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More than half a million American teens are using inhalants. A doctor explains the dangers

g Concern in the U.S. More than half a million American - Recent data highlights a troubling increase in the use of inhalants among American adolescents
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(Daniel Smith/The Post)

Teen Inhalant Use Surges: A Growing Concern in the U.S.

More than half a million American – Recent data highlights a troubling increase in the use of inhalants among American adolescents, driven in part by evolving social media trends. Common household and commercial items, such as nitrous oxide—popularly known as laughing gas—are being increasingly inhaled by teens for recreational purposes. According to a study published in the journal *Preventive Medicine*, nearly half a million teenagers in the U.S. reported using inhalants within the past year, underscoring the widespread nature of this issue.

Understanding the Appeal of Inhalants

Inhalants are volatile chemicals that produce psychoactive effects when inhaled. These substances are often found in everyday environments, from homes and schools to garages and stores, making them easily accessible to young users. Teens may experiment with inhalants like glue, shoe polish, paint thinner, aerosol sprays, gasoline, and nitrous oxide to achieve a short-lived high characterized by euphoria, hallucinations, or a sense of dissociation. While nitrous oxide has legitimate medical applications, such as pain relief in dental procedures and surgical settings, its recreational use has grown rapidly, especially among younger populations.

“Inhalants are inexpensive, widely available, and often perceived as safe because they are common household products,” explains Dr. Leana Wen, a CNN wellness expert and former Baltimore health commissioner. “This misconception can lead to significant risks, as teens may not recognize the potential harm of these substances.”

Dr. Wen, who is also an emergency physician and adjunct associate professor at George Washington University, emphasizes that the rise of social media has amplified the popularity of inhalant use. Platforms like TikTok and Instagram have introduced terms such as “Galaxy Gas” to describe nitrous oxide, making it more appealing to adolescents. The ease of access and the thrill of immediate effects contribute to its allure, particularly for those seeking alternatives to traditional drugs.

Study Reveals Disproportionate Impact on Certain Groups

A new analysis of national survey data from 2021 to 2023, which included responses from over 33,700 adolescents, sheds light on the demographics of inhalant use. Researchers found that 2.2% of teenagers reported using inhalants in the past year, translating to more than 500,000 individuals nationwide. Of these, 0.7% used inhalants in the past month, with 0.3% meeting the criteria for inhalant use disorder—a condition marked by severe impairment or distress linked to habitual misuse.

Notably, the study revealed that younger adolescents aged 12 to 13 are more likely to engage in inhalant use compared to those aged 14 to 17. This trend was unexpected at first, but Dr. Wen notes it aligns with previous research showing that inhalants are frequently the first substances teens experiment with due to their ubiquity. “The simplicity of access and the lack of stigma around these products make them a common starting point for many young users,” she says.

“There’s a strong correlation between inhalant use and other risky behaviors, such as tobacco use, physical fights, and stealing,” Wen explains. “This suggests that inhalant misuse often clusters with broader patterns of substance use and impulsivity in adolescents.”

Demographic differences also emerged in the study. While White adolescents had the highest rates of past-year inhalant use, Black teens showed lower odds of engaging in this behavior. Conversely, Native American and Alaska Native adolescents were more likely to develop inhalant use disorder, and Asian teens had the lowest rates. The authors attribute these disparities to social and structural factors, though they caution that inhalant misuse can affect teens from any background.

Health Risks and Psychological Impacts

The health consequences of inhalant use are both immediate and long-term. Short-term effects include dizziness, nausea, and temporary euphoria, but repeated exposure can lead to oxygen deprivation, causing loss of consciousness or even fainting. Nitrous oxide, in particular, poses risks due to its ability to rapidly reduce oxygen levels in the blood, potentially leading to brain damage or neurological issues with frequent use.

Longer-term risks are equally concerning. Chronic inhalant abuse can impair cognitive function, affecting memory, attention, and motor skills. It may also lead to respiratory problems, liver damage, and cardiovascular complications. Dr. Wen warns that the brain’s vulnerability during adolescence makes teens especially susceptible to these effects. “The developing brain is more sensitive to the toxic effects of inhalants, which can have lasting impacts on learning, behavior, and emotional regulation,” she states.

Psychological factors further compound the risks. Teens who misuse inhalants often exhibit heightened anxiety, depression, or mood swings, which may be exacerbated by the substances’ impact on neurotransmitter activity. Additionally, the addictive nature of inhalants can lead to dependency, particularly in those with a history of experimenting with other drugs or engaging in impulsive activities.

Why Inhalant Use Matters for Parents and Caregivers

Parents and caregivers may underestimate the danger of inhalant use, assuming that because these products are household staples, they are inherently safe. However, Dr. Wen stresses that this perception can be misleading. “Even common items like aerosol sprays or cleaning agents can become dangerous when inhaled repeatedly,” she says.

She also highlights the importance of monitoring teens’ behavior, as inhalant use often co-occurs with other risk factors. For example, adolescents who steal or get into physical altercations are more likely to experiment with inhalants. “This connection suggests that inhalant use is not isolated but part of a larger pattern of risk-taking behaviors,” Wen points out.

Despite these risks, many parents remain unaware of how inhalants are being misused. Dr. Wen recommends increasing education about the dangers of these substances, particularly among younger teens. “Awareness is key to prevention. If parents understand the risks, they can intervene early and help their children avoid the pitfalls of inhalant abuse.”

The Role of Social Media in Normalizing Inhalant Use

Social media platforms have become a double-edged sword in shaping teen behavior. While they provide valuable resources for health education, they also amplify trends that normalize inhalant use. Viral videos showcasing the effects of laughing gas or other inhalants have made them more attractive to adolescents, especially those seeking quick, accessible highs. The anonymity of online communities further reduces the stigma associated with these substances, encouraging experimentation.

Dr. Wen suggests that parents and educators should collaborate to counter these influences. “By incorporating social media trends into discussions about substance use, we can better equip teens to make informed choices,” she says. This approach could help address the growing prevalence of inhalant use and its potential to disrupt academic performance, social relationships, and overall well-being.

As inhalant use continues to rise, experts urge a proactive response. The combination of accessibility, social media influence, and the psychological vulnerabilities of teens creates a perfect environment for these substances to gain traction. With targeted education and early intervention, it may be possible to mitigate the impact of this trend and protect young users from its harmful effects.