RISK FACTORS, RISK GROUPS, RISK OF TRANSMISSION, RISKY BEHAVIOUR, RISKY BEHAVIOURS, RISKY SEX, SEX, SEX FOR MONEY, SEX PARTNERS, SEX PRACTICES, SEX WITH MEN, SEX WORK, SEX WORKER, SEX WORKERS, SEXUAL ACTIVITIES, SEXUAL BEHAVIOURS, SEXUAL HARASSMENT, SEXUAL PRACTICES, SEXUAL TRANSMISSION, SEXUALLY ACTIVE, SEXUALLY TRANSMITTED DISEASES, SHELTERS, SLEEPING PILLS, SLUM DWELLERS, SMOKING, SOCIAL PROTECTION, SOCIAL SECTOR, SOCIAL SECTORS, SOCIOECONOMIC FACTORS, SOLVENTS, SPOUSES, STD, STIS, STREET CHILDREN, STREET LIFE, SUBSTANCE ABUSE, SUBSTANCE USE, SUBSTITUTION THERAPY, SYPHILIS, TEENAGERS, TOBACCO, TUBERCULOSIS, UNEDUCATED WOMEN, UNMARRIED MALES, UNPROTECTED SEX, UNSAFE SEX, UNSAFE SEXUAL PRACTICES, URBAN AREAS, URBAN POPULATION, URBAN SLUMS, URBANIZATION, USE OF DRUGS, VOLUNTARY COUNSELLING, VULNERABILITY, VULNERABLE GROUPS, YOUNG AGE, YOUNG CHILDREN, YOUNG PEOPLE, YOUTH, YOUTHS