Prevalence and Associated Factors of Glue Sniffing and Symptoms of Neurotoxicity among Street Children in Addis Ababa, Ethiopia.

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Date

2021

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Addis Abeba University

Abstract

Background: Organic solvent like toluene is a neurotoxin chemical known to cause many health effects targeting mainly the central nervous system. Such chemicals are found in glue. These days, street children are abusing this substance by sniffing on the glue which leaves them for risk of neurotoxicity that is a toxicity of central nervous system.. The magnitude of problem is not explored in our context. Therefore, this study aims to assess the prevalence of glue sniffing and neurotoxicity symptoms among street children who have been exposed to organic solvents through sniffing glue. It‟s also thrives to find out the factors associated with glue sniffing. Method: A cross sectional study was employed using both qualitative and quantitative approaches. Four hundred twenty participants were recruited in this study with a Probabilistic sampling techniques. A modified Germen version Q18 was used to assess neurotoxic symptoms. Focus group discussion (FGD) was used for the qualitative study. Data were transferred to epi info version 7and then transferred to SPSS version (20) for analysis. The qualitative data were collected using one male and one female FDG. Key informants‟ interview was also carried out. Descriptive analysis and Logistic regression analysis was used for the quantitative data whereas Content analyse was done using open code software for the qualitative part. Result: Of 420 participants 330 (78.6%) were male. The prevalence of glue sniffing among street children was found to be 81.9% at 95%CI, of which 274 (79.6%) were male. Depression 293(69.8%), Headache 287(68.3%) and feeling sick 212(50.5%) were the most prevalent neurotoxicity symptoms among street children. Age (AOR=2.04; 95% CI: 1.06-3.93), Work status (AOR=0.49; 95% CI: 0.26-0.91), time on the street (AOR=3.73; 95% CI: 1.78-7.82), Peer pressure (AOR=3.10; 95% CI: 1.72-5.59), stress and depression (AOR=3.72; 95% CI: 2.07-6.68) and self-esteem (AOR=2.86; 95% CI: 1.51-5.43) were significantly associated with glue sniffing. Conclusion: The prevalence of glue sniffing among street children is alarmingly high causing health problem on these children with a high prevalence of neurotoxicity symptoms; depression, headache and short memory. The determinant factors were age, time on street, work status, peer pressure, stress & depression and self-esteem,. Prohibiting the use of glue by law and further study is recommended.

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Keywords

Organic solvent, neurotoxicity, glue sniffing, street children.

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