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Int J Sports Med 2007; 28(4): 346-353
DOI: 10.1055/s-2006-924353
Behavioral Sciences

© Georg Thieme Verlag KG Stuttgart · New York

Doping, Drugs and Drug Abuse among Adolescents in the State of Thuringia (Germany): Prevalence, Knowledge and Attitudes

B. Wanjek1 , J. Rosendahl2 , B. Strauss2 , H. H. Gabriel1
  • 1Department of Sports Medicine, Friedrich-Schiller-University, Jena, Germany
  • 2University Hospital Jena, Institute of Medical Psychology, Friedrich-Schiller-University, Jena, Germany
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Publication History

Accepted after revision: May 3, 2006

Publication Date:
06 October 2006 (online)

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Abstract

Goal-directed measures to prevent doping and drug abuse in sports requires empirical data. In this connection, a cross-sectional analysis was carried out in 2004. The purpose of the study, on the one hand, was to register reliable data of the current situation in Thuringia, and, on the other hand it was to give information on possible interventional steps with scientific support. Within three months, 2319 adolescents from 16 Thuringian schools (5 regular schools, 4 secondary schools, 3 sport schools and 4 vocational schools) were surveyed. Three hundred and forty-six (15.1 %) students out of 2287 students (26 students without a statement) indicated use of prohibited substances from the WADA list in the previous year [[27]]: 16 (0.7 %) anabolic-androgenic steroids (AAS), 10 (0.4 %) growth hormones, 56 (2.4 %) stimulants, 305 (13.2 %) cannabis, 2 (0.1 %) diuretics, 52 (2.2 %) cocaine/heroin and 6 (0.3 %) erythropoeitin. Moreover, nonathletes (N = 490) reported a substance use that was approximately 5.0 % higher than that of recreational athletes (N = 1254) and nearly three times higher than that of competitive athletes (497). All three groups (nonathletes, recreational athletes and competitive athletes) performed poorly on a knowledge test regarding doping in general with an average below 60 % in each case. Another main aspect of the study was to determine factors influencing substance use in sports. Besides the doping specific knowledge (β = 0.06, p < 0.05), age contributed (β = 0.09, p < 0.05), as well as anti-doping attitude (β = - 0.34, p < 0.05), to the resulting variance. Gender, however, played no role. The findings of the study point towards the need for improvement of specific knowledge of doping among students and that their attitude towards doping must be altered. The goal in this case is to test the effectiveness of appropriate scientific intervention.

Key words

Doping - drugs - drug abuse in sports - adolescents - cross-sectional analysis

References

  • 1 Boos K, Wulff P, Kujath P, Bruch H P. Medikamentenmissbrauch beim Freizeitsportler im Fitnessbereich.  Dt Ärztebl. 1998;  95 774-778
    PubMedGoogle Scholar
  • 2 Bortz J. Statistik für Sozialwissenschaftler. 5th edn. Berlin; Springer 1999
    Google Scholar
  • 3 Bös K, Heel J, Rohman N, Tittlbach S, Woll A, Worth A, Hölling H. Untersuchungen zur Motorik im Rahmen des Kinder- und Jugendgesundheitssurveys.  Gesundheitswesen. 2002;  64 (Sonderheft 1) 80-87
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Bundeszentrale für gesundheitliche Aufklärung BZgA .Die Drogenaffinität Jugendlicher in der Bundesrepublik Deutschland 2004. Eine Wiederholungsbefragung der Bundeszentrale für gesundheitliche Aufklärung. Teilband Illegale Drogen. Köln; BzgA 2004
    Google Scholar
  • 5 DuRant R H, Aschworth C S, Newman C, Rickert V I. Stability of the relationships between anabolic steroid use and multiple substance use among adolescents.  J Adolesc Health. 1994;  15 111-116
    CrossrefPubMedGoogle Scholar
  • 6 Faigenbaum A D, Zaichkowsky L D, Gardner D E, Micheli L J. Anabolic steroid use by male and female middle school students.  Pediatrics. 1998;  101 1-7
    CrossrefPubMedGoogle Scholar
  • 7 Goldberg L, Bents R T, Bosworth E E, Trevisan L, Elliot D L. Effect of an anabolic steroid education program on knowledge and attitudes of high school football players.  J Adolesc Health. 1990;  11 210-214
    PubMedGoogle Scholar
  • 8 Goldberg L, Bosworth E E, Bents R T, Trevisan L. Anabolic steroid education and adolescents: do scare tactics work?.  Pediatrics. 1991;  87 283-286
    PubMedGoogle Scholar
  • 9 Goldberg L, Elliot D, Clarke G N, Mac Kinnon D P, Moe E, Zoref L, Green C, Wolf S L, Greffrath E, Miller D J, Lapin A. Effects of a multidimensional anabolic steroid prevention intervention. The Adolescents Training and Learning to Avoid Steroids (ATLAS) program.  JAMA. 1996;  276 1555-1562
    CrossrefPubMedGoogle Scholar
  • 10 Goldberg L, Elliot D, Clarke G N, Mac Kinnon D P, Moe E, Zoref L, Green C, Wolf S L, Greffrath E, Miller D J, Lapin A. The Adolescents Training and Learning to Avoid Steroids (ATLAS) prevention program. Background and results of a model intervention.  Arch Pediatr Adolesc Med. 1996;  150 713-721
    PubMedGoogle Scholar
  • 11 Goodman R, Meltzer H, Baily V. The strength and difficulties questionnaire: a pilot study on the validity on the self-report version.  Eur Child Adolesc Psychiat. 1998;  7 125-130
    PubMedGoogle Scholar
  • 12 Kindlundh A M, Isacsonn D G, Berglund L, Nyberg F. Doping among high school students in Uppsala, Sweden: a presentation of the attitudes, distribution, side effects and extent of use.  Scan J Soc Med. 1998;  26 71-74
    PubMedGoogle Scholar
  • 13 Kraus L, Heppekausen K, Barrera A, Orth B. Die Europäische Schülerstudie zu Alkohol und anderen Drogen (ESPAD): Befragung von Schülerinnen und Schülern der 9. und 10. Klasse in Bayern, Berlin, Brandenburg, Hessen, Mecklenburg Vorpommern und Thüringen. München; IFT 2004
    Google Scholar
  • 14 Luetkemeier M J, Bainbridge C N, Walker J, Brown D B, Eisenman P A. Anabolic-androgenic steroids: prevalence, knowledge, and attitudes in junior and senior high school students.  J Health Educ. 1995;  26 4-9
    PubMedGoogle Scholar
  • 15 Lambert M I, Titlstad S D, Schwellnus M P. Prevalence of androgenic-anabolic steroid use in adolescents in two regions of South Africa.  S Afr Med J. 1998;  88 876-880
    PubMedGoogle Scholar
  • 16 Laure P, Lecerf T, Friser A, Binsinger C. Drugs, recreational drug use and attitudes towards doping of high school athletes.  Int J Sports Med. 2004;  25 133-138
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Melia P, Pipe A, Greenberg L. The use of anabolic-androgenic steroids by Canadian students.  Clin J Sport Med. 1996;  6 9-14
    PubMedGoogle Scholar
  • 18 Nilsson S. Androgenic anabolic steroid use among male adolescents in Falkenberg.  Eur J Clin Pharmacol. 1995;  1 9-11
    PubMedGoogle Scholar
  • 19 Nilsson S, Baigi A, Marklund B, Fridlund B. The prevalence of the use of androgenic anabolic steroids by adolescents in a county of Sweden.  Eur J Public Health. 2001;  2 195-197
    PubMedGoogle Scholar
  • 20 Nilsson S, Allebeck P, Marklund B, Baigi A, Fridlund B. Evaluation of a health promotion programme to prevent the misuse of androgenic anabolic steroids among Swedish adolescents.  Health Promot Int. 2004;  19 61-67
    CrossrefPubMedGoogle Scholar
  • 21 Ravens-Sieberer U, Bullinger M. KINDL® - Fragebogen zur Erfassung der gesundheitsbezogenen Lebensqualität bei Kindern und Jugendlichen - Revidierte Form.  Qual Life Res. 1998;  7 399-407
    CrossrefPubMedGoogle Scholar
  • 22 Schwellnus M P, Lambert M I, Todd M P, Juritz J M. Androgenic anabolic steroid use in matric pupils.  S Afr Med J. 1992;  82 154-158
    PubMedGoogle Scholar
  • 23 Stilger V G, Yesalis C E. Anabolic-androgenic steroid use among high school football players.  J Comm Health. 1999;  24 131-145
    PubMedGoogle Scholar
  • 24 Tanner S M, Miller D W, Alongi C. Anabolic steroid use among adolescents: prevalence, motives, and knowledge of risks.  Clin J Sport Med. 1995;  5 108-115
    PubMedGoogle Scholar
  • 25 Williamson D J. Anabolic steroid use among students at a British college of technology.  Br J Sports Med. 1993;  3 200-201
    PubMedGoogle Scholar
  • 26 Windsor R, Dumitru D. Prevalence of anabolic steroid use by male and female adolescents.  Med Sci Sports Exerc. 1989;  21 494-497
    PubMedGoogle Scholar
  • 27 World Anti-Doping Agency .The 2004 Prohibited List: International Standard. www.wada-ama.org . 
    Google Scholar

1 SDQ - the Strength and Difficulties Questionnaire by Goodman [[11]] is a validated screening questionnaire to measure behavioral characteristics of children and adolescents.

2 Kiddo-KINDL® is a reliable questionnaire by Ravens-Sieberer & Bullinger [[21]] measuring the health related quality of life.

Prof. Dr. Holger Gabriel

Lehrstuhl für Sportmedizin
Friedrich-Schiller-Universität Jena

Wöllnitzer Straße 42

07749 Jena

Germany

Phone: + 49 (0) 36 41 94 56 50

Fax: + 49 (0) 36 41 94 56 52

Email: holger.gabriel@uni-jena.de

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