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Gender differences in inhalant abuse have been identified at different points in childhood. One study indicates inhalant abuse is higher for boys than girls in grades 4 through 6, occurs at similar rates in grades 7 through 9-when overall use is highest-and becomes more prevalent again among boys in grades 10 through 12. The National Household Survey on Drug Abuse (NHSDA), an annual survey of drug use among the Nation's noninstitutionalized civilians, reports that similar percentages of 12- to 17-year-old boys and girls abused inhalants in 1998. However, the percentage of 18- to 25-year-old males who abused inhalants was more than twice that of females in that age group, suggesting that sustained abuse of inhalants is more common among males.